Medical Staff Specialist

Mass General Brigham • Somerville, MA

1d • $63,648 - $90,750 • Remote

About The Position

Responsible for managing the end-to-end credentialing process for physicians and advanced practice providers, ensuring confidentiality, regulatory compliance, and coordination with hospital leadership and committees. Will oversee documentation, resolve issues, and guide files through approval channels, including departmental and board-level reviews.

Requirements

• Bachelor's Degree
• 3-5 years of Credentialing & Privileging, Medical Staff Services required
• 3-5 years of experience with MD-Staff preferred
• Working knowledge of general office practices and software applications and database management.
• Demonstrated understanding of credentialing policies and procedures, as well as accreditation and regulatory requirements relating to the medical staff.
• Strong organizational skills.
• Ability to manage demanding workload; self-motivated; able to carry out responsibilities with minimum supervision.
• Strong analytical skills.
• Strong interpersonal skills to effectively communicate with cross-functional teams including staff at all levels of the organization.
• Ability to successfully negotiate and collaborate with others of different skill sets, backgrounds and levels within and external to the organization.

Nice To Haves

• Related Field of Study preferred

Responsibilities

• Plan and organize workload for all new appointments and reappointments.
• Identify and resolve issues in the credentialing and privileging process.
• Manage committee approval process and meet credentialing deadlines.
• Collaborate with CCO and departments to review provider status and red flags.
• Maintain confidentiality of provider information and credentialing files.
• Ensure compliance with TJC, CMS, URAC, NCQA, and other regulations.
• Prepare and present credentialing packets to departmental committees.
• Update records post-appointment and respond to regulatory inquiries.
• Generate reports and forecast workload to meet regulatory timelines.

Benefits

• comprehensive benefits
• career advancement opportunities
• differentials
• premiums
• bonuses
• recognition programs

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level