Manager, Provider Data Management

Manage provider data management projects and policies for the Illinois Health Plan, focusing on provider directories, contract setup, and operational improvements that support claims adjudication. Oversee staff performance and production/quality metrics, develop and maintain reporting and workflows, and collaborate with Credentialing and Information Systems on briefs, business requirements, and process models. Lead training, resolve cross-department issues, and maintain provider data integrity guidelines for delegated credentialing vendors.