Credentialist II

Credentialist II

Make an Impact Behind the Scenes of Patient Care

Every exceptional patient experience begins with exceptional providers and behind every qualified provider is a credentialing professional who ensures quality, compliance, and excellence.

We're seeking a detail-oriented, highly organized Credentialist II to join our Medical Staff Services team. In this role, you will play a critical part in safeguarding patient safety, maintaining regulatory compliance, and supporting the integrity of our Medical Staff operations.

If you thrive in a fast-paced healthcare environment, enjoy working with physicians and leadership, and have a strong eye for detail, we'd love to connect with you.

What You'll Do

As a Credentialist II, you will manage the full lifecycle of medical staff credentialing activities, including:

Credentialing & Compliance

• Perform all phases of credentialing for initial appointments and reappointments
• Verify licensure, BNDD, DEA, privileges, OPPE, FPPE, PI data, and other regulatory requirements
• Ensure compliance with Medical Staff Bylaws, Credentialing Plan, policies, and accrediting bodies
• Prepare files for audits (TJC, CMS, NCQA) and conduct compliance reviews
• Maintain and audit credentialing files (electronic and paper)

Database & Reporting

• Maintain accuracy in the CACTUS database
• Track credentialing activities through logs and reporting tools
• Generate rosters, reports, queries, and credentialing documentation as needed

Committee & Administrative Support

• Prepare application packets and credentialing correspondence
• Support Credentials Committee preparation and documentation
• Record, transcribe, and maintain Medical Staff meeting minutes as needed
• Assist with temporary privileges and affiliation verifications
• Provide administrative support to ensure smooth department operations

Collaboration & Professionalism

• Build strong working relationships with physicians, department leaders, managed care staff, and administrative teams
• Promote quality improvement, patient safety, and cultural diversity
• Maintain current knowledge of applicable statutes, regulations, and compliance standards

What You Bring

Minimum Qualifications

• High School Diploma or GED
• 3+ years of experience in:
• Medical staff credentialing
• OR managed care credentialing
• OR an academic medical center working with physicians and administrative processes
• Strong computer proficiency and database experience
• Exceptional attention to detail and accuracy
• Ability to manage multiple deadlines and competing priorities
• Experience taking minutes and supporting committees
• Strong interpersonal skills and ability to work effectively with physicians and leadership
• Ability to exercise independent judgment and diligence in credentialing activities

Preferred

• Medical center credentialing experience in a hospital setting