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Gretchen Carletta

Manager

A Credentialing Client Manager on our Healthcare Compliance and Credentialing team, Gretchen oversees the daily activity of credentialing and enrollment services in accordance with all state and federal regulations, accreditation standards, and managed care criteria. She has over 10 years of experience in the healthcare industry, working with clients in large health systems and medical groups.

Gretchen manages client relationships and supervises credentialing specialists. In her current role, she also assists in the management of the credentialing software database, oversees credentialing and enrollment processes, and recommends best practices for workflow improvement. She has extensive knowledge of CAQH, PECOS, and Medicaid enrollment criteria and platforms.

A Credentialing Client Manager on our Healthcare Compliance and Credentialing team, Gretchen oversees the daily activity of credentialing and enrollment services in accordance with all state and federal regulations, accreditation standards, and managed care criteria. She has over 10 years of experience in the healthcare industry, working with clients in large health systems and medical groups.

Gretchen manages client relationships and supervises credentialing specialists. In her current role, she also assists in the management of the credentialing software database, oversees credentialing and enrollment processes, and recommends best practices for workflow improvement. She has extensive knowledge of CAQH, PECOS, and Medicaid enrollment criteria and platforms.

Experience highlights 

Gretchen helps clients in a variety of areas, including: 

  • Healthcare compliance 
  • Credentialing 
  • Enrollment processes 
  • Provider participation documents and report auditing 
  • Process improvement 
  • Employee engagement, mentorship, and coaching 
  • NCQA accreditation

Memberships and committees

  • National Association of Medical Staff Services (NAMSS)
  • New York State Association for Medical Staff Services, Inc. (NYSAMSS)

Related Services

Consulting

Insights

Education

BFA, Alfred University