Anuj Rawat

Background

About Anuj Rawat

With nearly 10 years of experience in the US healthcare domain, I specialize in provider credentialing, facility credentialing and payer enrollment. My expertise spans contract negotiations, group and facility contracting, licensing and certifications expirables, as well as hospital credentialing and maintenance of hospital privileges. I have extensive experience in primary source verifications (SAMS, OIG, NPDB, Medicare Opt-Out, and Preclusion Lists), ensuring full regulatory and payer compliance. I focus on training and mentoring teams, developing and maintaining SOPs, performing quality audits, and driving automation and process optimization to improve accuracy and efficiency. By combining deep domain knowledge with business analysis and operational strategy, I support organizations in building streamlined, compliant, and scalable healthcare processes — whether in leadership roles or as a consultant driving process transformation. Core Skills: Provider Credentialing | Facility Credentialing | Payer Enrollment | Contracting & Negotiations | Group Contracting | Licensing & Compliance | Hospital Privileging | Primary Source Verification | Business Analysis | Process Optimization | Training & Quality Audits | Automation | Leadership