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# Senior Manager, Credentialing & Provider Data Management Systems

- **Company:** Centene Corporation
- **Location:** St. Louis, MO, United States
- **Experience:** Expert
- **Salary:** $87,700 - $157,800
- **Contract:** Permanent contract
- **Skills:** Data Analysis, Databases, Microsoft SQL Server, Data Management
- **Published:** October 30, 2026
- **Apply:** https://www.careerbuilder.com/job-details/senior-manager-credentialing-provider-data-management-systems-saint-louis-mo--b124390d-68e3-4e6a-b0e0-163dc4bd4bf8

## About the Role

Data Management, Provider Credentialing, Product Data Management (PDM), Data Entry, Provider Credentialing, Managed Care, Leadership, Microsoft SQL Server, Data Management, Operations Management, 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.

## 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.

Key Details: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.

Preferred qualifications include a strong technical background, experience leading technical teams, hands-on expertise with SQL Server, and knowledge of provider data management (PDM), credentialing, and managed care operations.

 * This role will focus on leading a team that supports the credentialing and provider data management organization from a technical perspective including system updates and enhancements, data analysis, and reporting.
 * 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.