Lead, Contracting & Provider Data Operations

20 Driscoll Children's Health Plan; Corpus Christi (TX); On-site; USD 85,000 - 110,000; Full time

Job summary

Driscoll Health Plan is seeking a seasoned Manager of Contracting and Provider Data to lead the Contracting and Provider Data Management teams in ensuring accurate provider information across systems. You will develop policies, oversee audits, coach staff, and drive process improvements while collaborating with internal partners.

The role requires strong leadership, contract administration, data governance, and the ability to translate regulatory requirements into practical workflows within a

Qualifications

• Must have 3–5 years related experience in contracting or provider data management.
• Experience leading teams and driving process improvements.
• Understanding of Medicaid/health plan operations is a plus.

Responsibilities

• Lead daily activities of Contract and Provider Data Management teams.
• Develop and implement policies and procedures for provider contracts and data.
• Coach and monitor staff, review KPIs, and drive quality audits.
• Collaborate with internal partners to resolve data and contracting issues.
• Monitor regulatory updates and implement system changes accordingly.

Skills

Leadership

Contract management

Provider data governance

Quality improvement

Education

High school diploma or GED

Tools

Echo credentialing system

Tapestry system

Contract Management system

Job description

Driscoll Health Plan is seeking a seasoned Manager of Contracting and Provider Data to lead the Contracting and Provider Data Management teams in ensuring accurate provider information across systems. You will develop policies, oversee audits, coach staff, and drive process improvements while collaborating with internal partners.

The role requires strong leadership, contract administration, data governance, and the ability to translate regulatory requirements into practical workflows within a