Senior Manager, Credentialing – Provider Data Management Systems

Centene Corporation

. Oversee all direct processes of credentialing and provider data entry, from triage through provider enrollment and data maintenance .

Posted 9/24/2026full-timeRemote • United StatesSenior💰 $87,700 - $157,800 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in credentialing and provider data management, ensuring compliance with NCQA standards and state/federal regulations. Proven leadership in managing technical teams and overseeing data analysis and reporting processes.

Highest-signal resume keywords

Credentialing ManagementProvider Data ManagementNCQA Standards ComplianceSQL Server ExpertiseSupervisory Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

CredentialingProvider Data ManagementData AnalysisReportingCompliance ManagementHealth Plan PoliciesKPI ManagementData MaintenanceProvider EnrollmentManaged Care Operations

Soft Skills

LeadershipTeam ManagementTraining DevelopmentCommunication

Tools & Technologies

SQL ServerPorticoAmisysCenProv

Certifications & Qualifications

NCQA Certification

Industry Keywords

Healthcare ComplianceProvider DirectoriesState RegulationsFederal Regulations

Tech Stack

Tools & technologies

SQL

About the role

Key responsibilities & impact

Oversee all direct processes of credentialing and provider data entry, from triage through provider enrollment and data maintenance
Lead a team supporting the credentialing and provider data management organization from a technical perspective
Manage system updates and enhancements, data analysis, and reporting
Provide direct oversight for credentialing and re-credentialing of physicians, mid-level practitioners, and organizational providers
Oversee provider data management activities, including training materials, policies, and procedures
Ensure provider record updates comply with health plan policies and state/federal regulations
Ensure compliance with corporate KPIs, NCQA credentialing standards, and state/federal requirements
Manage production and updates of hard copy and online provider directories
Ensure accuracy of provider enrollment specifications, specialty types, and demographics

Requirements

What you’ll need

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future
Bachelor’s degree or equivalent experience
4 years of relevant experience
NCQA, credentialing, and provider data management knowledge
3+ years of supervisory/management experience
Preferred: strong technical background
Preferred: experience leading technical teams
Preferred: hands-on expertise with SQL Server
Preferred: knowledge of provider data management (PDM), credentialing, and managed care operations
Preferred experience with Portico, Amisys, CenProv

Benefits

Comp & perks

Competitive pay
Health insurance
401K plan
Stock purchase plan
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field or office work schedules
Additional forms of incentives may be included in total compensation