Tracey Baughey, Cpmsm
About Tracey Baughey, Cpmsm
Tracey Baughey is a Vice President of Credentialing and Payor Enrollment at Privia Health, with extensive experience in credentialing and provider licensing across various healthcare organizations. She has held significant roles at AmeriHealth Caritas, Laser Spine Institute, and Tower Health, and is currently pursuing further studies at Southern New Hampshire University.
Work at Privia Health
Tracey Baughey currently serves as the Assistant Vice President of Credentialing & Payor Enrollment at Privia Health. In this role, she oversees credentialing processes and payor enrollment strategies, contributing to the organization's operational efficiency. Since joining in 2021, she has focused on enhancing the credentialing program and ensuring compliance with industry standards.
Previous Experience in Credentialing
Before her current position, Tracey Baughey held several key roles in credentialing. She worked as the Director of Credentialing at Crossroads for seven months in 2021. Prior to that, she was the Credentialing Manager at AmeriHealth Caritas from 2015 to 2019, where she managed credentialing operations for four years. Additionally, she served as Credentialing Manager at Laser Spine Institute for seven years, from 2008 to 2015.
Background in Legal Affairs
Tracey Baughey has a background in legal affairs, having worked as the Director of Legal Affairs at Horizon Bay Retirement Living from 2003 to 2008. This role involved overseeing legal matters and compliance within the organization, providing her with a strong foundation in regulatory requirements relevant to healthcare.
Education and Expertise
Tracey Baughey studied at Bucks County Community College and is currently pursuing further education at Southern New Hampshire University since 2019. She offers expertise in credentialing program start-up and provider licensing, and specializes in Payor Enrollment consulting services. Additionally, she provides consulting services for NCQA and AAAHC accreditation.
Experience in Payor Credentialing
Tracey Baughey has significant experience in payor credentialing. She served as the System Director of Payor Credentialing and Enrollment at Tower Health from 2019 to 2021. In this role, she was responsible for overseeing the credentialing and enrollment processes for various payors, ensuring that the organization met all necessary requirements.