Chandana tiridhu
@chandanatiridhu
I’m a credentialing specialist with 3+ years managing provider databases and NCQA-compliant credentialing at Sutherland.
What I'm looking for
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
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
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).
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).
SriChaitanyaJuniorKalasala
Intermediate (Board of Intermediate Education)
Completed Intermediate education (Board of Intermediate Education) at SriChaitanyaJuniorKalasala (year of passing: 2018).
GowthamModelSchool
Secondary School Certificate (SSC)
Completed Secondary School Certificate (SSC) at GowthamModelSchool (year of passing: 2016).
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Interested in hiring Chandana?
You can contact Chandana and 90k+ other talented remote workers on Himalayas.
Message ChandanaFind your dream job
Sign up now and join over 100,000 remote workers who receive personalized job alerts, curated job matches, and more for free!
