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2 дня назад

Senior Manager, Credentialing & Provider Data Management Systems (Healthcare)

87 700 - 157 800$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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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

hirify.global 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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