Senior Manager, Provider Data

A company is looking for a Senior Manager, Provider Data & Analytics. Key Responsibilities Oversee all provider network operations data activities, including provider enrollment and data maintenance Direct oversight of the corporate enrollment process, ensuring compliance with state timeframes Develop and update policies, procedures, and reporting for provider data accuracy and integrity Required Qualifications Bachelor's degree in a related area or equivalent experience 7+ years of experience in a similar position within a health plan or network setting Experience in project management and claims management/processing Ability to develop system business requirements Proven leadership capabilities with a track record of driving results

Apr 8, 2025 - 17:06

A company is looking for a Senior Manager, Provider Data & Analytics. Key Responsibilities Oversee all provider network operations data activities, including provider enrollment and data maintenance Direct oversight of the corporate enrollment process, ensuring compliance with state timeframes Develop and update policies, procedures, and reporting for provider data accuracy and integrity Required Qualifications Bachelor's degree in a related area or equivalent experience 7+ years of experience in a similar position within a health plan or network setting Experience in project management and claims management/processing Ability to develop system business requirements Proven leadership capabilities with a track record of driving results