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Mass General Brigham Health Plan, Inc. - Boston, MA

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Job Description

You may choose to display a cookie banner on the external site. You must specify the message in the cookie banner and may add a link to a relevant policy. If you are unfamiliar with these requirements, please seek the advice of legal counsel. )Site: The General Hospital CorporationMass 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.**Qualifications**Essential Functions-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.Education Bachelor's Degree Related Field of Study required No Licenses and Credentials Experience Experience in healthcare network administration, provider relations, or contracting within the auto network 3-5 years preferred Knowledge, Skills and Abilities - 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.**Additional Job Details (if applicable)****Remote Type**Onsite**Work Location**55 Fruit Street**Scheduled Weekly Hours**40**Employee Type**Regular**Work Shift**Day (United States of America)**Pay Range**$69,596.80 - $101,202.40/Annual**Grade**7At 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.**EEO Statement:**The General Hospital Corporation 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 bat disease. Hold a hand. Help people. Impact the world.Mass General Brigham is a passionate, welcoming community where minds meet caring hearts.Our history includes New England hospitals founded over 200 years ago, some of the first and most prestigious hospitals in the world.Built on the legacy of two leading academic medical centers, we’re more than a system—we’re leaders in the practice of medicine. Mass General Brigham is committed to serving the community.We are dedicated to enhancing patient care, teaching and research, and taking a leadership role as an integrated health care system.We recognize that increasing value and continuously improving quality are essential to maintaining excellence. #J-18808-Ljbffr

Created: 2025-09-18

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