Alex Vilchis
Credentialing Manager
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About
I am a Provider and Facility Credentialing subject matter expert, experienced in NCQA/URAC/CMS and various state credentialing standards; Experienced in Medicare, Medicaid, and Commercial Health Plan provider and facility enrollment processes. Over 15 years of experience in the healthcare industry.
Experience
Throughout my career, I have honed my critical thinking, investigative, and problem-solving skills, which are essential for the role of Project Manager. My experience in credentialing and licensing has provided me with robust understanding of compliance and best practice, aligning perfectly with your requirement for overseeing accreditation standards and promoting best practice for certification standards. As a Credentialing Provider Data Manager, I was responsible for developing and implementing strategies for data management and compliance, which aligns with the expectations of ensuring compliance and with status and regulatory guidelines.
Education
Master Degree in Public Administration

