Manager Credentialing and Provider Data Management

Job Summary

A company is looking for a Manager, Credentialing and Provider Data Management.

Key Responsibilities:

• Oversee day-to-day operations of credentialing and provider data management processes
• Ensure compliance with regulatory and accreditation requirements
• Prepare operational reports, manage audits, and lead projects related to credentialing and data management

Required Qualifications:

• Bachelor's Degree in Business Administration, Healthcare Administration, or related field
• 5 years of credentialing experience in a managed care setting
• Completion of NAMSS Certified Provider Credentialing Specialist exam within 18 months of hire
• 1 year of supervisor experience
• Master's Degree in Healthcare Administration or Business Administration preferred