Provider Data Management Transformation Leader

1 week ago


Bloomington, Indiana, United States Blue Cross and Blue Shield of Louisiana Full time
Job Summary

We are seeking a highly skilled and experienced leader to join our team as a Provider Data Management Transformation Leader. This role will be responsible for leading the transformation of our provider data management functions, including credentialing and provider data management.

Key Responsibilities
  • Lead the transformation of provider data management functions, including credentialing and provider data management.
  • Develop and implement process improvements to increase efficiency and accuracy.
  • Collaborate with cross-functional teams to ensure seamless integration of provider data management functions.
  • Develop and maintain relationships with regulatory agencies, hospitals, and other healthcare organizations.
  • Ensure compliance with all relevant laws and regulations.
Requirements
  • Bachelor's degree in Business, Healthcare Administration, or related field.
  • Four years of related experience can be used in lieu of a Bachelor's degree.
  • Five years of management/leadership experience in a healthcare environment.
  • Demonstrated operational process improvement experience.
  • Provider credentialing experience and experience with complex credentialing and provider systems.
Preferred Qualifications
  • NCQA and/or URAC experience.
  • Excel, Access, or SQL experience.
What We Offer

We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.

We are an equal opportunity employer and welcome applications from diverse candidates.

Please note that all applications must be submitted through our website.



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