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🚀 **Credentialing & Compliance Specialist | Sutherland (Client: Humana )** As a key member of the **Sutherland** operations team, I support **Humana**, one of the leading healthcare insurance providers in the U.S., by managing critical **credentialing and recredentialing** processes for healthcare professionals. I ensure only qualified, compliant providers are part of Humana’s trusted network by: ✅ Conducting detailed verification of licenses, certifications, and background checks ✅ Managing time-sensitive recredentialing to maintain network integrity ✅ Ensuring full compliance with **NCQA, CMS, and state-specific guidelines** ✅ Communicating with providers, internal teams, and regulatory bodies to resolve issues efficiently ✅ Maintaining high data accuracy to reduce risk and ensure operational excellence I take pride in driving **regulatory compliance, operational accuracy, and provider trust**, all while supporting a seamless experience for patients relying on Humana's care network.