Evan Bourne
Waterbury
Summary
Human Resources professional with extensive experience in credentialing and HRIS management within regulated healthcare settings. Proven ability to oversee employee documentation and compliance tracking, ensuring adherence to all regulatory requirements. Skilled in developing and implementing HR policies that align with organizational goals.
Overview
11
11
years of professional experience
Work History
Credentialing and HRIS Administrator
Silver Hill Hospital
New Canaan
02.2024 - 11.2025
- Coordinate and manage credentialing, recredentialing, and privileging for medical staff, allied health professionals, and contracted providers
- Verify licensure, certifications, education, training, work history, and malpractice coverage in accordance with Joint Commission, CMS, state, and payer requirements
- Serve as system administrator for the HRIS (e.g., ADP and Workday)
- Maintain accurate employee records, job data, compensation changes, and employment status updates
- Partner with HR leadership on compliance initiatives, audits, and reporting requirements
- Collaborate with Payroll, Finance, and IT to resolve data discrepancies
Credentials Coordinator
Silver Hill Hospital
New Canaan
03.2022 - 02.2024
- Completion of health care professionals credentialing and re-credentialing applications.
- Data entry of new applications in the credentialing database.
- Presenting applications to the facility’s Credentialing Committee.
- Assist with annual delegated credentialing audits and National Committee on Quality Assurance (NCQA) audits.
Credentialing Specialist
Westchester Medical Center - Advanced Physician Services, PC
Hawthorne
09.2019 - 11.2021
- Manages the onboarding of all new providers including the collection of all required documentation such as license, DEA, Controlled Substance Registration, malpractice insurance and other documentation.
- Maintain timely and accurate data entry in CAQH, NPPES, PECOS, credentialing database, billing system and other systems in compliance will all policies and contract regulations.
- Monitor compliance of assigned specialties for all outstanding documents, files and/ or signatures required to complete appointments and/or reappointments.
- Knowledge of current health plan and agency requirements for credentialing providers.
Credentialing Specialist
Westchester Medical Center
Valhalla
04.2018 - 09.2019
- Performs primary source verification of professional education, training and employment, clinical licensure, board certifications, Drug Enforcement Administration (DEA) registration and infection control and other relevant certificates.
- Queries National Practitioner Database (NPDB) and other relevant national databases and organizations, conducts references checks, and malpractice audit history.
- Request documentation and follows up on receipt of required documents, reviews documentation, updates status of application to completion.
- Supports medical staff committees in the application and credentialing.
- Develops and maintains an Excel database for tracking sensitive documents, monitoring expiring licenses and communication of required approvals.
Administrative Assistant
Hudson River Healthcare/ Brightpoint Health
New York
03.2015 - 04.2018
- Ensure personnel annual health assessment, course completion, and trainings are up to date to avoid various issues such as delinquencies.
- Responsible for maintaining personnel medical documents in E-Clinical Works.
- Maintains and updates provider’s files including notes and medical records.
- Maintains the credentialing database.
- Ensures data is accurately entered as evidenced by audit.
- Appropriately prioritizes all tasks so that deadlines are met with continued focus on quality.
- Facilitates standardization of the Credentialing package.
- Responds to requests for practitioner information regarding privileges.
Education
M.S. - Human Resources Management
Pace University
05.2026
M.S. - Information Systems
Pace University
05.2023
M.B.A. - Health Services & Risk Management
Metropolitan College of New York
05.2019
B.B.A - Business
Metropolitan College of New York
05.2018
Skills
- Self-starter and teamwork
- HRIS management
- System implementation
- Verbal and written communication
- Professionalism and confidentiality
- Microsoft Office Suite
- Regulatory compliance
- Audit preparation
- Employee and manager communication
- Analytical problem-solving
- Attention to detail
Accomplishments
Delta Mu Delta Honor Society, International Honor Society for Business
Military Awards
- National Defense Service Medal
- Army Achievement Medal
- Good Conduct Medal
Timeline
Credentialing and HRIS Administrator
Silver Hill Hospital
02.2024 - 11.2025
Credentials Coordinator
Silver Hill Hospital
03.2022 - 02.2024
Credentialing Specialist
Westchester Medical Center - Advanced Physician Services, PC
09.2019 - 11.2021
Credentialing Specialist
Westchester Medical Center
04.2018 - 09.2019
Administrative Assistant
Hudson River Healthcare/ Brightpoint Health
03.2015 - 04.2018
M.S. - Human Resources Management
Pace University
M.S. - Information Systems
Pace University
M.B.A. - Health Services & Risk Management
Metropolitan College of New York
B.B.A - Business
Metropolitan College of New York