"Credentialing Specialist"

Job Summary

Provides integral support to healthcare operations by enabling timely onboarding of healthcare providers through the evaluation, analysis, and coordination all aspects of the credentialing and recredentialing processes for practitioners practicing within the WesternU Health System clinical entities.

Knowledge, Skills and Abilities

Individuals must possess the knowledge, as well as the following skills and abilities or be able to perform the essential functions of the job, with or without reasonable accommodation using some other combination of skills and abilities.

• Strong working knowledge of healthcare provider credentialing process
• Experience working with Windows based applications: Excel, Word, Outlook, SharePoint
• Significant knowledge of State and Federal Regulatory requirements and accreditation standards, e.g., NCQA, NPDB, Title XXII, CAQH and NPPES related to healthcare provider credentialing
• Considerable working knowledge of credentialing management applications, e.g., Verity Stream
• Strong customer focus, interpersonal, collaboration, written/verbal communication, prioritization, and computer skills
• Must be able to establish daily work priorities and work efficiently to contribute to the successful overall maintenance of the credentialing process.
• Demonstrated attention to detail and good organizational capability.
• Able to handle multiple simultaneous tasks and complete work projects in designed time frames.
• Demonstrate a commitment to working in an organization that values and promotes humanism.

Required Qualifications

Any combination of education, training and experience that provides the required knowledge, skills, and abilities.

• Education: High School Diploma or equivalent.
• Experience: Minimum of two years of relevant experience in provider credentialing.

Preferred Qualifications

Preference will be given to individuals with NAMSS Certification as Certified Provider Credentialing Specialist (CPCS) certification.

• Experience: A background in clinical academic setting is highly preferred.

Posting Date:

10/15/2025

Closing Date:

10/15/2026

Essential Job Duties