Site: Mass General Brigham Incorporated
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 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.
Essential Functions
- 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.
Education
- Bachelor's Degree Related Field of Study preferred
Experience
- 3-5 years of Credentialing & Privileging, Medical Staff Services required
- 3-5 years of experience with MD-Staff preferred
Knowledge, Skills and Abilities
- 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.
Additional Job Details (if applicable)
Remote
399 Revolution Drive
40
Regular
Day (United States of America)
Pay Range
$63,648.00 - $90,750.40/Annual
Grade
6
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
0100 Mass General Brigham Incorporated is an Equal Opportunity Employer. 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. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.
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.
