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Team Lead Operations Specialist

Job Category: Contracting & Credentialing

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Location: Lake Mary, FL, United States

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Job Description


The Provider Data Management (PDM) Team Lead Operations Specialist will manage a team and provide effective guidance. The Team lead will mentor, lead and identify process improvement for the team. They are responsible for over-seeing Provider onboarding and day to day operations. This will be accomplished by monitoring, coaching to meet performance production standards and ensuring all deadlines are met timely and accurately.

  • Supervises team of Operation Specialists
  • Reports and review production activity, ensuring staff is working to maximum capacity
  • Ensures provider onboarding and demographic updates are made timely and accurately
  • Provides support and leadership to team, manages timecard approval process and coordinates time away requests
  • Provides Turn Around Time (TAT) Reports to management
  • Leads the performance appraisal process, which includes gathering input from stakeholders, determining appropriate performance review rating, preparing and delivering reviews
  • Setting clear team goals, delegating tasks and setting deadlines for team
  • Oversees day-to-day operations
  • Coordinates the assignments with internal teams to on-board new account relationships
  • Attends ad hoc meetings and leads provider meetings as appropriate
  • Responds to ad hoc regulatory, credentialing and compliance specific queries
  • Participates in or leads projects related to the business’ and teams’ overall priorities
  • Additional duties as assigned 

Minimum Qualifications:

  • Associate's Degree from an accredited institution or equivalent work experience
  • Experience managing, coaching and mentoring
  • In-depth knowledge of performance metrics
  • Excellent communication and leadership skills
  • Organizational and time-management skills
  • Decision-making skills
  • Understanding Network Management
  • Experience working as a liaison with providers and internal support groups
  • MS Office and computer proficient  (i.e. Excel, V lookup, pivot, formulas, reporting)
  • Critical thinking skills
  • Ability to travel up to 25%

Preferred Qualifications:

  • Bachelor’s Degree from an accredited institution
  • Experience with MHS, DocuSign and CRM software
  • Familiarity with CAQH, Credentialing, and Provider rosters
  • Experience with SharePoint

Compliance & Regulatory Responsibilities: N/A

License/Certification: N/A

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

If you have a disability under the Americans with Disability Act or a similar law, and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to [email protected] or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.

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