The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.
Provide leadership and oversee the overall operations, processes and resources for the Credentialing and Provider Data Management (PDM) Team within the Network, Planning and Operations (NPO) department. Ensure the Teams have established workflows for all aspects of the Credentialing and PDM end to end lifecycle. Oversee monitoring of all provider data auditing and implements continuous operational improvements in a proactive manner.