Credentialing and Provider Data Manager

The Credentialing and Provider Data Manager oversees all aspects of provider credentialing, recredentialing, and data integrity within the health plan, ensuring compliance with federal, state, and accreditation standards. This leadership role involves managing operations, developing processes, and supervising the Provider Data Specialist and Credentialing Coordinators. The position serves as the primary point of contact for credentialing-related audits and ensures accurate updates to provider directories and databases.