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Provider Maintenance Program Manager - Managed Care

Company

Confidential

Location

Hanover, Maryland

Type

Full-time

The Provider Maintenance Manager leads a team responsible for the daily management of provider data, including onboarding, updates, and terminations. This role ensures data accuracy, integrity, and compliance while driving initiatives to improve provider experience and operational efficiency.

The Manager oversees day-to-day operations, resolves escalations, monitors KPIs, and partners with cross-functional teams such as IT, Credentialing, Compliance, and Network Management. This position also leads strategic initiatives with external partners and vendors (including MDI), supports delegated roster management, and helps advance automation within the core provider data system.


Key Responsibilities:

  • Lead provider data operations with a focus on accuracy, compliance, and efficiency

  • Monitor performance metrics, resolve issues, and drive continuous improvement

  • Support credentialing and delegated roster activities, including vendor over...
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