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Negotiation Specialist

United States 19.04 - 28.56 USD / Hour · Job Posted January 24, 2026
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Job Description

The Negotiations Specialist will provide real-time support to Operations by locating out-of-network providers and/or addressing in-network providers requesting rates outside of their contract by negotiating single rate agreements or identifying in-network providers willing to accept the referral utilizing contracted rates. The Negotiations Specialist is a partner to the scheduling team, ensuring that One Call secures providers and confirms negotiated services are started timely.

Job Responsibility

  • Conduct negotiations with out-of-network/network providers for prospective referrals utilizing established guidelines
  • Executes short-term agreements (i.e., Single Referral Agreements) for One Call’s referrals if we are unable to staff through One Call’s provider network
  • Works with contracted providers that request reimbursement outside of contracted rates in conjunction with the Provider Engagement & Contracting Teams
  • Effectively and timely locate an out-of-network provider that meets the operational needs of a specific referral
  • Effectively communicate the One Call value proposition to out-of-network providers
  • Submit interested or viable non-contracted providers to Provider Contracting for contracting opportunities
  • Acquires minimum provider qualification documents at completion of Single Referral Agreement
  • Submits Single Referral Agreement request to Provider Data Management
  • Ensures proper notation and documentation for each assigned task is clean, clear, and concise
  • Cleary communicates dates and other instructions with the service provider(s) for negotiated files
  • Confirms Start of Care for negotiated files
  • Meets the established team standards, including (but not limited to) quality standards and turnaround time requirements
  • Provides an outstanding experience to internal and external customers, where applicable
  • Able to support various levels of management on ad-hoc requests and perform other related duties as assigned

Requirements

  • Associate’s degree, or 1-2 years experience instead of a degree
  • Financial acumen
  • Proficient in negotiating with the ability to calculate margins based on client & provider pricing
  • Good understanding of One Call products and services
  • General knowledge of the workers’ compensation industry
  • General knowledge of negotiation principles
  • Excellent customer service competencies
  • Excellent verbal and written communication skills
  • Proficiency to operate independently on work that is often confidential
  • Computer navigation and operation skills
  • Demonstrates effective people skills and sensitivities when dealing with others
  • Able to work both independently and in a team environment
  • Communicates concisely, and professionally
  • Able to understand, apply, and explain concepts
  • Able to handle projects commensurate with job expectations
  • Able to analyze and solve problems using learned techniques and tools
  • Requires human relations, negotiation, and documentation skills
  • Requires high attention to detail
  • Flexibility, versatility, and dependability
  • Able to work in an environment that aligns with the company's diversity, equity, inclusion, and belonging standards
  • Able to work both independently and in a team
  • Demonstrate our core values of Think Big, Go Fast, Deliver Awe, and Win Together

What we offer

  • Remote Work: We are a remote-first company, and almost all positions receive the flexibility of working from home
  • Generous Time Off: Besides 8 company holidays and 2 personal days every year, all colleagues receive a minimum of 18 days of paid time off
  • Comprehensive Benefits Package: Including medical, dental, vision, and pet insurance
  • 401(k) matching program
  • and company-paid life insurance and short and long-term disability coverage
  • Supportive Services: We offer a Colleague Assistance Program that provides free counseling and financial services, and our One Call Foundation, a non-profit arm of our company, provides colleagues financial assistance during times of unexpected hardships
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