Shilpa Gudipati

I am an analytical, detail-oriented credentialing specialist with over six years managing end-to-end provider credentialing in fast-paced healthcare environments. I consistently process large volumes of initial and recredentialing applications while maintaining high quality scores and regulatory compliance.

I specialize in primary source verifications, CAQH management, and use of credentialing platforms including SYMPLR, CACTUS, SmartCred and BPM to streamline workflows and reduce errors. I monitor aging applications, ensure timely follow-up, and maintain accurate practitioner data in credentialing databases.

I have trained more than 10 new team members and earned multiple Best Employee awards for exceeding targets and improving processes. My background includes familiarity with TJC, NCQA and CMS standards, NPDB checks, and a strong foundation in medical terminology and report generation.

I hold a Master of Science in Organic Chemistry and university gold medals, and I seek to contribute my compliance expertise, relationship-building skills, and commitment to operational excellence to a collaborative healthcare organization.