Reinventing Credentialing and Monitoring Compliance with Shared Models & Agentic AI

Discover how AI, automation, and a multi-payer model are transforming credentialing—helping healthcare payers expand provider networks faster, cut costs, and enhance provider and member experiences.

Credentialing

Overview

Traditional credentialing is redundant, costly, and frustrating for both health plans and providers. Regulatory changes are further impacting payers, delegated groups, and providers. Manual, repetitive processes, data errors, and slow onboarding:

  • Drive up costs
  • Delay provider access to networks
  • Strain already-burdened teams in care facilities

But it doesn’t have to stay this way.

Join experts from Everest Group and Sutherland in an AHIP webinar scheduled on 12 November 2025 at 2:00 PM E.T., as they reveal how payers can unlock speed, efficiency, and savings—without reducing staff—by modernizing credentialing and monitoring with automation, AI, and new and unique models such as shared service-led multi-payer credentialing.

What You’ll Learn

Our experts from Sutherland and Everest Group will walk you through:

  • Limitations of Traditional Credentialing
    Why manual, redundant processes no longer work for today’s complex compliance demands, including ongoing monitoring and re-verification.
  • AI + Automation in Credentialing & Monitoring
    How automation and AI streamline workflows, unlock faster approvals, reduce errors, and accelerate provider approvals and overall onboarding.
  • A Shared Multi-Payer Credentialing Model that Cuts Administrative Costs, Not Staff
    Practical and proven strategy to reduce administrative overhead and provider abrasion while retaining valuable teams.
  • Real-World Examples
    Case studies of payers already leveraging AI to improve compliance, quality, and efficiency.

Reserve Your Spot Today.
Don’t miss this opportunity to reimagine your credentialing strategy and stay ahead of industry demands.

Speakers

Experts from Sutherland, a leader in Payer Credentialing Services and Multi-Payer Credentialing Services, alongside Everest Group analysts, will share insights, trends, and practical takeaways.

Doug Gilbert
Doug Gilbert
CIO & Chief Digital OfficerLinkedIn Icon

Doug Gilbert serves as Chief Information Officer and Chief Digital Officer. With an extensive background in product development and technology transformation, Doug has a proven track record of revolutionizing operations and enhancing customer experiences through AI and machine learning. He leverages his expertise to drive innovation and deliver measurable business outcomes. As a seasoned leader in digital transformation, Doug plays a pivotal role in Sutherland’s solution architecture, leading the development of the company’s digital product and platform portfolio.

Kymberly-Eide
Kymberly Eide
VP, Healthcare Payer SolutionsLinkedIn Icon

Kymberly has an extensive background in advancing health care network administration, credentialing and provider network management technologies to the healthcare market over the last 18 years. At Sutherland, Kymberly brings innovative solutions to the payer market through technology platforms that are enabled with automation and evolve with new AI and machine learning capabilities.

Ankur Verma
Ankur Verma
Vice President, Everest GroupLinkedIn Icon

Ankur Verma is a Vice President at Everest Group, assisting clients on topics related to optimizing business process service delivery models, with an emphasis on Healthcare (payers and providers) and Life Sciences. Ankur’s responsibilities include assisting in managing Everest Group’s Healthcare and Life Sciences Outsourcing subscription offerings and providing outsourcing advisory services to clients on an ad hoc basis. Prior to joining Everest Group, Ankur was a Senior Analyst with The Smartcube. He holds a bachelor’s degree in technology from Netaji Subhas Institute of Technology, Delhi.