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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
Responsible for coordinating and supervising administrative activities related to network management contracting and provider relations.Qualifications
Essential Functions
-Oversee the administrative aspects of the auto network including managing network contracts provider credentialing and enrollment processes.
-Ensure compliance with contractual obligations and regulatory requirements.
-Serve as a primary point of contact for network providers addressing their inquiries concerns and requests.
-Foster positive relationships with network providers and handle escalated issues effectively.
-Collaborate with the legal team to negotiate and finalize contracts with network providers ensuring that agreements are comprehensive and aligned with organizational goals.
-Monitor contract performance terms and renewals.
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 network administration provider relations or contracting within the auto network 3-5 years preferred
Knowledge Skills and Abilities
- Strong knowledge of healthcare regulations credentialing and contracting processes.
- Familiarity with claims processing reimbursement and payment systems.
- Excellent communication and interpersonal skills to interact effectively with providers staff and external stakeholders.
- Strong organizational and project management skills to handle multiple priorities and meet deadlines.
- Proficiency in data management reporting and analysis using relevant software or tools.
Additional Job Details (if applicable)
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$69596.80 - $101202.40/AnnualGrade
7EEO 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.
Employment Type
Full-Time
