Senior Manager, Credentialing & Provider Data Management

Centene Corporation

Senior Manager overseeing credentialing and provider data management for healthcare organization. Leading provider data processes, compliance, and training material development for 28 million members.

Posted 7/9/2026full-timeRemote • Arizona, Kentucky, Pennsylvania, Tennessee • 🇺🇸 United StatesSenior💰 $87,700 - $157,800 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in credentialing processes, provider data management, and compliance with NCQA standards and state/federal regulations. Proven ability to oversee training material development and ensure accuracy in provider records and directories.

Highest-signal resume keywords

Credentialing ManagementProvider Data ManagementNCQA ComplianceSupervisory ExperiencePortico Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

CredentialingProvider Data EntryData MaintenancePolicy DevelopmentPerformance Indicator Management

Soft Skills

LeadershipCommunicationOrganizational Skills

Tools & Technologies

PorticoAmisysCenProv

Industry Keywords

Provider EnrollmentHealth Plan PoliciesState RegulationsFederal RegulationsRe-Credentialing

About the role

Key responsibilities & impact

Oversee all direct processes of credentialing and provider data entry, from triage through provider enrollment and data maintenance
Direct oversight for credentialing and re-credentialing of all physicians, mid-level practitioners and organizational providers
Oversee all activities related to the management of provider data, including the development and management of training materials, policies, and procedures
Ensure updates (adds, changes, and terminations) for new or existing provider records are made in accordance with health plan policies and state/federal regulations
Ensure compliance with key performance indicators established by corporate office, NCQA credentialing standards, and state/federal requirements
Manage updates to and production of hard copy and online provider directories
Ensure accuracy of provider enrollment specifications and specialty types and demographics

Requirements

What you’ll need

Bachelor’s degree or equivalent experience
4 years of relevant experience
NCQA, credentialing, and provider data management knowledge required
3+ years of supervisory/management experience
Preferred experience with Portico, Amisys, CenProv

Benefits

Comp & perks

competitive pay
health insurance
401K and stock purchase plans
tuition reimbursement
paid time off plus holidays
flexible approach to work with remote, hybrid, field or office work schedules