Provider Operations Specialist

Overture Partners; Boston (MA); Hybrid; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical plans selection (3 options)

401(k) with company matching

Life and disability insurance

Sick time as required by law

Job summary

Overture Partners in Boston, MA is seeking a Provider Operations Specialist to manage provider enrollment, credentialing, and revalidation workflows. You will coordinate with providers and internal teams to obtain materials, verify information, and maintain accurate records while meeting deadlines.

The role emphasizes attention to detail, strong documentation skills, familiarity with Microsoft Office, and the ability to handle multiple requests in a fast-paced healthcare environment.

Qualifications

• 3+ years in provider enrollment, credentialing, provider relations, or similar healthcare ops.
• Hands-on experience managing provider records, enrollment materials or credentialing docs.
• Strong attention to detail to validate information for accuracy and completeness.
• Excellent organization and time-management to handle multiple requests.

Responsibilities

• Coordinate enrollment, credentialing, and revalidation workflows.
• Distribute forms to providers for completion and approvals.
• Monitor requests and follow up to resolve missing materials.
• Review, scan, and upload provider records and docs.
• Validate information and flag discrepancies before processing.
• Maintain tracking and ensure documents reach appropriate teams.
• Prepare communications and forms as needed.
• Support workflow improvements and automation initiatives.
• Assist with occasional provider site visits and related activities.
• Manage incoming physical docs, including weekly mail handling.

Skills

Provider enrollment

Credentialing

Provider relations

Network management

Documentation accuracy

Time management

Microsoft Excel

Microsoft Word

Independent work

Communication skills

Tools

Salesforce

MMIS

Microsoft Excel

Microsoft Word

Job description

Job Overview

We are seeking a Provider Operations Specialist for an opportunity supporting healthcare provider operations, enrollment, credentialing, and revalidation activities. The ideal candidate will bring at least three years of relevant healthcare operations experience, strong documentation and validation skills, and the ability to manage detailed workflows accurately while meeting deadlines. Candidates who demonstrate strong organizational skills, proficiency with Microsoft Office, and experience handling provider information will be considered for an interview.

Must Haves

• 3+ years of experience in provider enrollment, credentialing, provider relations, network management, or a comparable healthcare operations function.
• Hands‑on experience managing provider records, enrollment materials, forms, or credentialing documentation.
• Strong attention to detail with demonstrated ability to validate information for accuracy and completeness.
• Excellent organization and time‑management skills with the ability to manage multiple requests and follow‑ups.
• Intermediate proficiency with Microsoft Excel and Microsoft Word.
• Ability to work independently, prioritize assigned work, and collaborate effectively with internal and external stakeholders.
• Strong written and verbal communication skills for provider outreach and document coordination.

What the Client Needs You to Do

The Provider Operations Specialist will help keep provider enrollment and documentation activities moving efficiently from initial outreach through final processing. This position will coordinate with providers and internal teams to obtain required materials, verify information, maintain accurate records, and ensure completed documentation reaches the appropriate stakeholders. The role will also contribute to workflow enhancements and automation efforts as operational processes continue to evolve.

Key Responsibilities

• Coordinate activities associated with provider enrollment, credentialing, and revalidation workflows.
• Distribute forms and documentation to providers for completion, signatures, and required approvals.
• Monitor outstanding requests and conduct timely follow‑up to resolve missing or incomplete materials.
• Receive, review, organize, scan, and electronically upload provider records and supporting documentation.
• Validate provider information and identify discrepancies or missing details before routing materials for processing.
• Maintain accurate tracking records and ensure documentation is directed to the appropriate operational teams.
• Prepare provider communications, forms, and other correspondence as needed.
• Support the development, implementation, and maintenance of improved workflows and automation initiatives.
• Assist with occasional provider‑related site visits and other operational activities.
• Manage incoming physical documentation, including collecting, scanning, and distributing mail during the required weekly office visit.

Additional Information

• Work Arrangement: Hybrid; onsite attendance is required one day per week at a designated local office.
• Weekly Onsite Responsibilities: Collect, scan, and distribute incoming provider‑related mail and documentation.
• Systems & Tools: Microsoft Excel and Word are required. Experience with Salesforce and MMIS or comparable healthcare provider platforms is preferred.
• Process Environment: The team is actively improving and automating existing workflows, so adaptability and comfort with evolving processes are important.
• Collaboration: The role involves regular interaction with providers and internal operational stakeholders while also requiring independent management of assigned tasks.
• Experience Level: Mid‑level healthcare operations professional with relevant provider‑facing documentation and enrollment experience.

• W2 employees of Overture Partners who work 30 or more hours per week are eligible for the following benefits: medical (choice of 3 plans), 401(k) starting on day one, a variety of voluntary benefits including life and disability insurance, and sick time if required by law in the worked‑in state/locality.

#25637