As a not-for-profit organization, Partners HealthCare is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Brigham and Women's Hospital and Massachusetts General Hospital, Partners HealthCare supports a complete continuum of care including community and specialty hospitals, a managed care organization, a physician network, community health centers, home care and other health-related entities. Several of our hospitals are teaching affiliates of Harvard Medical School, and our system is a national leader in biomedical research.
We're focused on a people-first culture for our system's patients and our professional family. That's why we provide our employees with more ways to achieve their potential. Partners HealthCare is committed to aligning our employees' personal aspirations with projects that match their capabilities and creating a culture that empowers our managers to become trusted mentors. We support each member of our team to own their personal development-and we recognize success at every step.
Our employees use the Partners HealthCare values to govern decisions, actions and behaviors. These values guide how we get our work done: Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk; and how we treat each other: Diversity & Inclusion, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & Collaboration.
General Summary:
Reporting to the CCO Operations Manager, the Business Analyst will provide project management, implementation and support on projects for the Central Credentialing Office and the Medical Staff Offices (MSO) across Partners. This individual will work closely with CCO/MSO leadership and other members of Partners Healthcare System to provide data analytics and project management or support utilizing information from the enterprise-wide credentialing system.
Principal Duties and Responsibilities:
• Serve as a key collaborator and partner who will participate in/or lead wide-ranging strategic projects by providing data analytics and/or project management.
• Support business and planning efforts related to CCO development and enterprise-wide credentialing software implementation across Partners Healthcare entities.
• Responsibilities include, but are not limited to, development and documentation of project plans, timelines, and evaluation plans.
• Utilize enterprise-wide credentialing system to report on and analyze data. Develop and maintain reports, conduct data collection, track, and analyze information stored in enterprise-wide credentialing system
• Compile and analyze data from internal and external customers
• Receives and completes requests for from internal and external customers of the CCO/MSOs for information utilized to create hospital reports, complete survey responses, develop regulatory reports, and more.
• Maintain and apply extensive knowledge of credentialing and privileging processes to appropriately capture dataset required to meet needs of requestor.
• Coordinates with Partners IS support team for complex data requests.
• Work with the entity Medical Staff Offices (MSO) and/or Provider Enrollment staff to develop, maintain, and submit provider information and rosters as required for delegation with health plans.
• Provide project support for regulatory and delegated credentialing audits of provider files. Manage audit process during "peak" season and/or as requested.
• Serves as NPDB Administrator for CCO and manages the continuous query process for Partners entities.
• Collaborate with the CCO and Medical Staff Offices on credentialing, privileging and other practitioner issues related to project management.
• Assumes role as a team member, technical resource or process facilitator on CCO and MSO project teams.
• Develop, execute and present periodic reports as well as ongoing performance reports to update CCO Leadership and/or other Partners Healthcare entity representatives
• Ensure project scope and requirements are achieved in a timely manner and within guidelines.
• Represent the CCO at various meetings, including internal and external committees or task forces.
• Provides ad hoc reports to entity departments as requested.
• Deal with projects and issues that are significant, sensitive, political and confidential in nature.
• Special projects at the discretion of Executive Director of Partners CCO to support CCO operations and the leadership team. All other duties as needed and requested by the Executive Director of Partners CCO.
Qualifications
• Bachelor's degree required
• Minimum of 3 to 5 years experience; direct experience in the healthcare field preferred but not required
• Experience with data collection, analysis, financial modeling, and report formatting, as well as oral and written presentation of analysis
• Demonstrated project management experience.
• Understanding of provider credentialing processes, a plus.
• Exceptional judgment and discretion in interacting with physicians and senior management on sensitive political and confidential issues and initiatives.
Skills/Abilities/Competencies:
• Superior attention to detail.
• Strong organizational and leadership skills.
• Excellent data management and analytic skills.
• Exceptional interpersonal and communication skills, both written and oral
• Ability to work focus detailed, concentrated effort to multiple projects and re-establish priorities as necessary.
• Ability to work independently as well as collaboratively at all levels of complex organization.
• Ability to effectively respond to time sensitive issues.
• Ability to successfully negotiate and collaborate with others of different skill sets, backgrounds and levels within and external to the network.
• Strong problem solving and negotiation skills.
• Requires minimal direction from leadership and possesses the ability to learn quickly.
Supervisory Responsibility:
• No direct reports; may indirectly provide leadership and guidance to less seasoned and new staff
Fiscal Responsibility:
• No direct budgetary responsibility
• Demonstrates fiscal responsibility by effectively using Partners resources
Working Conditions:
• Possible local travel to Partners sites
• While performing the duties of this job, the employee is frequently required to sit; talk; or hear; use hands to finger; handle; or feel; reach with hands and arms. The employee is occasionally required to stand; walk; and stoop; kneel; or crouch. The employee must frequently lift and/or move up to 5 pounds and occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision and depth perception.
• The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Normal office working conditions. The noise level in the work environment is quiet to moderate.
EEO Statement
Partners HealthCare is an Equal Opportunity Employer & by embracing diverse skills, perspectives and ideas, we choose to lead. 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.
Partners Healthcare System Inc. is acting as an Employment Agency in relation to this vacancy. |
