Leadership and oversight of overall operations, processes, and resources for Medicare Advantage Network Provider Administration and Credentialing.Oversight of provider data auditing and implemented continuous operational improvements in a proactive manner.Led teams in meeting strategic and tactical objectives including credentialing and contracting activities, and provider data management.Ensured provider credentialing activities are aligned with NCQA and customer requirements.Managed vendor relationships. Analyzed organizational change implications and recommended methods for managing, communicating, and minimizing the impact of the change.Created and maintained credentialing, contracting, and provider data policies, processes and procedures.Strengthened the credentialing program, maintained it at the highest level of performance, reducing errors and improving speed and accuracy.Performed initial outreach to groups to aid in expanding our Network across the state. Coordinated operational, credentialing, and administrative activities associated with provider contract workflow management including assisting with provider data collection as requested, review of provider data to determine completeness and accuracy, preparing provider data for credentialing, follow up as needed to assist in resolving provider data integrity issues.Responsible for data entry to support CAQH rostering.Coordinated provider data management processes with Data Analytics staff to ensure accuracy, completeness, and timely updates of master provider data to support network builds, HSD table submissions and other areas dependent upon provider data. Analyzed root causes of operational and health services issues.Provided project management, provider recruitment, and data analysis support.Developed and implemented P&Ps and or SOPs to support end to end contract workflow processes and data management. Investigated and analyzed data, maintain, and updated contracts.