Daniella Houston

About Daniella Houston

I\'m a healthcare operations executive with over 19 years of experience leading multi-site teams, credentialing programs, and strategic initiatives that bridge clinical excellence with operational efficiency. Currently at ChenMed, I oversee credentialing and compliance operations for 700+ providers across diverse payers—driving measurable improvements in onboarding speed, revenue capture, and provider satisfaction.From building scalable SOPs and cross-functional partnerships (with Finance, Legal, HR, and Clinical teams), I bring a proven track record of transforming complex systems into streamlined, patient-centric solutions. I’ve led teams of 30 to 50+, scaled credentialing across acute care, wound care, and senior care models, and consistently improve outcomes through Lean Six Sigma methodologies and executive alignment.

Experience

1. Senior Manager, Credentialing Operations

   ChenMed

   May 2022 — Present

   In my role at ChenMed, I oversee, lead, and manage the enterprise-wide credentialing, provider enrollment and pharmacy benefits credentialing- Oversees and leads enterprise-level credentialing function, provider enrollment, and pharmacy benefits credentialing- Manages outsourcing vendor relationships and implementations- Develops and refines provider adoption strategies related to initiatives impacting provider networks- Enterprise process leader for provider credentialing and business owner for provider enrollment and credentialing system/platform- Oversee the continuous process improvement in provider enrollment and credentialing processes including standardized resources and tool, training, and deployment plan(s)- Manage vendor portfolio from a strategic vendor relationship management perspective- Represents Network Strategy & Services in partnership with Insurance Payors, Operations, Quality, and Health Plan business partners to ensure incorporation of Network provider engagement/credentialing strategics to achieve positive operational, financial outcomes and maintain compliance with applicable regulatory requirements- Developed and implemented a compliance oversight program that aligned with Medicare standards, leading to 70% improvement in audit outcomes and operational efficiency- Monitors key performance indicators and metrics to assess provider enrollment & credentialing effectiveness, efficiency and compliance- Establish, maintain, and acquire targeted cost savings associated with vendor, provider enrollment, VBC outcomes and best practices- Oversees the initial credentialing and re-credentialing of all providers.

Education

• Florida International University - College of Business

  MBA, Healthcare Management

  2014 — 2015

• Florida International University - College of Business

  MBA, Study Abroad for Master's Capstone

  2015 — 2015

• Florida Agricultural and Mechanical University

  Bachelor of Science, Health Care Management

  2002 — 2010