Alisha Kunte
Healthcare Operations × Provider Infrastructure × Automation
I build and improve the systems behind provider credentialing, enrollment, compliance, and network operations.
Somewhere between a provider signing a contract and a patient booking an appointment, a lot can go wrong. That gap is where I work.
01 Thesis
A healthcare operations professional turning deep provider credentialing, enrollment, compliance, and network experience into better healthcare systems and automation.
02 Selected evidence
Operations at a scale that rewards systems, not heroics.
Metrics attached to the work they came from. Supporting a 40,000+ provider network is not the same as personally credentialing 40,000 providers.
40,000+
Provider network supported
Compliance and credentialing operations across a large Medicare/Medicaid network — not personal case volume.
2,000+
Provider backlog remediated
Structured tracking, escalation, outreach, and data cleanup.
25%
Faster credentialing turnaround
Process standardization, quality checklists, and workflow redesign.
8
Standardized SOPs authored
Plus a 30+ point credentialing quality checklist.
03 Selected work
From a Salesforce prototype to a provider-operations platform.
Flagship decision pipeline
- 01Source Data
- 02Verification
- 03Rules
- 04Issues / Readiness
- 05Actions
- 06AI Narrative
2026
Provider Ops Platform
A production-inspired credentialing and enrollment operations platform for multi-state provider organizations and telehealth networks — where verified source data drives deterministic decisions, and AI explains the evidence.
Case study →
2026
Salesforce Credentialing Agent
The first working system: a Salesforce proof of concept that looked up NPPES in real time and attached verification to a provider record. The standalone platform came after — this is where the idea earned its evidence.
Case study →
04 About
Healthcare administration, then the systems behind it.
I studied hospital and healthcare administration from undergraduate through an MBA, then worked inside hospital operations, quality, and accreditation in India. Credentialing, SOPs, and compliance were not an accidental later chapter — they were already the work. I started building the tooling I wished existed: first a Salesforce proof of concept with Apex and a live NPPES check, then a standalone provider-operations platform. The through-line is the same: verified source data, deterministic rules, ordered next actions — and AI only after the facts are in.
05 Expertise
Domains, not a skills cloud.
Technical toolkit spanning SQL, Python, Salesforce Flow/Apex, analytics, and workflow automation, with active hands-on portfolio development in healthcare operations systems.
Provider Operations
- Credentialing & recredentialing
- Payor enrollment
- Provider networks & directories
- Affiliations, groups & entity structures
Compliance
- OIG LEIE, SAM.gov, NYS OMIG
- CMS & NYS DOH operations
- NCQA credentialing concepts
- Medicare / Medicaid managed care
Systems & Data
- Salesforce / Verisys, Facets, Cactus
- NPPES, CAQH, PECOS
- SQL, Tableau, Power BI, Excel
- Provider data integrity
Automation
- Apex & Salesforce Flow
- Python & REST APIs
- Deterministic rules engines
- AI-assisted case summaries
06 On AI
Building AI-assisted provider operations systems where authoritative source data and deterministic rules drive decisions, and AI helps summarize evidence and recommend operational follow-up.
07 Contact
For provider operations, network, and healthcare systems roles.
I am most useful where credentialing, enrollment, compliance, provider data, and workflow design meet — and where those workflows need to become systems.
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