Manager Contracting & Provider Data

About the Role

The Manager of Contracting and Provider Data is responsible for the management and supervision of the daily activities of the Contract and Provider Data Management (PDM) teams. This role administers DHP standardized provider contracts, ensures the accuracy of provider data within DHP’s systems, and provides technical and professional leadership to the department and internal/external business partners.

Responsibilities

• Provide leadership for the Provider Contracting, Provider Data Management, and Credentialing department, including contract intake, change requests, standard contract administration, and provider data maintenance.
• Ensure timely and accurate processing and implementation of contract requests.
• Monitor key performance metrics to ensure adherence to regulatory and internal requirements and identify improvement opportunities.
• Adjust staff assignments, direction, and priorities to respond to changing business needs.
• Collaborate with internal DHP partners (e.g., Provider Relations, Claims Administration, Finance, Network Strategy, IT) to resolve contract and provider data issues.
• Manage risks, resolve conflicts, and remove barriers to achieve departmental goals.
• Develop, implement, and communicate performance goals, providing coaching and development plans as needed.
• Manage issue resolution from identification to solution, ensuring collaboration and escalation of high-risk issues.
• Foster a team-oriented environment that supports quality and process improvement.
• Monitor Texas Medicaid and Health Partnership (TMHP) and HHSC bulletins for payment updates and ensure system implementation of changes.
• Conduct routine quality audits of provider data in Echo and Tapestry systems.
• Manage the implementation and maintenance of the Contract Management system.

Qualifications

• High school diploma or GED; or Associate’s degree (A.A.) or equivalent from a two-year college or technical school.
• Three to five years of related experience and/or training; or equivalent combination of education and experience.

Skills

• Strong leadership and team management skills.
• Ability to develop and implement operational policies and procedures.
• Proficiency in change management and process improvement.
• Excellent communication and collaboration abilities.
• Attention to detail and ability to maintain confidentiality.
• Knowledge of Texas Medicaid and Health Partnership (TMHP) and HHSC regulations.