Remote Credentialing Manager - Lead Provider Data

Centene Management Company LLC

New York (NY)

Hybrid

USD 70,000 - 126,000

Full time

5 days ago
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Benefits offered by this job

Competitive pay
Health insurance
401K plan
Tuition reimbursement
Paid time off
Flexible schedule

Job summary

Centene Management Company LLC is seeking a credentialing professional to manage the ongoing credentialing and re-credentialing of providers. The role requires analyzing data, solving problems, and communicating clearly while coordinating with teams.

You will also supervise team members and ensure efficient workflows across credentialing tasks. Qualified candidates have a bachelor’s degree, 4+ years in credentialing or provider data, and experience in a managed care or insurance setting.

Qualifications

  • Bachelor's degree in a related field is required.
  • 4+ years of credentialing or provider data experience.
  • Experience in a managed care or insurance environment.
  • Proficient in Excel and data reporting.

Responsibilities

  • Ensure ongoing credentialing and re-credentialing of providers.
  • Apply analytical thinking to define problems, collect data, and draw conclusions.
  • Supervise others by assigning duties and maintaining efficient work procedures.
  • Use computer systems for management, reporting, and presentation of information.

Skills

Attention to detail
Communication
Travel readiness

Education

Bachelor's degree in related field

Tools

Excel

Job description

Centene Management Company LLC is seeking a credentialing professional to manage the ongoing credentialing and re-credentialing of providers. The role requires analyzing data, solving problems, and communicating clearly while coordinating with teams.

You will also supervise team members and ensure efficient workflows across credentialing tasks. Qualified candidates have a bachelor’s degree, 4+ years in credentialing or provider data, and experience in a managed care or insurance setting.

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