HSCSN Mgr Cred Prov Data Mgmt

Health Services for Children with Special Needs (HSCSN) · 2 months ago

$85,405 to $142,334 a year

About the job

Kids Are Our Everything. Department 10521 HSCSN - Provider Affairs Pay Range $85,404.80 - $142,334.40 The Credentialing and Provider Data Manager is responsible for overseeing all aspects of provider credentialing, recredentialing and the integrity of provider data within the health plan. This includes ensuring compliance with federal and state regulations, accreditation standards (e.g., NCQA, CMS, DOH), and contractual obligations. The role provides leadership for credentialing and provider data management operations, including process development, data quality, delegated oversight, provider data management, provider directory management and audit readiness. The Manager will also serve as...