Director of Provider Data Management
A company is looking for a Director of Provider Data Management and Credentialing. Key Responsibilities Lead and mentor a team in provider data management and credentialing Develop strategies to optimize provider data accuracy and operational processes Ensure compliance with industry regulations and manage credentialing activities Required Qualifications At least 15 years of experience in health plan operations, focusing on provider data management and credentialing Proven experience managing teams and large-scale operations Strong background in AI-driven process optimization and automation in healthcare Knowledge of industry regulations such as NCQA and URAC Experience with provider data management systems and credentialing platforms
A company is looking for a Director of Provider Data Management and Credentialing.
Key Responsibilities
Lead and mentor a team in provider data management and credentialing
Develop strategies to optimize provider data accuracy and operational processes
Ensure compliance with industry regulations and manage credentialing activities
Required Qualifications
At least 15 years of experience in health plan operations, focusing on provider data management and credentialing
Proven experience managing teams and large-scale operations
Strong background in AI-driven process optimization and automation in healthcare
Knowledge of industry regulations such as NCQA and URAC
Experience with provider data management systems and credentialing platforms
