Provider Operations Specialist Jobs (NOW HIRING)

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The Provider Operations Specialist supports operational, contractual, and workforce management functions related to employed and contracted providers within the medical group. This role coordinates provider contract processes, supports project planning and operational initiatives, maintains workforce and provider system data, and collaborates with clinical leadership, IT, finance, legal, HR, and operational teams to ensure successful implementation of initiatives and compliance with regulatory and organizational standards.
MINIMUM QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Bachelor's degree in Healthcare Administration, Business Administration, or related field.
2. Equivalent combination of education and experience may be considered.
3. Proficiency with Microsoft Office applications including Excel, Word, and PowerPoint.
EXPERIENCE:
1. Two (2) years of experience in healthcare operations, project management, provider services, or medical group administration.
2. Experience coordinating projects, operational initiatives, or provider-related processes in a healthcare environment.
3. Experience collaborating with cross-functional teams including clinical operations, IT, HR, finance, and administration.
PREFERRED QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Master's degree in Healthcare Administration, Business Administration, or related discipline.
2. Project management training or certification.
3. Experience with Epic, Workday, QGenda, or similar healthcare enterprise systems.
EXPERIENCE:
1. Experience supporting provider contract management or compensation models.
2. Experience supporting system-wide operational or clinical initiatives.
3. Experience in physician enterprise or hospital-based operations.
CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.
Support data collection, cleaning, preprocessing, and exploratory analysis to prepare datasets for modeling and reporting.
1. Assist leadership in achieving operational and financial objectives while supporting quality and service initiatives.
2. Participate in project planning activities including review of project proposals to determine goals, timelines, funding, staffing needs, and resource allocation.
3. Develop and maintain project scope documentation, project schedules, and project work plans for assigned initiatives.
4. Monitor project progress and communicate status updates, risks, and challenges to leadership and stakeholders.
5. Manage project documentation including timelines, scope definitions, cost estimates, and reporting.
6. Coordinate with clinical teams, IT, vendors, and operational leadership to ensure successful project execution.
7. Identify project risks or operational issues and escalate appropriately while facilitating mitigation strategies.
8. Support change management processes including documentation and communication of change control outcomes.
9. Coordinate internal and external project resources including consultants, vendors, and operational staff.
10. Assist in maintaining acceptable levels of project staffing and support oversight of contracted vendors when appropriate.
11. Schedule project meetings, events, and team activities to support leadership expectations and project timelines.
12. Facilitate cross-functional meetings and project status reviews with stakeholders.
13. Provide regular project status reporting including updates on timelines, scope, resources, and deliverables.
14. Maintain catalog and tracking of active projects, improvement initiatives, and associated documentation.
15. Support provider contract management activities including contract requests, amendments, renewals, and terminations.
16. Ensure provider compensation structures and operational terms are documented accurately.
17. Maintain provider workforce records including Epic SER maintenance and Workday provider or contingent worker records.
18. Collaborate with HR, payroll, finance, and operational teams to ensure accurate workforce and compensation setup.
19. Support regulatory compliance initiatives, quality improvement efforts, and operational process improvements.
20. Participate in committees, departmental initiatives, and special projects as assigned.
PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Ability to sit or stand for extended periods while working at a computer workstation.
2. Ability to communicate effectively in person, virtually, and via telephone.
3. Ability to occasionally lift or move materials up to 10 pounds.
WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Work is performed primarily in an office or healthcare administrative environment.
2. Occasional travel to organizational sites or meetings may be required.
SKILLS AND ABILITIES:
1. Ability to manage multiple projects and priorities simultaneously.
2. Strong analytical, organizational, and problem-solving skills.
3. Ability to work collaboratively across multidisciplinary teams.
4. Strong written and verbal communication skills.
5. Ability to maintain confidentiality and handle sensitive information.
Additional Job Description:
Scheduled Weekly Hours:
40
Shift:
Exempt/Non-Exempt:
United States of America (Non-Exempt)
Company:
SMG System Medical Group
Cost Center:
671 SMG Corporate Admin
Address:
3040 University Ave
Morgantown
West Virginia
Equal Opportunity Employer
West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.