Maryann Smith Email and Phone Number

• Oversee daily operations and standard operating procedures to facilitate credentialing and ensure all activities under the Credentialing Program are compliant with Delegated Credentialing Agreements and NCQA guidelines.• Supervise the development and maintenance of over 450 provider profiles, providing oversight and retaining responsibility for up-to-date data to ensure expedient credentialing.• Recognized with 'Employee of the Quarter Award' for exceptional performance and commitment to promoting a culture and environment of mutual trust and accountability.• Collaborate with the CAP Advisory Board to optimize operations and achieve organizational goals, leveraging new opportunities as they arise.• Proactively manage expirables for all active providers, ensuring compliance with regulatory and organizational standards by contacting providers directly for necessary documentation and conducting primary source verifications on expired credentials.• Draft and prepare presentations, reports, minutes, and documentation for CAP Advisory Board & Credentialing Committee meetings, ensuring accurate and timely communication of critical information.• Manage the annual reconciliation of active membership, including the collection of membership dues, handling of inquiries, and processing of discontinuations, while ensuring all necessary paperwork and approvals were obtained for terminations.• Work collaboratively with various departments within the organization, including HR, Quality Assurance, and compliance, to ensure that all credentialing processes are consistent with organizational policies and procedures.• Formulate and deploy ad-hoc reports for use by both internal and external stakeholders, including executives, leadership teams, and departmental management.• Lead the team in completing all compliance, reporting, and annual/quarterly credentialing audit obligations, and maintaining the highest standards of accuracy and attention to detail.

• Generate leads to buy, sell and rent properties.• Provide clients advice on the state of the market, comparable costs, and mortgages.• Communicate with buyers to determine their needs and show appropriate properties.• Present purchase offers to sellers and facilitate negotiations between parties• Analyze properties to develop competitive market price.• Manage a list of real estate properties, including location, size and features.• Maintain real estate license and knowledge of local market conditions and trends.

· Led the initial credentialing process for new hires and the reappointment process for existing staff across a network of 5,000+ physicians, ensuring compliance with all regulatory bodies and organizational standards.· Served as a customer service liaison, leading the credentialing process, and maintaining effective communication with department representatives, licensing agencies, and insurance carriers to ensure timely and accurate completion of all credentialing requirements.· Maintained excellent communication with applicants and department administrators, providing clear and timely written and verbal status updates throughout the credentialing process.· Managed time and resources effectively to ensure timely completion of all credentialing deliverables, meeting the expectations of physicians, while adhering to regulatory and organizational standards.

· Provided exemplary administrative leadership and oversight for the credentialing team, ensuring efficient and effective completion of all necessary credentialing activities. · Fostered close collaboration with Provider Representatives on contract fulfillment, updates to the population, and claims-related issues, ensuring compliance with regulatory and organizational requirements; maintained strict confidentiality and security of all credentialing files in accordance with HIPAA guidelines.· Performed thorough primary source verifications and monitoring, including checking the National Practitioner Data Bank (NPDB), Medicaid/Medicare Sanctions lists, and Opt-Out lists.· Diligently maintained daily credentialing activities for the department, ensuring smooth workflow and setting priorities, resulting in efficient and effective completion of all necessary credentialing tasks.· Developed and implemented policies and practices for the credentialing and recertification of a diverse group of 5,000 network physician providers and allied health specialists, ensuring compliance with regulatory and organizational standards.