Altais

Director

• Provide leadership / coaching to the credentialing team staff, ensuring function initiatives and deliverables are complete and accurate in a timely manner
• Responsible for the oversight of processing credentialing applications accurately and promptly in accordance with Credentialing policies and procedures and in full compliance with all regulations with a continued focus on delivery of a high-quality product with the greatest level of efficiency
• Own end to end delegated credentialing process, including management of the Provider Directory and any related Provider Engagement Portal, or equivalent
• Direct audit preparation of materials and files necessary to comply with external audits by payors and/or governmental agencies
• Manages relationships with health plan delegation oversight committee members

Director, Provider Data Management