Provider Quality Specialist

About Lantern Lantern is the specialty care platform connecting people with the best care when they need it most. By curating a Network of Excellence comprised of the nation's top specialists for surgery, cancer care, infusions and more, Lantern delivers excellent care with significant cost savings to employers and their workforces. Lantern also pairs members with a dedicated care team, including Care Advocates and nurses, for the entirety of their care journey, helping them get back to good health, back to their families and back to work. With convenient access to specialists nationwide, Lantern means quality care is within driving distance for most. Lantern is trusted by the nation's largest employers to deliver care to more than 6 million members across the country. Learn more about us at lanterncare.com.

About You:

You use LOGIC in your decision making and understand that progress is critical to making change. You focus on the execution of your content while balancing a fast-paced environment and you take the time to celebrate both the small & big wins. INCLUSION is a core tenant of your personal beliefs. A diverse and inclusive environment is incredibly important to you. You understand and desire to be a part of a diverse team with different experiences and perspectives & you cherish the differences in each individual that you interact with. You have the GRIT, drive and ambition to tackle big problems. Big problems require big ideas and a team that supports new ideas. You care deeply for your customers are driven to keep HUMANITY in all decisions. Your customers aren’t just the individuals using your product. They are the driving factor in your motivation to make a change. Integrity guides you in life. Focusing on the TRUTH vs. giving people the answers they want to hear. You thrive in a Team Environment. Collaboration is key in innovation and creating change. These pillars of LIGHT are a reminder to our team that we are making a difference by providing guidance and support in navigating the often complex and confusing landscape of healthcare. We hope that through this LIGHT, individuals can find their way to the best care, resources, and support they need to get back to life. If this sounds like you, we would love to connect to speak further about career opportunities at Lantern. Please apply to our role & someone from our Talent Acquisition Team will reach out to help you navigate our interview process. Overview Lantern is redefining how patients and providers navigate surgical care by delivering value-based, high-quality experiences through our Centers of Excellence (COE) network. The Network Operations team ensures Lantern’s provider network remains clinically excellent, operationally sound, and scalable as we continue to grow. 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. This individual will work cross-functionally with Clinical Quality, Clinical Operations, Provider Success, and Network Strategy teams to collect, validate, and analyze provider data (e.g., procedure volumes, credentialing documentation, and quality metrics). The ideal candidate is detail-oriented, operationally minded, and passionate about improving the provider and patient experience through process excellence. Responsibilities 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. Success in This Role Looks Like 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 Lantern does not discriminate on the basis of race, sex, color, religion, age, national origin, marital status, disability, veteran status, genetic information, sexual orientation, gender identity or any other reason prohibited by law in provision of employment opportunities and benefits.