Paresh Doshi
About Paresh Doshi
Paresh Doshi is the Senior Manager of Credentialing at Maximus with extensive experience in healthcare compliance and credentialing operations.
Current Role at Maximus
Paresh Doshi serves as the Senior Manager, Credentialing at Maximus. He has been in this role since 2021, working in the New York City Metropolitan Area. His responsibilities include overseeing credentialing processes and ensuring that they meet both internal and regulatory standards. His role involves managing a team and developing programs to monitor compliance and detect areas of potential exposure.
Previous Experience at Horizon Blue Cross Blue Shield of New Jersey
Paresh Doshi has extensive experience at Horizon Blue Cross Blue Shield of New Jersey, where he held multiple positions over the course of his career. His roles included Team Supervisor, Provider Credentialing Operations from 2018 to 2021 in Newark, NJ, and Accreditation Specialist - Govt. Programs from 2016 to 2018 in West Trenton, NJ. Earlier roles at the company included Senior Compliance Analyst and Business Systems Compliance Analyst.
Experience at Amerihealth Inc
Between 2013 and 2016, Paresh Doshi worked as a Quality Management Specialist at Amerihealth Inc in Cranbury, NJ. In this role, he contributed to quality management procedures and compliance measures, ensuring that operations met both internal and external regulatory standards.
Educational Background
Paresh Doshi achieved his Master of Business Administration (M.B.A.) with a focus on Business Administration and Health Care Administration from Saint Peter's University, completing his studies between 2006 and 2011. Prior to that, he earned a Bachelor's Degree in Business Administration from Dowling College, Horizon Blue Cross Blue Shield of New Jersey Campus, from 2001 to 2005.
Expertise in Compliance and Accreditation
Paresh Doshi has accumulated over 15 years of expertise in state and federal regulatory and accreditation requirements. His specialized skills include risk assessment and performance audits against internal, regulatory, and accreditation standards. He has successfully developed proactive training and monitoring programs to identify compliance exposures in healthcare settings and has extensive experience in resolving compliance-related issues.