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# Senior Manager, Credentialing & Provider Data Management

- **Company:** WellCare of Kentucky
- **Location:** United States (Remote available)
- **Experience:** Expert
- **Salary:** $87,700.0 - $157,800.0
- **Contract:** Permanent contract
- **Skills:** Databases, Data Management
- **Published:** July 11, 2026
- **Apply:** https://www.indeed.com/viewjob?jk=d032584d58376a6b

## About the Role

Education/Experience: Bachelor's degree or equivalent experience and 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.Pay Range: $87,700.00 - $157,800.00 per year

## Description

Position Purpose: The Senior Manager of Credentialing and PDM will 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.


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