Medical Staff Credentialing Specialist

Role Overview

• Process initial appointments, reappointments, and privileging applications for physicians and advanced practice providers in accordance with Medical Staff Bylaws, accreditation standards, and organizational policies.
• Perform comprehensive primary source verification of licensure, education, training, board certification, work history, professional references, malpractice coverage, sanctions, and other credentialing requirements.
• Prepare credentialing files for review by Medical Staff Services leadership, credentialing committees, Medical Executive Committees, and Governing Boards.
• Maintain provider credentialing records within MD-Staff and other credentialing systems while ensuring accuracy and regulatory compliance.
• Collaborate closely with Medical Staff Professionals, providers, facility leadership, and department stakeholders to obtain required documentation and resolve credentialing deficiencies.
• Monitor provider expirables, including licenses, DEA registrations, board certifications, malpractice insurance, and other required credentials to ensure ongoing compliance.
• Support privileging activities, including processing delineation of privileges forms and maintaining provider privilege records.
• Ensure compliance with Joint Commission, CMS, NCQA, state regulatory requirements, and Medical Staff Bylaws.
• Manage multiple credentialing files simultaneously while meeting established turnaround times and service level expectations.
• Participate in quality assurance activities, audits, and process improvement initiatives to support credentialing accuracy and operational effectiveness.

Requirements

• Minimum 2 years of provider credentialing experience required; hospital Medical Staff credentialing experience strongly preferred.
• Experience credentialing physicians, advanced practice, or other licensed healthcare providers.
• Experience performing primary source verification, provider file review, and credentialing compliance activities.
• Knowledge of Joint Commission, CMS, NCQA, and Medical Staff credentialing standards preferred.
• Experience supporting credentialing committees, Medical Executive Committees, privileging processes, or provider onboarding preferred.
• Experience utilizing credentialing systems such as MD-Staff, CredentialStream, Cactus, Symplr, or similar credentialing platforms preferred.
• Strong organizational skills with the ability to manage multiple provider files and competing deadlines simultaneously.
• Demonstrated ability to work independently in a remote environment while maintaining productivity and quality standards.

Benefits

• Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
• Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short
• and long-term disability, paid family leave and paid time off.
• Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
• Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
• Professional Development: Ongoing learning and career advancement opportunities.