Credentialing Specialist
Core
Manage full-cycle credentialing and re-credentialing for clinical and ancillary providers, ensuring compliance with military treatment facility standards.
Role type
Healthcare credentialing specialist
Builds
Audit-ready provider credentialing files and compliance reports for the Department of the Air Force Family Advocacy Program
Domain
Healthcare administration / Military contracting
Required skills
primary source verification, regulatory compliance, healthcare accreditation standards, database management, NPDB queries, sanctions checks, background checks, license monitoring, data analysis, process improvement
Preferred skills
MD-Staff system experience, DoD/DoW/DHA credentialing knowledge, military treatment facility experience, CPCS certification, NCQA or Joint Commission familiarity
Technologies
MD-Staff, Microsoft Office
Responsibilities
Manage full-cycle credentialing and re-credentialing for clinical and ancillary providers; Gather, review, organize, and maintain provider credentialing files in MD-Staff; Conduct screenings and verifications including NPDB queries and background checks; Prepare and submit credentialing packets to military treatment facilities; Monitor licenses and certifications for expiration; Audit credentialing files for accuracy and compliance; Collect, analyze, and report credentialing data and compliance metrics.
Seniority
Entry-level to Mid-level, hands-on IC