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Chandana tiridhuCT
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Chandana tiridhu

@chandanatiridhu

I’m a credentialing specialist with 3+ years managing provider databases and NCQA-compliant credentialing at Sutherland.

India
Message

What I'm looking for

I want to support provider credentialing and provider data management with strict NCQA and state licensing compliance. I’m excited to resolve complex cases, guide teams as an SME, and use automation to improve accuracy, efficiency, and TAT.

I’m an M.Sc. Microbiology graduate with over 3 years of experience as a Senior Associate (L2) at Sutherland, supporting CVS Aetna in provider data management and credentialing operations. I focus on end-to-end credentialing and recredentialing while keeping accuracy and compliance at the center of every workflow.

I manage healthcare provider databases and execute end-to-end credentialing and recredentialing processes in compliance with NCQA standards and state-specific licensing requirements. I ensure provider compliance within insurance networks, resolve complex credentialing cases, and maintain regulatory accuracy with a strong attention to detail.

I’ve served as a Subject Matter Expert (SME) for U.S. onshore teams, providing daily guidance on advanced NCQA standards and licensing regulations. I also provide floor support, mentor junior analysts, and support CAQH profile management to keep operations consistent and audit-ready.

I drive automation initiatives for provider data processes and help prepare batch templates to improve operational efficiency and data integrity. I’m committed to meeting TAT requirements while continuously strengthening processes for better outcomes across teams.

Experience

Work history, roles, and key accomplishments

SU

Senior Associate (L2)

Sutherland

Supported CVS Aetna with provider data management and end-to-end credentialing and re-credentialing, ensuring compliance with NCQA standards and state-specific licensing requirements. Served as a U.S. onshore SME, providing advanced guidance on NCQA/licensing, mentoring junior analysts, managing CAQH profile updates, and contributing to automation and batch template work to improve data integrity

Education

Degrees, certifications, and relevant coursework

JC

Jahnavi Degree & P.G College

Master of Science (M.Sc.), Microbiology

Completed an M.Sc. in Microbiology at Jahnavi Degree & P.G College (year of passing: 2023).

AC

Aurora’s Degree & P.G College

Bachelor of Science (B.Sc.)

Completed a B.Sc. at Aurora’s Degree & P.G College (year of passing: 2021).

SR

SriChaitanyaJuniorKalasala

Intermediate (Board of Intermediate Education)

Completed Intermediate education (Board of Intermediate Education) at SriChaitanyaJuniorKalasala (year of passing: 2018).

GO

GowthamModelSchool

Secondary School Certificate (SSC)

Completed Secondary School Certificate (SSC) at GowthamModelSchool (year of passing: 2016).

Tech stack

Software and tools used professionally

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