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Temitope Balogun

@temitopebalogun1

I manage compliant provider credentialing, payer enrollment, and Medicaid participation across healthcare networks.

United States
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What I'm looking for

I'm looking to apply my credentialing, provider enrollment, compliance, and payer relations experience to support accurate provider lifecycle management and timely network participation.

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

Education

Degrees, certifications, and relevant coursework

National Open University of Nigeria logoNN

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

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