Medical Staff Credentialing Administrator
Atlantic Health
Job Title
Develop, build, and maintain clinician delineation of privileges (DOP) forms within the credentialing and privileging software system.
Translate approved Medical Staff Rules & Regulations, bylaws, policies, and specialty criteria into structured, standardized electronic privilege forms.
Ensure privilege language reflects current clinical practice, regulatory requirements, and accreditation standards (e.g., Joint Commission, CMS).
Perform regular review and updates of privilege forms to reflect changes in scope of practice, technology, clinical standards, or organizational initiatives.
Monitor and track special, advanced, and condition-based privileges across specialties.
Ensure required qualifications, proctoring, focused professional practice evaluation (FPPE), and ongoing professional practice evaluation (OPPE) elements are built into the privileging framework.
In collaboration with the department of Quality, carries out the FPPE & OPPE review and approval with Medical Staff leaders, including Chiefs, Chairs, Service Line Leaders, Medical Executive Committees, and Chief Medical Officers.
Track and ensure timely review.
Prepare draft proposals, revisions, comparison documents, and summary materials to support informed physician leadership decision-making.
Coordinate privilege form review and approval with Medical Staff leaders, including Chiefs, Chairs, Service Line Leaders, Medical Executive Committees, and Chief Medical Officers.
Facilitate feedback, revisions, and consensus-building across multiple specialties and stakeholders.
Track approvals and ensure timely implementation of newly adopted or revised privilege forms.
Work collaboratively with Medical Staff leadership to define, refine, and document specialty-specific privileging parameters and performance metrics and requirements.
Support consistent application and compliance with privileging criteria across departments and locations.
Monitor privileging practices for compliance with regulatory, accreditation, and internal policy requirements.
Conduct routine audits and data reviews related to privilege assignments, expirations, and special privilege tracking including robotic surgery, sedation, fluoroscopy, and laser use, ensuring adherence to medical staff governance requirements, regulatory expectations, and patient safety standards.
Prepare reports, dashboards, and analyses to support leadership oversight, quality initiatives, and accreditation readiness.
Identify trends, gaps, or risks and recommend.
Serve as a content expert for privileging data within the credentialing system.
Ensure data accuracy, integrity, and consistency related to privileges and scope of practice.
Collaborate with Medical Staff Services, IT, and vendor partners on system enhancements, template updates, and optimization of privileging workflows.
Maintain documentation of privileging processes, standards, and governance decisions.
Serve as a backup to the Lead Credentialing Specialist.
Participate in department projects, policy development, education, and process improvement initiatives.
Perform other duties as assigned in support of Medical Staff Services operations.
Qualifications
Education/Experience
o Associate's degree in healthcare administration, business, or a related field required
o Bachelor's degree preferred
o Equivalent combination of education and experience considered
o Minimum of 35 years of experience in Medical Staff Services, credentialing, or privileging required
o Demonstrated experience with delineation of privileges, special privileging, or physician governance processes strongly preferred
o Experience working directly with physician leaders and executive medical staff committees preferred
About Us
At Atlantic Health, our promise to our communities is anyone who enters one of our facilities will receive the highest quality care delivered at the right time, at the right place, and at the right cost. This commitment is also echoed in the respect, development, and opportunities we give to our more than 22,000 team members. Headquarters in Morristown, New Jersey, we are one of the leading non-profit health care systems in the nation. Our facilities and sites of care include:
- Atlantic Health Morristown Medical Center, Morristown, NJ
- Atlantic Health Overlook Medical Center, Summit, NJ
- Atlantic Health Newton Medical Center, Newton, NJ
- Atlantic Health Chilton Medical Center, Pompton Plains, NJ
- Atlantic Health Hackettstown Medical Center, Hackettstown, NJ
- Atlantic Health Goryeb Children's Hospital, Morristown, NJ
- Atlantic Health CentraState Healthcare System, Freehold, NJ
- Atlantic Medical Group
- Atlantic Visiting Nurse
- Atlantic Mobile Health
- Atlantic Rehabilitation
We have more than 900 community-based healthcare providers affiliated through Atlantic Medical Group.
We have received awards and recognition for the services we have provided to our patients, team members, and communities. Below are just a few of our accolades:
- Chosen for 17 years by Fortune as one of the magazine's "100 Best Companies to Work For."
- Atlantic Health Morristown and Atlantic Health Overlook Named by Newsweek as two of the "World's Best Hospitals" in 2026.
- Atlantic Health Morristown and Atlantic Health Overlook ranked within the top three hospitals in New Jersey by U.S. News & World Report's 2025-2026 Best Hospital rankings.
- Atlantic Health scored four "A" grades by The Leapfrog Group in its Fall 2025 Hospital Safety Grades, performance measures reflecting errors, accidents, injuries and injections, as well as systems hospitals have in place to prevent harm.
- Atlantic Health Morristown and Atlantic Health Overlook are New Jersey's only hospitals to be named among America's 50 Best hospitals by Healthgrades in 2026.
- Named by Becker's Healthcare as one of the "165 Top Places to Work in Healthcare 2026.
- Atlantic Health Morristown, Atlantic Health Overlook, Atlantic Health Chilton and Atlantic Health Newton all Forbes Top Hospitals for 2026.
- Named by Newsweek as one of America's Greatest Workplaces for Inclusion & Diversity 2025.
- Atlantic Health rated LEVEL 9 - 2025 CHIME Digital Health Most Wired.
Atlantic Health offers a competitive and comprehensive Total Rewards package that supports the health, financial security, and well-being of all team members. Offerings vary based on role level (Team Member, Director, Executive). Below is a general summary, with role-specific enhancements highlighted:
Team Member Benefits
- Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members)
- Life & AD&D Insurance.
- Short-Term and Long-Term Disability (with options to supplement)
- 403(b) Retirement Plan: Employer match, additional non-elective contribution
- PTO & Paid Sick Leave
- Tuition Assistance, Advancement & Academic Advising
- Parental, Adoption, Surrogacy Leave
- Backup and On-Site Childcare
- Well-Being Rewards
- Employee Assistance Program (EAP)
- Fertility Benefits, Healthy Pregnancy Program
- Flexible Spending & Commuter Accounts
- Pet, Home & Auto, Identity Theft and Legal Insurance
Note: In Compliance with the NJ Pay Transparency Act (effective Sunday, June 1, 2025), all job postings will include the hourly wage or salary (or a range), as well as this summary of benefits. Final compensation and benefit eligibility may vary by role and employment status and will be confirmed at the time of offer.
EEO STATEMENT
Atlantic Health, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran.
About the Team
Atlantic Health System is at the forefront of medicine, setting standards for quality health care powered by a workforce of more than 18,00
Atlantic Health System$33.33 per hour
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