2 дня назад
Senior Manager, Credentialing & Provider Data Management Systems (Healthcare)
87 700 - 157 800$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Senior Manager, Credentialing & Provider Data Management Systems (Healthcare) (Credentialing/Provider Data Management): Leading technical operations for credentialing and provider data management systems with an accent on system enhancements, data accuracy, compliance, and reporting. Focus on managing credentialing and re-credentialing workflows, maintaining provider records and directories, and ensuring alignment with NCQA and state/federal requirements.
Location: Remote-MO; must be authorized to work in the United States without current or future employment-based visa sponsorship
Salary: $87,700–$157,800 per year
Company
provides healthcare services and supports access to care for individuals, families, and communities.
What you will do
- Lead a technical team supporting credentialing and provider data management operations.
- Oversee credentialing and re-credentialing for physicians, mid-level practitioners, and organizational providers.
- Manage provider data updates, training materials, policies, and procedures.
- Coordinate system updates, enhancements, data analysis, and reporting.
- Ensure provider records, enrollment specifications, specialty types, and demographics remain accurate and compliant.
- Manage production of hard-copy and online provider directories.
Requirements
- Bachelor’s degree or equivalent experience and at least 4 years of relevant experience.
- NCQA, credentialing, and provider data management knowledge.
- At least 3 years of supervisory or management experience.
- Strong technical background and experience leading technical teams.
- Knowledge of state and federal requirements, health plan policies, and managed care operations.
- U.S. work authorization is required; employment-based visa sponsorship is not available, including H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, and CPT.
Nice to have
- Hands-on experience with SQL Server.
- Experience with Portico, Amisys, or CenProv.
Culture & Benefits
- Health insurance and paid time off plus holidays.
- 401(k) and stock purchase plans.
- Tuition reimbursement.
- Flexible remote, hybrid, field, or office work schedules.
- Equal opportunity workplace focused on improving healthcare access and outcomes.
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