Director, Network Success
Full TimeRemote
Location
United States
Posted
6 days ago
Salary
Not specified
No structured requirement data.
Job Description
The Provider Quality Specialist - Network Operations will play a key role in maintaining and improving the integrity of Lantern’s provider network through ongoing quality assurance and requalification initiatives. This role supports the full lifecycle of provider qualification — from initial application to requalification — ensuring compliance with Lantern’s quality standards and alignment with evolving clinical guidelines.
Serve as a point of contact for providers during the requalification process — clearly articulating Lantern’s process, explaining requirements, and reinforcing the shared importance of data integrity and patient safety.
Support the re/qualification process for all providers within Lantern’s COE network.
Collect, validate, and review documentation including procedure logs, licenses, board certifications, and malpractice history.
Facilitate efficient reviews of provider applications by the Qualification Committee by ensuring completeness and accuracy of all provider submissions.
Partner with the providers to resolve application issues and escalate cases to the Clinical Operations team when necessary.
Partner with Network/Provider Success Managers to ensure timely submission and data integrity for provider requalification applications.
Compare refreshed provider data against initial qualification records to identify material changes in practice patterns, quality metrics, or compliance items.
Coordinate review workflows with the Provider Qualification Committee for providers requiring further evaluation or requalification.
Maintain organized records of provider documentation in Lantern’s SharePoint-based repository and CareHub/HealthCloud/SFDC.
Track progress and generate operational dashboards to monitor completion rates, data accuracy, and provider quality metrics over time.
Partner with internal teams (Clinical, Provider Success, and Compliance) to evolve qualification standards and optimize workflows.
Support audits and special projects to continuously improve data consistency and reduce administrative burden on provider partners.
Act as the source of truth for the provider qualification process for the Network team.
Job Requirements
- Bachelor’s degree required; advanced degree or certification in Healthcare Administration, Public Health, or related field preferred.
- 2+ years of experience in healthcare operations, credentialing, or quality assurance (COE, payer, or provider network experience a plus).
- Strong analytical and organizational skills with meticulous attention to detail.
- Proficiency with Microsoft Excel, SharePoint, and CRM tools (e.g., Salesforce).
- Excellent communication and stakeholder management skills — the ability to partner effectively with internal teams and external provider groups.
- Knowledge of credentialing or privileging standards (NPDB, CAQH, NAMSS, NCQA, Joint Commission) preferred.
- Ability to thrive in a fast-paced, dynamic environment with evolving processes.
- High accuracy rate in provider documentation and data entry.
- Timely completion of requalification cycles according to the 36-month cadence.
- Proactive identification of provider performance or compliance issues.
- Streamlined collaboration between Network, Clinical, and Provider Success teams.
- Measurable reduction in operational friction for provider partners.
Benefits
- Medical Insurance
- Dental Insurance
- Vision Insurance
- Short & Long Term Disability
- Life Insurance
- 401k with company match
- Paid Time Off
- Paid Parental Leave