Provider Operations Specialist Position Available In Middlesex, Massachusetts

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Provider Operations Specialist
remote type
Hybrid
locations
Belmont-MA
time type
Full time
posted on
Posted 5 Days Ago
job requisition id

RQ4024157

Site:

The McLean Hospital Corporation
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
Summary
Responsible 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
  Bachelor’s 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
  Hybrid
  Work Location
  115 Mill Street
  Scheduled Weekly Hours
  40
  Employee Type
  Regular
  Work Shift
  Day (United States of America)

EEO Statement:

The McLean Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857

• 282-7642.

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.
Why work here?
Combat disease. Hold a hand. Help people. Impact the world.
Mass General Brigham is a passionate, welcoming community where minds meet caring hearts.
Come be a part of the world’s most powerful force in medicine, where every role is important in changing lives. Are you ready?
About Us?
Our history includes New England hospitals founded over 200 years ago, some of the first and most prestigious hospitals in the world.
Built on the legacy of two leading academic medical centers, we’re more than a system—we’re leaders in the practice of medicine. Mass General Brigham is committed to serving the community.
We are dedicated to enhancing patient care, teaching and research, and taking a leadership role as an integrated health care system.
We recognize that increasing value and continuously improving quality are essential to maintaining excellence.