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Director of Provider Data Management
Job Summary
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
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COMPLETE JOB DESCRIPTION
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Company Overview
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