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Manager, Provider Credentialing and Operations at PacificSource Health Plans - ApplyBlast

Manager, Provider Credentialing and Operations

PacificSource Health Plans

4 months ago

3.1 on Glassdoor

Hybrid

Full Time

Senior

0 applicants

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About this role

A Healthcare Credentialing Director at PacificSource leads provider credentialing, recredentialing, and data management operations to ensure regulatory compliance and operational excellence. This role involves managing cross-functional partnerships, driving process improvements, and overseeing staff while maintaining data integrity across all lines of business.

Responsibilities

Lead provider credentialing and recredentialing operations ensuring regulatory compliance
Manage provider data integrity, database maintenance, and directory accuracy
Develop and implement processes to enhance operational efficiency and data quality
Hire, coach, and develop staff while fostering positive departmental culture
Oversee internal audit activities and manage compliance findings and corrective actions