Summary
Overview
Work History
Education
Skills
Certification
Work Availability
Timeline

Tunrayo Taiwo

Project Manager

Summary

Highly organized and detail-oriented Lead Credentialing Specialist with extensive experience managing credentialing processes for multiple clients. Recently certified as a PMP, I bring strong project management skills and a proven ability to lead teams, streamline operations, and deliver projects on time and within scope. Adept at problem-solving, communication, and building strong client relationships. Seeking to leverage my expertise in a project management role to drive successful project outcomes.

Overview

6
6
years of professional experience
5
5
Certifications

Work History

Project Manager

The Seventh Heaven
09.2021 - Current
  • Worked with a business analyst to develop comprehensive business plans outlining market analysis, business objectives, target audience, and growth strategies.
  • worked with cross-functional team to design and launch the website using e-commerce platforms and tools, ensuring a user-friendly interface and seamless shopping experience.
  • Curated a diverse collection of handcrafted jewelry, managed inventory, and collaborated with artisans to maintain high-quality standards.
  • Provided excellent customer service, managed customer inquiries and feedback, and maintained a high satisfaction rate.
  • Handled budgeting, pricing strategies, and financial reporting to ensure the business's profitability and sustainability.
  • Monitored sales performance, analyzed market trends, and adjusted strategies to improve sales and customer engagement.
  • Monitored progress against established goals, adjusting schedules and resources as needed to keep projects on track.
  • Prepare and lead project plans, documentation, risk mitigation, and resource management as needed for cross-team initiatives and large projects/programs.
  • Identified plans and resources required to meet project goals and objectives.
  • Monitored project performance to identify areas of improvement and make adjustments.
  • Built a loyal customer base, achieving a [X%]customer retention rate and receiving positive reviews and testimonials.

Lead Credentialing Specialist

RLDatix
11.2021 - Current
  • Ability to work under minimal direction, think logically in solving assigned problems and to present recommendations with clarity in written and graphic form.
  • Provide regular and timely status updates to the team and leadership as needed to ensure applications are meeting the agreed-upon timeline.
  • Create useful working relationships with all members of the team.
  • Gathering, analyzing, and disseminating information to the team to maintain progress.
  • Provided exceptional customer service to both internal and external stakeholders, addressing inquiries promptly and professionally.
  • Facilitated communication between departments, resulting in improved collaboration during the credentialing process.
  • Expedited the onboarding process for new providers, ensuring timely completion of all required documentation and verifications.
  • Manage credentialing processes for multiple healthcare clients, ensuring compliance with regulatory standards.
  • Facilitated discovery and ensures the removal of roadblocks and promotes them in a timely and assertive way.
  • Lead a team of specialists, providing training, support, and performance evaluations.
  • Develop and implement efficient workflows, reducing credentialing turnaround time by 30 days.
  • Serve as the primary point of contact for clients, addressing concerns and providing regular updates.
  • Conduct audits and prepare reports to maintain high standards of accuracy and compliance.
  • Collaborate with cross-functional teams to improve overall service delivery and client satisfaction.

Credentialing Specialist

Elevance Health
11.2020 - 11.2021
  • Conducted primary source verifications such as background checks and board certifications..
  • Enrolled providers and Medicaid, Medicare and private insurance plans.
  • Tracked expiration dates on documents and communicated with appropriate staff to avoid late filing.
  • Maintained accurate files, records and credentialing documents in well-maintained databases using Sharepoint.
  • Coordinating, processing and completing credentialing functions of all Providers in accordance with NCQA, State and Federal requirements
  • Participated in development of internal credentialing processes
  • Monitoring progress and completion of all sites visit by Provider Network Team to ensure completion within established timeframe
  • Entered into record-keeping systems appropriate data needed to create new records or update existing ones.
  • Completed field checks to verify licenses and permits for various business.
  • Validates discrepancies and ensures appropriate follow up by contacting practitioners to clarify
    discrepancies.
  • Reviewed provider documents to promote compliance with quality and regulatory standards.
  • Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions.
  • Provided exceptional customer service to both internal and external stakeholders, addressing inquiries promptly and professionally.

Credentialing Specialist

Humana
08.2018 - 11.2020
  • Collected and analyzed information to monitor compliance outcomes and identify and address trends of non-compliant behavior.
  • Assisted senior management with making key decisions by developing and submitting performance and reports with status updates and improvement recommendations.
  • Increased office productivity by transcribing over 10 daily meetings and appointments and implementing organizational systems for documents.
  • Supported investigations with evidence gathered while processing application- including documentation,digital records, and personnel statements.
  • Ability to thrive in a dynamic and fast-paced environment with the ability to prioritize competing deliverables due to changing timelines.
  • Compiled, researched, and screened all Providers via NPDB, IRS Interactive TIN, Health Guide USA, NPI Registry, APA, and other online resources while maintaining working knowledge of all computer applications needed including facility specific credentialing software database, Word, Excel and PowerPoint (as applicable).
  • Maintained strict confidentiality with regard to protected health information.
  • Maintained current knowledge of medical staff bylaws, rules and regulations, policies and procedures and credentialing requirements.
  • Served as resource for physicians in credentialing and privileging process.

Education

Associate of Applied Science - Computer Science

Houston Community College, Houston, TX

Skills

Project Management

Certification

Certified Project Management Professional (PMP)

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
swipe to browse

Timeline

Lead Credentialing Specialist - RLDatix
11.2021 - Current
Project Manager - The Seventh Heaven
09.2021 - Current
Credentialing Specialist - Elevance Health
11.2020 - 11.2021
Credentialing Specialist - Humana
08.2018 - 11.2020
Houston Community College - Associate of Applied Science, Computer Science

Similar Profiles

CREATE PROFILE
Tunrayo TaiwoProject Manager