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Provider Operations Specialist

McLean Hospital
United States, Massachusetts, Belmont
115 Mill Street (Show on map)
Jun 12, 2025
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.

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.

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%)


The McLean Hospital Corporation 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.
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