Application ends: June 9, 2026
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Job Overview
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Date PostedMarch 10, 2026
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LocationRemote
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Expiration dateJune 9, 2026
Job Description
JOB DETAILS
What You’ll Do:
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Manage the performance and development of direct reports, providing training, coaching, and conducting regular employee reviews.
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Conduct regular performance evaluations, provide constructive feedback, and develop individualized development plans for team members.
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Educate departments on credentialing policies, procedures, and internal policy changes as necessary.
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Oversee The Joint Commission reviews and quarterly data submissions.
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Audit and approve invoices from credentialing vendors for each SBU.
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Review and approve background checks and licensing issues, escalating employment determinations when necessary.
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Implement robust policies and procedures to ensure accurate verification and uploading of applications into the online credentialing database system.
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Analyze application status trends, evaluate verification information, and identify areas of non-compliance or ‘red flags’; recommend and execute appropriate corrective actions.
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Manage incoming and outgoing communications, ensuring adherence to policy timelines while updating the credentialing database; provide status reports and communicate practitioner participation information to internal and external stakeholders.
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Facilitate written and verbal communications with federal, state, and local agencies, hospitals, medical review boards, and malpractice carriers to obtain necessary provider and practitioner information.
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Participate in preparation for internal and external audits to ensure accurate provider information and compliance with regulatory/accreditation requirements (e.g., CMS, DSHS, NCQA, JCAHO, DNV).
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Assist practitioners and clinicians with scheduling appointments and necessary medical procedures (e.g., physicals, drug screens, vaccinations).
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Stay informed about research, review, and interpretation of applicable accreditation, licensing, and regulatory requirements to ensure ongoing compliance of credentialing policies and procedures.
What You’ll Bring:
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Three years of experience in education or healthcare staffing credentialing.
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Certified Provider Credentialing Specialist (CPCS) can substitute for experience.
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Possess an overall knowledge of business functions and understanding of services, business strategy, policies and procedures, and job’s impact to the organization.
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Understand, interpret, and ensure compliance with laws and regulations.
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Maintain trust through honesty, adherence to principles, and personal accountability.
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Obtain facts and data pertaining to an issue or question.
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Make quality decisions and meet the timeliness of those decisions.
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Share responsibility, authority, and accountability.
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Create a motivating climate, achieve teamwork, train, and develop, measure work in progress, and take corrective action.
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Engage effectively in dialogue.
Salary: $55,000 – $65,000 Annually
Are you interested in this position?
Apply by clicking on the “Apply Now” button below!
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