Anik Rahaman
@anikrahaman
Credentialing specialist ensuring compliant, audit-ready provider onboarding.
BangladeshWhat I'm looking for
I am a credentialing and onboarding specialist with over 3.5 years of focused experience in U.S. healthcare, managing PSV, license verification, CAQH/NPDB updates, multi-state background checks, and credentialing mapping while maintaining NCQA- and HIPAA-compliant documentation.
I have led and scaled credentialing operations, supervising teams that handled 100+ files/month with 98.3% audit accuracy, and processing hundreds of provider credentialing and re-credentialing cases weekly while meeting SLAs and achieving 98–99%+ QA scores.
I build process improvements and tools — from Excel automations to KPI dashboards — resolve complex compliance escalations, conduct federal exclusion and state-specific screenings, and collaborate cross-functionally to accelerate onboarding and protect data integrity.
Experience
Work history, roles, and key accomplishments
Process 180+ provider credentialing and re-credentialing cases weekly, maintaining 99%+ QA scores and SLA compliance while executing comprehensive PSV and multi-state background screenings.
Processed 400+ provider credentialing and re-credentialing cases weekly with 98%+ QA scores, validated immunization and infection-control documentation per CDC guidelines, and maintained NCQA- and HIPAA-compliant records.
Credentialing Supervisor
Radiant Data System Limited
Feb 2023 - Aug 2025 (2 years 6 months)
Led a team managing multi-state U.S. credentialing with 98.3% audit accuracy on 100+ files/month, built tools to automate ZIP-to-county detection, and created KPI dashboards to track onboarding clearance rates.
Credentialing Specialist
Radiant Data System Limited
Jun 2022 - Feb 2023 (8 months)
Processed 100+ provider files monthly at 98%+ accuracy, performed PSV and CAQH/NPDB validation, tracked expirables, and partnered with compliance to reduce verification turnaround by ~15%.
Executive, Digital Ad Operations
Service Engine Limited
Jun 2021 - May 2022 (11 months)
Executed campaign setup, QA, and optimization while analyzing campaign data to improve delivery efficiency and CTR and supporting report automation to enhance productivity.
Education
Degrees, certifications, and relevant coursework
East West University
Bachelor of Science, Electrical & Electronic Engineering
Grade: 2.89 / 4.00
Completed a Bachelor of Science in Electrical & Electronic Engineering with a cumulative GPA of 2.89/4.00.
Sristy College of Tangail
Higher Secondary Certificate, Science
Grade: 4.20 / 5.00
Completed Higher Secondary Certificate (Science) with a GPA of 4.20/5.00.
Suti V.M Pilot High School
Secondary School Certificate, Science
Grade: 4.25 / 5.00
Completed Secondary School Certificate (Science) with a GPA of 4.25/5.00.
Availability
Location
BangladeshAuthorized to work in
Job categories
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