Allana Smith

I have over 5 years of credentialing management expertise and provider network operations experience, and I consistently deliver high-quality results with strong people skills.

I combine strategic leadership with hands-on engagement to ensure compliance with NCQA, CMS, DOH and OMIG standards while leading operational improvements. I reengineered credentialing and network operations processes, increasing productivity by up to 15% and decreasing error rates by 25%.

I build dashboards, lead credentialing database and directory builds, and own cross-functional projects with IT, Quality and Contracts teams. I have led audits and annual due diligence monitoring on delegated vendors, prepared regulatory submissions and PNDS reporting, and managed SIU investigations when required. I oversee hiring, training, coaching and performance management to develop high-performing teams.

I hold advanced degrees (MS and EMBA) and bring strong analytical, organizational and critical-thinking skills to drive continuous improvement. I am seeking opportunities to apply my credentialing, network adequacy and compliance expertise to improve access, quality and operational efficiency.