Role Summary
Leads a credentialing team while maintaining an individual caseload for credentialing and compliance activities for physicians and advanced practice providers.
Key Responsibilities
- Manage provider credentialing and re-credentialing, including licensing and hospital privileging.
- Ensure provider documentation and files meet hospital policies and regulatory requirements.
- Oversee malpractice coverage processes and related credentialing documentation.
- Coordinate with hospital partners, providers, and internal leadership to support credentialing decisions.
- Lead and guide the credentialing team to ensure accurate, complete, and timely processing.
Qualifications & Skills
- Strong knowledge of provider credentialing, re-credentialing, licensing, and hospital privileging processes.
- Ability to manage both leadership responsibilities and a personal caseload.
- Detail-oriented with a focus on compliance with hospital and regulatory standards.
- Excellent coordination and communication skills across providers and internal/external stakeholders.