Hamza Rizwan Khan

Led client demo meetings for wound care credentialing services and closed client deals. Managed end-to-end credentialing onboarding and workflows to ensure payer compliance, while providing ongoing client support and monthly progress reporting.

Served as a Credentialing Manager in a startup phase where credentialing operations were limited by the absence of client accounts. Supported business development by extracting leads via LinkedIn, analyzing NPI data for provider outreach segmentation, and contributing to service documentation and pricing models.

Directed end-to-end credentialing, state licensing, and payer enrollment for medical and behavioral providers across multiple specialties and states. Managed a team of 37 specialists and improved credentialing turnaround by over 45% through process automation, while closing B2B deals averaging $32,500+ per month and scaling operations to 5x provider volume with 100% audit-ready compliance and 500+

Oversaw full-cycle credentialing and multi-state licensure for multi-specialty providers, ensuring ongoing compliance with federal, state, and payer-specific regulations. Acted as a subject matter expert for credentialing standards, maintained accurate records across credentialing databases, liaised with providers and licensing boards, and trained junior staff.

Managed end-to-end credentialing and re-credentialing and handled renewal/endorsement applications for state licenses, DEA, CDS, and related regulatory certifications. Ensured compliance with NCQA, URAC, CMS, and state-specific requirements, and improved turnaround time by 30% while maintaining audit-ready files with zero discrepancies.

Reviewed and processed credentialing and re-credentialing applications in line with insurance guidelines, CMS, and state regulatory standards. Maintained provider data in credentialing systems, supported provider participation continuity, and reduced credentialing processing time by 35% while achieving zero audit deficiencies and 100% accuracy.

Grade: C (EQF level 5)

Completed Intermediate studies with a focus on Computer Sciences and sciences including Physics and Mathematics. Final grade recorded as C (EQF level 5) under ICS-Physics (11&12).

Grade: C

Completed secondary education with subjects including Computer Science, Physics, Chemistry, and Mathematics. Final grade recorded as C for Information and Communication Technologies (Matric).