Director

Practice Director

Sagility·Posted 1 month ago

Location

All India

Experience

14–18 years

Required Skills

Data GovernanceStakeholder ManagementPerformance ReportingContinuous ImprovementAnalytical skillsCommunication skillsProvider Data ManagementCredentialing operationsCompliance Regulatory AdherenceLeadership capabilitiesProblemsolving skillsDecisionmaking skillsInterpersonal abilitiesRegulatory compliance knowledgeProficiency in PDM platformsData analysis toolsMicrosoft Office Suite

About the Role

Role Overview:
As the Director of Provider Data Management (PDM), you will play a crucial role in supporting operational excellence and developing new solutions within the Provider Data Management line of business. Your deep domain expertise in Provider Data Management and Credentialing operations will be essential in driving cost optimization and leading transformation initiatives. You will be responsible for ensuring data integrity, regulatory compliance, and streamlined processes to facilitate accurate and efficient provider data management for health plan clients.

Key Responsibilities:

• Demonstrate strong expertise in the PDM domain and drive innovative strategies to enhance operational efficiency and business outcomes.

• Lead initiatives related to provider data, including system enhancements, process optimization, and data migration.

• Oversee provider credentialing and enrollment processes to ensure accurate verification of licenses, certifications, and accreditations.

• Collaborate with technology teams to optimize system performance and usability.

• Establish robust data governance frameworks to ensure consistency, accuracy, and standardization of provider data.

• Partner with internal stakeholders to ensure data accuracy and alignment with business needs.

• Ensure adherence to healthcare regulations and develop policies and procedures to support compliance.

• Define and track KPIs for provider data management operations and deliver regular performance reports to leadership.

Qualifications Required:

• Bachelors degree in Healthcare Administration, Business Administration, or a related field (Masters preferred).

• 1418+ years of overall U.S. healthcare experience, with 810 years of specialized experience in Provider Data Management.

• Strong expertise in provider lifecycle management, including recruitment, data setup, validation, credentialing, and re-credentialing.

• Proficiency in PDM platforms, data analysis tools, and Microsoft Office Suite.

Additional Details:
The company is seeking an individual with proven leadership capabilities, excellent analytical skills, and a deep understanding of regulatory compliance requirements in U.S. healthcare. The role also requires strong communication and interpersonal abilities to engage effectively across functions and drive continuous improvement initiatives. Role Overview:
As the Director of Provider Data Management (PDM), you will play a crucial role in supporting operational excellence and developing new solutions within the Provider Data Management line of business. Your deep domain expertise in Provider Data Management and Credentialing operations will be essential in driving cost optimization and leading transformation initiatives. You will be responsible for ensuring data integrity, regulatory compliance, and streamlined processes to facilitate accurate and efficient provider data management for health plan clients.