Mitri Licieur

• Coordinates, manages, and monitors the credentialing and enrollment processes for Benevis providers and facilities to ensure the organization meets the requirements of all federal, state, regulatory, payor and other accrediting standards

• Coordinate the training efforts for the operational responsibilities

• New provider enrollment and credentialing, maintenance of existing providers, provider disenrollment and recertification

• Monitor production, timeliness, accuracy, and inventory for all areas of oversight; implement rapid risk mitigating actions and quickly escalate issues appropriately
• Manage activities in alignment with budget and operational forecasts and goals

• Subject matter expertise in all aspects of provider credentialing and enrollment, licensing privileges including knowledge of regulatory & compliance standards, credentialing processes, commercial and government insurance enrollment of state, Federal regulations that impact credentialing operations
• Strong communication skills from team level to peer level to C-suite level required

• Excellent verbal, presentation, and written communication skills
• Coordinates the development and continuous improvement of internal policies, procedures, and processes

• Develops and maintains positive working relationships with payer representatives and vendors
• Build positive working relationships with leadership, team members and Providers

Analyzes, researches, coordinates and reports on provider file data to support both internal and / or external request

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Generates provider data reports and analyses to support internal client needs including network management, sales, account management, and other key functions

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Performs provider data analysis and reporting in response to external request from providers and / or regulatory agencies

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Serves as a technical data expert and liaison between the provider database organization, and other functional areas to support data requests and ensure uniform and consistent data and data flow

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Team resource for SPS and other provider data sources

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Team resource for how provider data impacts the Medicare Advantage host provider selection process on WGS

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Perform provider data support, data / file analysis, network analysis, surveys, reporting (including creating and publishing), and other ad hoc data requests

· Primary point of contact inside and outside of the organization for related questions and requests

· Maintaining and growing relationships with new and existing providers and third parties

· Knowledgeable of credentialing process and best practices as well as staying on top of new trends and respective company impacts

· Organize and maintain existing and in process credentialing applications

· Monitor production, timeliness, accuracy, and inventory for all areas of oversight; implement rapid risk mitigating actions and quickly escalate issues appropriately Manage activities in alignment with budget and operational forecasts and goals

· Subject matter expertise in all aspects of provider credentialing, licensing privileges including knowledge of regulatory & compliance standards, credentialing processes, commercial and government insurance enrollment of state, Federal regulations that impact credentialing operations

· Strong communication skills from team level to peer level to C-suite level required

· Excellent verbal, presentation, and written communication skills

· Coordinates the development and continuous improvement of internal policies, procedures, and processes

· Build positive working relationships with leadership, team members and Providers