Auto Network Lead

Mass General BrighamBoston, MA
4dOnsite

About The Position

Site: The General 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 Responsible for coordinating and supervising administrative activities related to network management, contracting, and provider relations.

Requirements

  • Bachelor's Degree Related Field of Study required
  • Experience in healthcare network administration, provider relations, or contracting within the auto network 3-5 years preferred
  • 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.

Responsibilities

  • 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.
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