Provider Operations Specialist
Provider Operations Specialist
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Job Description
Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
SummaryResponsible for managing the operations of the healthcare provider network.
Does this position require Patient Care
No
Essential Functions
-Oversee the faculty onboarding process ensuring all necessary documentation is obtained and processed in a timely manner.
-Develop and maintain positive relationships with healthcare and research providers addressing operational issues and concerns.
-Work with internal teams to ensure provider appointments are up-to-date and accurate.
-Monitor provider performance metrics and work with providers to identify areas for improvement.
-Develop and implement provider education and training programs as needed.
-Collaborate with the Director and internal teams to develop and implement provider communication strategies including Standard Operating Procedures
-Ensure compliance with regulatory requirements related to provider operations.
-Maintain accurate provider information in company databases and systems.
-Verify faculty credentials education and licenses ensuring that they meet all organizational and regulatory requirements.
-Collaborate with McLean Human Resources (HR) and MGB HR analysts on faculty orientation sessions and background checks to ensure efficient and timely onboarding.
-Work closely with internal departments including compliance Global Professional Services and the Centralized Credentialing Office (CCO) to ensure a seamless transition for new providers.
-Act as a liaison between the organization and external partners such as provider enrollment organizations Harvard Medical School hospitals and medical groups to facilitate the onboarding process.
-Provide support and guidance to providers throughout the onboarding process answering questions and addressing concerns as needed.
-Continuously evaluate and improve the onboarding process to ensure efficiency and effectiveness.
-Other duties as assigned.
Qualifications
Education
Bachelors Degree Related Field of Study required
Can this role accept experience in lieu of a degree
No
Licenses and Credentials
Experience
Experience in healthcare provider operations credentialing or related field 2-3 years required
Knowledge Skills and Abilities
- Strong understanding of healthcare provider operations and industry regulations.
- Excellent communication and interpersonal skills with the ability to build positive relationships with providers and internal teams.
- Strong analytical skills and attention to detail.
- Ability to work independently and manage multiple projects simultaneously.
- Proficiency with Microsoft Office and experience working with provider databases and systems.
- Experience with provider performance metrics and reporting is a plus.
Additional Job Details (if applicable)
Physical Requirements
- Standing Occasionally (3-33%)
- Walking Occasionally (3-33%)
- Sitting Constantly (67-100%)
- Lifting Occasionally (3-33%) 20lbs - 35lbs
- Carrying Occasionally (3-33%) 20lbs - 35lbs
- Pushing Rarely (Less than 2%)
- Pulling Rarely (Less than 2%)
- Climbing Rarely (Less than 2%)
- Balancing Occasionally (3-33%)
- Stooping Occasionally (3-33%)
- Kneeling Rarely (Less than 2%)
- Crouching Rarely (Less than 2%)
- Crawling Rarely (Less than 2%)
- Reaching Occasionally (3-33%)
- Gross Manipulation (Handling) Constantly (67-100%)
- Fine Manipulation (Fingering) Frequently (34-66%)
- Feeling Constantly (67-100%)
- Foot Use Rarely (Less than 2%)
- Vision - Far Constantly (67-100%)
- Vision - Near Constantly (67-100%)
- Talking Constantly (67-100%)
- Hearing Constantly (67-100%)
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
EEO Statement:
Mass General Brigham Competency Framework
At Mass General Brigham our competency framework defines what effective leadership looks like by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance make hiring decisions identify development needs mobilize employees across our system and establish a strong talent pipeline.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
