Janea Grimes

Background

About Janea Grimes

As a credentialing loead with 5 years of experience in managed care, I bring deep expertise in provider credentialing, delegated oversight, and regulatory compliance. I specialize in leading credentialing operations that align with NCQA, CMS, and state requirements while driving performance and operational excellence.I’m well-versed in CAQH ProView, and I have direct experience managing credentialing and roster submissions for both Tennessee Medicaid (TennCare) and North Carolina Medicaid (NCTracks). My passion lies in optimizing workflows, ensuring data integrity, and fostering strong relationships with payers, providers, and delegated groups. I thrive in complex regulatory environments and bring a strategic, audit-ready approach to credentialing management.Let’s connect if you're navigating the challenges of multi-state credentialing or seeking to improve provider onboarding and compliance in your managed care organization.