Provider Quality Specialist

Bachelor’s degree required. 2+ years of experience in healthcare operations, credentialing, or quality assurance. 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. Knowledge of credentialing or privileging standards preferred. Ability to thrive in a fast-paced, dynamic environment.

Serve as a point of contact for providers during the requalification process. 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. Partner with the providers to resolve application issues. 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. Coordinate review workflows with the Provider Qualification Committee. Maintain organized records of provider documentation. Track progress and generate operational dashboards. Partner with internal teams to evolve qualification standards and optimize workflows. Support audits and special projects. Act as the source of truth for the provider qualification process for the Network team.