G Rosen

Safeguarded the highest standards of provider credentialing and privileging to mitigate risk and maintain patient safety by directing Medical Staff Offices, Payor Enrollment, Professional Practice Evaluation Teams and the Tower Health Central Verification Office, overseeing primary source verification for over 3,250 physicians and allied health providers. Maximized operational efficiency and finan

Cultivated lucrative relationships between the medical staff, the hospital, and the community for a supportive environment by engaging with stakeholders, facilitating effective communication, and addressing challenges. Ensured the seamless integration of medical staff services following the Hahnemann Hospital bankruptcy to deliver high-quality patient care.

Mitigated compliance risks and upheld the highest standards of provider credentialing by conforming with all state regulations and NCQA standards related to credentialing and re-credentialing for the company’s largest lines of business in Pennsylvania. Orchestrated insurance enrollment processes, including enrollment services for 15 insurers for timely reimbursement for over 5,500 providers at Ame

Streamlined the client onboarding process to enable timely access to care by managing client scheduling needs, recruitment, interviewing, hiring, and disciplinary actions. Established positive relationships with clients and caregivers to create a supportive and collaborative environment by retaining open communication and promoting harmonious interactions.

Provided transparency and accountability to leadership to enable informed decision-making by generating detailed reports that captured project financials and presenting such reports to Northwell's leadership team. Procured and prepared new permanent locations for ICD-10 testing teams to support critical testing and implementation efforts by acquiring suitable spaces and relaying information on nec

Validated thorough review and evaluation of provider credentials to support informed decision-making by submitting applications to the Medical Director and credentialing committee for review. Performed audits and data management within regulatory requirements by preparing files for audits and handling electronic data input activities.

Obtained a dual master's degree focusing on health administration and management. This program provided a comprehensive understanding of healthcare systems, operational leadership, and strategic planning within the healthcare industry.