Provider Network Quality Coordinator

Mass General Brigham•Somerville, MA

13h•$22 - $31•Hybrid

About The Position

Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are on the forefront of transformation with one of the world’s leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage. Our work centers on creating an exceptional member experience – a commitment that starts with our employees. We are pleased to offer competitive salaries and a benefits package with flexible work options, career growth opportunities, and much more. Responsible for supporting the provider data quality improvement and compliance initiatives by providing operational assistance. This role involves coordinating quality activities, maintaining accurate records, preparing reports, and facilitating communication across departments, ensuring the organization meets regulatory standards and continuously improves provider data quality.

Requirements

High School Diploma or Equivalent required
At least 1-2 years of experience in an administrative or support role, preferably within a healthcare setting required

Nice To Haves

Associate's Degree or Bachelor's Degree preferred
At least 1-2 years of experience in quality control, assurance, accreditation or other related role preferred
Familiarity with healthcare quality measures, regulatory requirements, and accreditation standards is a plus.
Strong organizational, communication, and interpersonal skills.
Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint) and data management software.
Ability to handle multiple tasks simultaneously and work effectively in a fast-paced environment.

Responsibilities

Collects, organizes, and maintains data related to provider data measures, audits, and performance metrics. Assists in data analysis and interpretation, providing administrative support for quality improvement projects.
Monitors compliance with regulatory standards and reports any discrepancies or areas of concern to the Provider Network Growth team.
Contact healthcare providers and facilities listed in the provider directory via phone outreach.
Validate key provider information, including: practice name and address, phone number, office hours, whether the provider is accepting new patients, languages spoken, and network participation
Document and report findings using internal data collection tools or templates.
Identify and flag discrepancies or potential directory errors.
Follow standardized scripts and procedures to ensure consistency and regulatory compliance.
Work with internal teams (e.g., provider relations, compliance) to report trends or escalate issues.
Maintain a high level of professionalism and neutrality during all interactions.
Meet established call quotas and documentation deadlines.