Karin Vicioso-Segovia

About Karin Vicioso-Segovia

I build credentialing and enrollment operations that allow providers to focus on delivering care.With 18 years in healthcare operations, I’ve led provider onboarding, credentialing, payer enrollment, delegation oversight, regulatory and NCQA-aligned compliance functions across growing organizations. I’m drawn to the work because it sits at the core of access. When it’s done well, providers can practice confidently and patients can receive care without friction.Core strengths include:• Credentialing & Enrollment Operations• Delegated Credentialing & NCQA Readiness• Vendor & CVO Management• Process Optimization & Automation• Data Reporting & Operational Analytics• Training, Documentation & Quality OversightI am energized by opportunities to build durable operational engines that balance compliance, efficiency, and provider experience

Experience

1. Credentialing Lead

   Nourish

   Sep 2024 — Present

   Lead the credentialing and enrollment efforts for national network of Registered Dietitians, ensuring process optimization, network quality and compliance.

Education

• Fisher College

  Health Care Management

  2012

Skills

• Ncqa
• Customer Service
• Training
• Windows
• Echo
• Healthcare
• Organizational Skills
• Athena
• Hospitals
• Provider Enrollment
• Facets
• Project Management
• Inventory Management
• Delegated Contract Management
• Analytical Skills
• Data Entry
• Cactus
• Problem Solving
• Teamwork
• Data Management
• Staff Training
• Provider Relations
• Microsoft Office
• Regulatory Compliance
• Jcaho
• Medicare
• Caqh
• File Reviews
• Network Adequacy
• Corrective Actions
• Hipaa
• Staff Supervision
• Medicaid
• Healthcare Management
• Software Documentation
• Process Improvement
• Intellisoft
• Health Insurance
• Credentialing