Sourav Dutta

CRPN Transition Education Verification via Licensure Project Delegation Audit

• Participated in CRPN transition project as a key contributor. Suggested policy updates as per NCQA guidelines
• Keep track of the Change management for Company Policies
• Represent policy changes to QOS committee.
• Conduct Quality of Service Committee meetings. Take meeting notes & prepare meeting minutes & agenda; publish meeting documents across the board & stakeholders.
• Took charge of the Edu verification project; set & tracked roles & responsibilities and managed content and verified documents.
• Owner of Delegation project, Manage oversight log for upcoming audit
• Conduct security control audit for the delegates. Review the policies & delegation agreement prior signing the audit report & sent it to the clients.
• Answered any delegation-related questions from the client.

• Manage agendas, prepare presentation materials, manage meeting invites, and take precise meeting minutes for committee/subcommittee meetings.
• Triage, document, and track market feedback, including trends and QIA progress.
• Quality Improvement Activities (QIA)
• Complaints
• Corrective Action Plans (CAP)
• Audit compliance of complaints, vendors, and cross-functional staff with regulatory oversight.
• Assist with enterprise risk management, and change management.
• Assist in drafting and organizing enterprise complaints, privacy, and confidentiality training materials and any other training materials (e.g., cyber security).
• Draft, edit, and proofread internal and external documents (e.g., reports, materials).
• Monitor employee/contractor signature compliance with data security and privacy policies and procedures and other types of compliance monitoring.
• Assist with quality work plans, program descriptions, and published works.
• Assist with accreditation standards, legislative, and/or regulatory research.
• Assist with accurate managing, filing, bookmarking, and uploading important documentation (e.g., meeting minutes) for quarterly, annual, and biannual accreditations and audits.
• Internal quarterly audits and external compliance reports
• Ad hoc and annual P&P reviews and approvals
• NCQA CVO certification (with ongoing evidence each year)
• URAC CVO certification (with ongoing evidence each year)
• SOC 2 Type 2 audit (ongoing) and annual certifications

• Healthcare provider credentialing.
• Research, interpret and evaluate information relevant to provider licensure and continuing medical education in the United States.
• Complete applications for provider licensure on behalf of Certify customers.
• Validate and authenticate information updated on the licensing platform and ensure 100% accuracy.
• Summarize the research findings and draft them into clear and concise guideline documents for Certify customers.
• Assist manager with other ad hoc responsibilities such as weekly work reports and conduct team meeting in absence of manager

• Communicate with clients globally, understanding their business requirement in order to establish processes and working as a Point of contact, managing team of 6-8 people.
• Managing Projects from external stake holders, provide guidance and training to the new joiners as required.
• Perform audit to maintain the quality of work.
• Deliver projects under SLA.
• Create and update SOPs.
• Schedule weekly/monthly meeting for process feedback.

• Communicate with different clients to understand their requirements, report to the supervisors about the processes accordingly.
• Provide CRM and process training to the new joiners.
• Weekly CRM Audit.
• Providing support for clients through Market research, Social-media management, Social-media optimization (SMO), B2B support, E-Commerce (Shopify), Working with different CRM and project management tools, and other customer and business support related tasks.

• Perform virtual tasks for global clients by following the instructions of seniors.
• Communicate with clients if required.
• Research online for information.
• Transcribe the audio, video, PDF, or scan files.
• Preparing Word document, Excel spreadsheet, and PowerPoint Presentation.
• Data entry & Data Compilation from various platforms.