Temitope Balogun
@temitopebalogun1
I manage compliant provider credentialing, payer enrollment, and Medicaid participation across healthcare networks.
What I'm looking for
At Unified Women’s Healthcare, I manage end-to-end credentialing and recredentialing for physicians, nurse practitioners, physician assistants, and allied health providers across the Virginia market.
I conduct primary source verification for licenses, DEA registrations, board certifications, education, training, malpractice coverage, and work history. I maintain CAQH profiles and provider records while coordinating Medicare, Medicaid, and commercial payer participation in line with NCQA, CMS, and payer requirements.
Previously at Virta Health, I supported credentialing, enrollment, provider data management, compliance reviews, and payer participation across commercial and government networks.
At Walmart Health & Wellness, I led high-volume Medicaid enrollment initiatives for Walmart and Sam’s Club pharmacy locations across multiple states, including applications, revalidations, ownership changes, and location updates. I bring more than seven years of healthcare administration experience and hold CPCS certification.
Experience
Work history, roles, and key accomplishments
Credentialing Specialist
Unified Women's Healthcare
Feb 2023 - Present (3 years 6 months)
Managed end-to-end credentialing and recredentialing for physicians, nurse practitioners, and allied health providers. Conducted primary source verification and coordinated payer enrollment with Medicare, Medicaid, and commercial carriers.
Education
Degrees, certifications, and relevant coursework
National Open University of Nigeria
Bachelor of Science, Health Administration
Bachelor of Science in Health Administration from the National Open University of Nigeria, completed in 2010.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Skills
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