[Hiring] Director, Network Success @Lantern

Role Description

The Provider Quality Specialist - Network Operations will play a key role in maintaining and improving the integrity of Lantern’s provider network through ongoing quality assurance and requalification initiatives. This role supports the full lifecycle of provider qualification — from initial application to requalification — ensuring compliance with Lantern’s quality standards and alignment with evolving clinical guidelines.

• Serve as a point of contact for providers during the requalification process — clearly articulating Lantern’s process, explaining requirements, and reinforcing the shared importance of data integrity and patient safety.
• 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 by ensuring completeness and accuracy of all provider submissions.
• Partner with the providers to resolve application issues and escalate cases to the Clinical Operations team when necessary.
• 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 in practice patterns, quality metrics, or compliance items.
• Coordinate review workflows with the Provider Qualification Committee for providers requiring further evaluation or requalification.
• Maintain organized records of provider documentation in Lantern’s SharePoint-based repository and CareHub/HealthCloud/SFDC.
• Track progress and generate operational dashboards to monitor completion rates, data accuracy, and provider quality metrics over time.
• Partner with internal teams (Clinical, Provider Success, and Compliance) to evolve qualification standards and optimize workflows.
• Support audits and special projects to continuously improve data consistency and reduce administrative burden on provider partners.
• Act as the source of truth for the provider qualification process for the Network team.

Qualifications

• Bachelor’s degree required; advanced degree or certification in Healthcare Administration, Public Health, or related field preferred.
• 2+ years of experience in healthcare operations, credentialing, or quality assurance (COE, payer, or provider network experience a plus).
• 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 — the ability to partner effectively with internal teams and external provider groups.
• Knowledge of credentialing or privileging standards (NPDB, CAQH, NAMSS, NCQA, Joint Commission) preferred.
• Ability to thrive in a fast-paced, dynamic environment with evolving processes.

Requirements

• High accuracy rate in provider documentation and data entry.
• Timely completion of requalification cycles according to the 36-month cadence.
• Proactive identification of provider performance or compliance issues.
• Streamlined collaboration between Network, Clinical, and Provider Success teams.
• Measurable reduction in operational friction for provider partners.

Benefits

• Medical Insurance
• Dental Insurance
• Vision Insurance
• Short & Long Term Disability
• Life Insurance
• 401k with company match
• Paid Time Off
• Paid Parental Leave