Walter Gamulo
Credentialing Manager MSO Delegated Credentialing - Management Services Organization at Astrana Health | La Puente, California, United States
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Walter Gamulo serves as the Credentialing Manager for the Management Services Organization (MSO) at Astrana Health, where he plays a pivotal role in ensuring compliance and quality assurance within the credentialing process. With a strong focus on workflow process improvement, Walter is dedicated to elevating the standards of credentialing compliance across the organization. His leadership is evidenced by his impressive track record, including achieving annual overall audit scores exceeding 95% and maintaining a remarkable 100% score on monthly health plan audits for 22 consecutive months.
In his current role, Walter identifies and delineates the roles and responsibilities within the Credentialing department, meticulously documenting job descriptions to enhance operational efficiency. He leads the Credentialing Committees on a monthly basis, fostering collaboration and ensuring that all processes align with regulatory requirements and best practices. Walter's expertise in health policy and managed care, combined with his proficiency in medical terminology and hospital applications credentialing, positions him as a key resource for both his team and the organization as a whole.
Walter's commitment to professional development is evident in his approach to personnel supervision, where he emphasizes work allocation, training, and the enforcement of internal procedures and controls. He actively seeks to resolve problems and streamline processes, contributing to the overall success of Astrana Health's credentialing initiatives. With a goal to challenge himself in a lead role, Walter is not only focused on achieving operational excellence but also on mentoring others, sharing his extensive knowledge and experience to cultivate a culture of continuous improvement within the organization.
Credentialing Manager MSO Delegated Credentialing - Management Services Organization at Astrana Health in April 2023 to April 2025
Senior Credentialing Quality Assurance Auditor at Prospect Medical Systems in October 2022 to April 2023
Credentialing Quality Assurance Auditor at Prospect Medical Systems in September 2018 to January 2023
Credentialing Auditor at L.A. Care Health Plan in November 2016 to March 2019
Credentialing Specialist at L.A. Care Health Plan in May 2014 to September 2018
Med Staff Reappointment Coordinator at Glendale Adventist Medical Center in January 2014 to September 2018
Managed Care and Physician Services Specialist at Vantage Oncology, Inc. in December 2008 to May 2014
Credentialing Specialist at Molina Healthcare in May 2006 to December 2008
Executive Assistant/Office Manager at MRA Managed Care Solutions in July 2001 to September 2005
Background Screening Researcher at Information Resources in August 1998 to May 2001
Senior Project Intern at Pathways Volunteer Hospice in November 2000 to March 2001
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DeVry Institute of Technology, Bachelor of Science, October 1998 to October 2026
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Auditing
Audit Management
Quality Assurance
Internal Audits
Health Policy
Managed Care
HIPAA
Physicians
Data Entry
Medicare
Medical Billing
Healthcare Management
Healthcare
Software Documentation
Hospitals
Healthcare Information Technology
EHR
Healthcare Consulting
EMR
Credentialing
PowerPoint
Revenue Cycle
Clinical Research
Process Improvement
Accounts Payable
Physician Relations
CPT
Medical Coding
Invoicing
Medical Records
Medical Terminology
Accounts Receivable
Credentialing Specialist
Provider Enrollment
Group Enrollment
CACTUS
IntelliSoft
Medicare Part B Enrollment
PECOS
CAQH
Hosptial Applications Credentialing
Commercial Payers Enrollment Credentialing
Dignity Health - National Provider Enrollment Summit 2013
Medicaid
Outlook
JCAHO
Healthcare Industry
HMO
Utilization Management
PPO
Accreditation
Training
Customer Service
Healthcare Information Technology (HIT)
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Discover more about Astrana HealthWhat is Walter Gamulo email address?
Email Walter Gamulo at [email protected], [email protected] and [email protected]. This email is the most updated Walter Gamulo's email found in 2026.
What is Walter Gamulo phone number?
Walter Gamulo phone number is 3109187501.
How to contact Walter Gamulo?
To contact Walter Gamulo send an email to [email protected], [email protected] or [email protected]. If you want to call Walter Gamulo try calling on 3109187501. (updated on September 02, 2024)
What company does Walter Gamulo work for?
Walter Gamulo works for Astrana Health
What is Walter Gamulo's role at Astrana Health?
Walter Gamulo is Credentialing Manager MSO Delegated Credentialing - Management Services Organization
What industry does Walter Gamulo work in?
Walter Gamulo works in the Hospital & Health Care industry.
Walter Gamulo Email Addresses
Walter Gamulo Phone Numbers
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