Lainie Kemp Email & Phone Number

Massachusetts, United States

Boston, Massachusetts, United States

· Managed hands-on day to day operations of Provider Enrollment department. · Spearheaded the establishment and continuous improvement of the provider enrollment department, enhancing operational efficiency and provider onboarding experience.· Directed and supervised Provider Enrollment staff, providing coaching, feedback, performance review and training to ensure goal achievement.· Implemented innovative credentialing software, significantly reducing errors, and improving process turnaround.· Fostered strong cross-functional collaboration to align credentialing processes with financial strategies, reducing claim denials.· Developed robust provider relationships, ensuring seamless communication and compliance with credentialing requirements.· Served as the liaison to MEE Clinical Departments for status of new providers to the Centralized Hospital Credentialing Office (CCO).

Hingham, Massachusetts, United States

· Oversaw credentialing collaborative operations by managing daily activities, issue resolution, and process improvements, enhancing efficiency and collaboration with health plans and providers.· Spearheaded credentialing initiatives and integration of new organizations into the credentialing program and developed an annual audit process to ensure compliance and quality.· Innovated Non-Responder process by creating and implementing a strategy to improve engagement and compliance among participants, significantly enhancing operational outcomes.· Responsible for the oversight of the company’s website and the creation and maintenance of project documentation, supporting organizational transparency and knowledge sharing.

Needham, Massachusetts, United States

· Directed and supervised Provider Enrollment staff, providing coaching, feedback, and training to ensure goal achievement.· Chaired weekly staff meetings, fostering communication and alignment with departmental objectives.· Process Optimization and Policy Development:· Developed and implemented departmental policies, procedures, and workflows, continually enhancing efficiency and compliance.· Led initiatives to improve enrollment, recredentialing, and maintenance processes for network providers, ensuring accuracy and timeliness.· Managed communication and relationships between PCHI and participating organizations, fostering collaboration and alignment with contractual requirements.· Conducted quality checks on health plan submissions, addressing issues and concerns to maintain data integrity and compliance.

Bachelor Of Science, Health Care Administration

Bachelor Of Science - Bs, Health/Health Care Administration/Management