[Hiring] Director, Qualification Engagement @Lantern

Role Description

Lantern is looking for a Director, Qualification Engagement to join our Clinical team as the external voice of specialist qualification. In this role, you will own how qualification is explained, how decisions are delivered, and how practices experience the process. You will also bring the Clinical perspective into provider conversations and select client meetings.

• Qualification decision communications
• Deliver every qualification, requalification, and standing-change decision to practices and specialists.
• Translate Qualification Committee reasoning into clear, accurate, clinically literate written and verbal communication.
• Own the adverse-finding workflow, including tracking responses and closing the loop within defined service levels.
• Handle pushback with composure and consistency, escalating to the Associate CMO when necessary.
• Maintain the correspondence record for auditing purposes.
• Practice and specialist education
• Build and maintain the practice-facing explanation of qualification.
• Lead qualification overview conversations with prospective and newly contracted practices.
• Set the qualification standard for Provider Success Managers.
• Communicate guideline changes to affected practices and specialists.
• Qualification process operations
• Own the workflow from Committee decision to delivered communication.
• Coordinate the Qualification Committee agenda and decision record.
• Capture and triage practice feedback.
• Define and report the metrics that show whether the process is working.
• Clinical representation on provider and client conversations
• Serve as the Clinical representative on provider calls.
• Represent the Clinical team on select commercial pitches and client conversations.
• Function leadership
• Set the strategy, operating model, and service levels for qualification engagement.
• Build the staffing case as volume grows.

Qualifications

• Bachelor's degree or equivalent professional experience.
• Credibility with surgeons and practice leaders.
• Exceptional communication skills.
• High emotional intelligence and judgment.
• Clinical literacy in surgical specialties and procedures.
• Independent problem solving and project management skills.
• Comfort with data and tools.
• Integrity under pressure.
• Leadership and influence experience.

Requirements

• Hold a credentialing or medical staff certification (e.g., CPCS or CPMSM through NAMSS).
• Experience building enablement or training materials.
• Experience beyond direct patient care or in credentialing roles.
• Experience presenting to employer benefits leaders or health plan audiences.
• Ability to build a function from the ground up.

Benefits

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

Compensation

Base salary range: $160,000 to $180,000 plus bonus potential depending on relevant experience, location, and qualifications.

About You

• You use LOGIC in your decision making.
• INCLUSION is a core tenant of your personal beliefs.
• You have the GRIT, drive, and ambition to tackle big problems.
• You care deeply for your customers and keep HUMANITY in all decisions.
• Integrity guides you in life, focusing on the TRUTH.
• You thrive in a Team Environment.