The Coordinator compiles and maintains current and accurate provider data for submission to payors and other internal departments, is familiar with the processes involved in insurance payor credentialing and recredentialing, monitors applications and follow-up as needed, maintains provider files and relationship between TGH and the credentialing vendor, submits requests for information necessary for credentialing or recredentialing, is familiar with CAQH database maintenance, tracks licensure and certification expirations, validates data in internal systems, runs minimum difficulty ad-hoc reports from internal system, maintains NCQA Quality Measure Data, contacts employed physician office sites and payors to validate accurate provider information, ensures that practice/physician demographics are accurate and current in paper and online directories with health plans, agencies and other entities to correct data, assist in coordinating projects and mass mailings. Under general supervision of the Vice President of Managed Care and managed under the Manager of Managed Care, the Managed Care Coordinator obtains, organizes, maintains, arranges, develops, and plans functions in support of the credentialing of physician and non-physician providers with governmental and non-governmental payors and plans.