Credentialing Specialist jobs in United States
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Pride Health · 1 day ago

Credentialing Specialist

Pride Health is seeking a Credentialing Specialist to support a hospital’s medical staff services team. This role ensures physicians and allied health professionals are fully and accurately credentialed in line with facility bylaws, accreditation standards, and state/federal regulations while handling high-volume data and maintaining confidentiality.

Health CareHuman ResourcesInformation Technology
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Growth Opportunities
Hiring Manager
Ameen Khan
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Responsibilities

Verify credentials, including licensure, certifications, education, training, board status, malpractice history, and work experience
Ensure compliance with TJC, NCQA, state/federal regulations, and hospital bylaws
Process initial credentialing and reappointments (approx. 125–200 per quarter)
Maintain and update all provider data in the Echo database
Track expirations for licenses, certifications, and re-credentialing timelines
Prepare documentation for Credentials Committee, MEC, and Board of Trustees meetings
Schedule and occasionally attend site-based medical staff meetings; take and transcribe minutes
Process and collect medical staff dues as needed
Coordinate with providers, HR, the medical staff office, payers, and licensing bodies
Maintain strict confidentiality of all provider information
Perform other administrative/credentialing duties as assigned

Qualification

Credentialing processesEcho databaseMicrosoft Office SuiteData accuracyAnalytical skillsResearch skillsIndependenceWritten communicationVerbal communicationOrganizational skillsCollaboration

Required

High school diploma or GED required
Strong knowledge and hands-on experience with credentialing processes
Excellent written and verbal communication skills
Highly organized with the ability to manage multiple priorities
Strong analytical, research, and data accuracy skills
Proficiency in Microsoft Office Suite and general computer systems
Ability to work independently and collaborate effectively with cross-functional teams

Preferred

associate or bachelor's degree preferred
Experience with Echo or similar credentialing databases preferred

Benefits

Comprehensive benefits including medical, dental, and vision coverage
Supplemental plans (accident, critical illness, hospital indemnity)
401(k)
Life and disability insurance
Employee assistance program
Legal support
Auto/home/pet insurance
Employee discounts

Company

Pride Health

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Pride Health is a staffing and recruiting company that provides account management and staffing solutions.

Funding

Current Stage
Growth Stage

Leadership Team

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Stephanie Barnes
Scheduling Lead PHC/OPWDD
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Company data provided by crunchbase