Site: Mass General Brigham Health Plan Holding Company, Inc.
At Mass General Brigham, we know it takes a surprising range of talented professionals to advance our mission—from doctors, nurses, business people and tech experts, to dedicated researchers and systems analysts. As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve.
At Mass General Brigham, we believe a diverse set of backgrounds and lived experiences makes us stronger by challenging our assumptions with new perspectives that can drive revolutionary discoveries in medical innovations in research and patient care. Therefore, we invite and welcome applicants from traditionally underrepresented groups in healthcare — people of color, people with disabilities, LGBTQ community, and/or gender expansive, first and second-generation immigrants, veterans, and people from different socioeconomic backgrounds – to apply.
This is a remote role that can be done from most US state
Job SummaryResponsible for managing the daily operations of the provider network for an organization.
Does this position require Patient Care?
No
Qualifications
Essential Functions
- Manage a team of provider network operations staff, including hiring, training, and performance management.
- Develop and implement provider network policies and procedures, including contracting, credentialing, and provider data management.
- Collaborate with other departments to ensure effective coordination of provider network operations with other areas of the organization.
- Plan and oversee the budget for provider network operations, including expenses and capital expenditures.
- Monitor and analyze provider network performance, including network adequacy and provider satisfaction, and develop and implement improvement plans as needed.
- Ensure compliance with industry standards and regulations related to provider network operations.
- Develop and maintain relationships with provider network vendors and service providers.
Additional Job Details (if applicable)
Education
- Master’s Degree Related Field of Study preferred or Bachelor’s Degree Related Field of Study required
Can this role accept experience in lieu of a degree?
Yes
Experience
- Experience in healthcare provider network operations 5-7 years required and Experience in a Supervisory role. 2-3 years required
Knowledge, Skills and Abilities
- Strong leadership, management, and communication skills.
- Deep understanding of healthcare provider networks and related operations, including contracting, credentialing, and provider data management.
- Strong analytical and problem-solving skills.
- Excellent communication and interpersonal skills.
- Ability to work independently and as part of a team.
- Ability to prioritize tasks and manage multiple projects simultaneously.
Physical Requirements
- Standing Frequently (34-66%)
- Walking Frequently (34-66%)
- Sitting Occasionally (3-33%)
- Lifting Frequently (34-66%) 35lbs+ (w/assisted device)
- Carrying Frequently (34-66%) 20lbs – 35lbs
- Pushing Occasionally (3-33%)
- Pulling Occasionally (3-33%)
- Climbing Rarely (Less than 2%)
- Balancing Frequently (34-66%)
- Stooping Occasionally (3-33%)
- Kneeling Occasionally (3-33%)
- Crouching Occasionally (3-33%)
- Crawling Rarely (Less than 2%)
- Reaching Frequently (34-66%)
- Gross Manipulation (Handling) Frequently (34-66%)
- 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
Remote
Work Location
399 Revolution Drive
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
EEO Statement:
Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. 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.
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?Read More
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.