Open to opportunities

Mohan Dhokare

@mohandhokare

Message

Experienced provider credentialing specialist ensuring compliant, timely credentialing and recredentialing.

Zimbabwe

Message

What I'm looking for

I seek a role where I can lead credentialing operations, drive compliance with NCQA/URAC, improve processes, and manage multistate/provider enrollment at scale.

I am a results-driven provider credentialing specialist with extensive experience in end-to-end credentialing, recredentialing, delegated contracting, and multistate license management. I prioritize audit-ready files, primary source verification, CAQH accuracy, and meeting NCQA/URAC standards to minimize delays and rejections.

I lead credentialing operations with structured trackers, automated reminders, and cross-functional communication, and have created process improvements and SWAT teams to scale during surge periods. I emphasize data integrity across NPPES, CAQH, and internal systems, coach teams on KPIs, and maintain transparency with stakeholders through regular reporting.

Experience

Work history, roles, and key accomplishments

Provider Credentialing Specialist

Unknown

Managed end-to-end provider credentialing and recredentialing for physicians, NPs, and allied health, ensuring payor and facility compliance and maintaining audit-ready files with timely renewals and committee approvals.

Primary Source Verification NPDB DEA OIG Checks Credentialing NCQA URAC Compliance