Managed Care amp; Medical Staff Credentialing SpecialistPosition Summary At Wilson Health, we believe exceptional patient care depends on a strong foundation of quality, safety, and compliance. As ...
Managed Care amp; Medical Staff Credentialing SpecialistPosition Summary At Wilson Health, we believe exceptional patient care depends on a strong foundation of quality, safety, and compliance. As ...
Managed Care & Medical Staff Credentialing Specialist Position Summary At Wilson Health, we believe exceptional patient care depends on a strong foundation of quality, safety, and compliance. As our ...
Managed Care & Medical Staff Credentialing Specialist Position Summary At Wilson Health, we believe exceptional patient care depends on a strong foundation of quality, safety, and compliance. As our ...
Compiles complete credentials files for review and recommendation, working directly with; Department Chairs; CEO, VP of Medical Affairs; Assistant Manager, Medical Staff leadership and the Allied ...
Compiles complete credentials files for review and recommendation, working directly with; Department Chairs; CEO, VP of Medical Affairs; Assistant Manager, Medical Staff leadership and the Allied ...
Credentialing Support: * Credentialing management for personnel * Track and report all data related to nurse credential requirements (licensure, certification, BLS). * Data Analysis and Reporting:
New
Credentialing Support: * Credentialing management for personnel * Track and report all data related to nurse credential requirements (licensure, certification, BLS). * Data Analysis and Reporting:
New
$17.94 - $29.53/hr
... Credentials Committee. Coordinates related materials for committee action and prepares report for Medical Executive Committee and Board of Directors for final approval. * Manages Physician and ...
$17.94 - $29.53/hr
... Credentials Committee. Coordinates related materials for committee action and prepares report for Medical Executive Committee and Board of Directors for final approval. * Manages Physician and ...
Credential Coordinator - Medical Staff Office (62813)
Lancaster, OH · On-site
$17.94 - $29.53/hr
... Credentials Committee. Coordinates related materials for committee action and prepares report for Medical Executive Committee and Board of Directors for final approval. * Manages Physician and ...
Credential Coordinator - Medical Staff Office (62813)
Lancaster, OH · On-site
$17.94 - $29.53/hr
... Credentials Committee. Coordinates related materials for committee action and prepares report for Medical Executive Committee and Board of Directors for final approval. * Manages Physician and ...
Assists in the managing the flow of information between medical staff services, Credentials Committee and MEC Committee, medical staff leadership and Chief Medical Officer. Manages the FPPE process ...
Assists in the managing the flow of information between medical staff services, Credentials Committee and MEC Committee, medical staff leadership and Chief Medical Officer. Manages the FPPE process ...
Assists in the managing the flow of information between medical staff services, Credentials Committee and MEC Committee, medical staff leadership and Chief Medical Officer. Manages the FPPE process ...
Assists in the managing the flow of information between medical staff services, Credentials Committee and MEC Committee, medical staff leadership and Chief Medical Officer. Manages the FPPE process ...
Assists in the managing the flow of information between medical staff services, Credentials Committee and MEC Committee, medical staff leadership and Chief Medical Officer. Manages the FPPE process ...
Assists in the managing the flow of information between medical staff services, Credentials Committee and MEC Committee, medical staff leadership and Chief Medical Officer. Manages the FPPE process ...
Critical Facilities Manager
$120K - $150K/yr
Audit all CMMS databases for accuracy and completeness, produce reports as required at customer request, control system access and user credentials * Manage access to the Data Center(s) ensuring the ...
Quick apply
Critical Facilities Manager
$120K - $150K/yr
Audit all CMMS databases for accuracy and completeness, produce reports as required at customer request, control system access and user credentials * Manage access to the Data Center(s) ensuring the ...
Audit all CMMS databases for accuracy and completeness, produce reports as required at customer request, control system access and user credentials * Manage access to the Data Center(s) ensuring the ...
Audit all CMMS databases for accuracy and completeness, produce reports as required at customer request, control system access and user credentials * Manage access to the Data Center(s) ensuring the ...
Audit all CMMS databases for accuracy and completeness, produce reports as required at customer request, control system access and user credentials * Manage access to the Data Center(s) ensuring the ...
Quick apply
Audit all CMMS databases for accuracy and completeness, produce reports as required at customer request, control system access and user credentials * Manage access to the Data Center(s) ensuring the ...
Audit all CMMS databases for accuracy and completeness, produce reports as required at customer request, control system access and user credentials * Manage access to the Data Center(s) ensuring the ...
Audit all CMMS databases for accuracy and completeness, produce reports as required at customer request, control system access and user credentials * Manage access to the Data Center(s) ensuring the ...
Critical Facilities Manager
Hilliard, OH · On-site
Audit all CMMS databases for accuracy and completeness, produce reports as required at customer request, control system access and user credentials * Manage access to the Data Center(s) ensuring the ...
Critical Facilities Manager
Hilliard, OH · On-site
Audit all CMMS databases for accuracy and completeness, produce reports as required at customer request, control system access and user credentials * Manage access to the Data Center(s) ensuring the ...
Audit all CMMS databases for accuracy and completeness, produce reports as required at customer request, control system access and user credentials * Manage access to the Data Center(s) ensuring the ...
Audit all CMMS databases for accuracy and completeness, produce reports as required at customer request, control system access and user credentials * Manage access to the Data Center(s) ensuring the ...
Experience: 1 to 4 years of experience in a business office setting required. Healthcare and credentialing experience in a hospital, physician practice, or managed care environment preferred. At UC ...
Experience: 1 to 4 years of experience in a business office setting required. Healthcare and credentialing experience in a hospital, physician practice, or managed care environment preferred. At UC ...
Experience: 1 to 4 years of experience in a business office setting required. Healthcare and credentialing experience in a hospital, physician practice, or managed care environment preferred. At UC ...
Experience: 1 to 4 years of experience in a business office setting required. Healthcare and credentialing experience in a hospital, physician practice, or managed care environment preferred. At UC ...
Experience: 1 to 4 years of experience in a business office setting required. Healthcare and credentialing experience in a hospital, physician practice, or managed care environment preferred. At UC ...
Experience: 1 to 4 years of experience in a business office setting required. Healthcare and credentialing experience in a hospital, physician practice, or managed care environment preferred. At UC ...
Lead Director, Credentialing Operations
Columbus, OH · On-site
$100 - $232/hr
Manage a team of ~100 employees through multiple managers. * Oversee on-shore and off-shore vendor ... Ensure all Credentialing policies and procedures are executed consistently across the business ...
Lead Director, Credentialing Operations
Columbus, OH · On-site
$100 - $232/hr
Manage a team of ~100 employees through multiple managers. * Oversee on-shore and off-shore vendor ... Ensure all Credentialing policies and procedures are executed consistently across the business ...
Experience: 1 to 4 years of experience in a business office setting required. Healthcare and credentialing experience in a hospital, physician practice, or managed care environment preferred. At UC ...
Experience: 1 to 4 years of experience in a business office setting required. Healthcare and credentialing experience in a hospital, physician practice, or managed care environment preferred. At UC ...
Credentials Manager information
What is a credentials manager?
A Credentials Manager is a professional responsible for overseeing, maintaining, and securing access credentials such as passwords, certificates, and digital keys within an organization. Their role typically involves implementing policies and systems that ensure only authorized individuals can access sensitive information or systems. They may use credential management software to automate password changes, monitor usage, and enforce security protocols. Credentials Managers play a critical role in protecting an organization's data and preventing unauthorized access.
Is credentialing a hard job?
Credentialing is a detail-oriented role that involves verifying qualifications, licenses, and certifications of healthcare providers or professionals. It requires strong organizational skills, attention to accuracy, and familiarity with industry standards and documentation processes, which can make it challenging for some individuals. The difficulty level depends on the complexity of the credentialing requirements and the workload involved.
What are common challenges faced by a credentials manager, and how can they be addressed?
A Credentials Manager often encounters challenges such as keeping up with frequently changing regulatory requirements, managing large volumes of sensitive data, and ensuring timely renewals for staff credentials. Staying organized with robust tracking systems and maintaining clear communication with team members can help prevent lapses or compliance issues. Additionally, adopting credentialing software and regular training on industry standards can significantly reduce errors and improve efficiency in the role.
What is the difference between Credentials Manager vs Credential Analyst?
| Aspect | Credentials Manager | Credential Analyst |
|---|---|---|
| Required credentials | Certifications in security, IT, or compliance; experience in credential management systems | Certifications in data analysis, security, or compliance; knowledge of credential standards |
| Work environment | Corporate, IT departments, security teams | Compliance departments, security teams, data analysis units |
| Employer and industry usage | Used in IT, security, and corporate compliance sectors | Common in security, compliance, and auditing fields |
| Search and comparison intent | Understanding roles related to credential management and security | Analyzing credential data and compliance status |
While both roles involve handling credentials, a Credentials Manager primarily oversees the secure storage and management of credentials within organizations, focusing on security and access control. A Credential Analyst, on the other hand, analyzes credential data for compliance, validation, and auditing purposes. Both roles are vital in security and compliance sectors but serve different functions within organizations.
What skills and qualifications are needed to thrive as a credentials manager?
To thrive as a Credentials Manager, you need strong organizational skills, attention to detail, and a solid understanding of compliance and credentialing processes, often supported by a degree in business administration or a related field. Familiarity with credentialing software systems, databases, and knowledge of industry standards such as NCQA or Joint Commission requirements is essential. Excellent communication, problem-solving abilities, and discretion are valuable soft skills for managing sensitive information and coordinating with diverse stakeholders. These skills ensure accurate credential management, regulatory compliance, and smooth operations in organizational environments.
What are the most commonly searched types of Credentials jobs in Ohio?
The most popular types of Credentials jobs in Ohio are:
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 28 days ago
Job description
Managed Care amp; Medical Staff Credentialing SpecialistPosition Summary
Key ResponsibilitiesProvider Enrollment amp; Payer Management
At Wilson Health, we believe exceptional patient care depends on a strong foundation of quality, safety, and compliance. As our Managed Care amp; Medical Staff Credentialing Specialist, you will play a critical role in ensuring every provider who cares for our patients is properly credentialed, enrolled, and ready to deliver high-quality care.
In this role, you’ll work closely with clinical leadership, medical staff services, revenue cycle, and external payers to manage all aspects of provider credentialing and payer enrollment. You’ll support the accuracy, integrity, and timeliness of provider onboarding, ensuring our physicians and advanced practice providers can practice without interruption and that Wilson Health remains compliant with accreditation and regulatory requirements. Through your work, you will strengthen operational efficiency, support timely revenue capture, and help uphold the high standards our community expects from Wilson Health.
Key Perks and Benefits
In this role, you’ll work closely with clinical leadership, medical staff services, revenue cycle, and external payers to manage all aspects of provider credentialing and payer enrollment. You’ll support the accuracy, integrity, and timeliness of provider onboarding, ensuring our physicians and advanced practice providers can practice without interruption and that Wilson Health remains compliant with accreditation and regulatory requirements. Through your work, you will strengthen operational efficiency, support timely revenue capture, and help uphold the high standards our community expects from Wilson Health.
• Generous paid time off program beginning day one.
• Medical, Dental, and Vision Insurance—multiple plan options with coverage beginning day one.
• Health Savings Account (HSA) with employer contribution and Flexible Spending Accounts (FSA) for medical and dependent care.
• Company-paid Life Insurance and Long-Term Disability; Salary Continuation beginning day one.
• Voluntary Accident, Critical Illness, and supplemental Life/AD amp;D coverage.
• Industry-leading retirement plan with employer contributions beginning day one.
• Tuition Assistance Program.
Employment Status: Full-Time, Hybrid Remote
Working Hours: 40 hours/week (Salaried)
Shift: 1st Shift
Reports To: Chief Medical Officer
• Complete provider enrollment applications, revalidations, and roster updates for all payer types.
• Maintain CAQH, NPPES, PECOS, and payer portal profiles.
• Track application status and communicate updates to revenue cycle and operational leaders.
• Resolve payer enrollment issues proactively to avoid reimbursement delays.
Medical Staff Credentialing
• Manage initial credentialing and recredentialing processes for all providers.
• Conduct primary source verification for licensure, education, certification, and malpractice coverage.
• Prepare credentialing packets for committee review and maintain accurate documentation.
• Monitor expirables and maintain compliant credentialing files.
Compliance amp; Record Management
• Maintain databases, logs, and reporting tools related to credentialing and enrollment.
• Ensure compliance with ACHC, CMS, state regulations, and Medical Staff Bylaws.
• Protect confidentiality and maintain secure credentialing records.
Cross-Functional Collaboration
• Partner with providers, recruitment, revenue cycle, and practice operations.
• Serve as a resource for internal departments regarding credentialing requirements and timelines.
• Support smooth onboarding and timely provider readiness.
QualificationsRequired
• High school diploma or equivalent.
• Minimum 2 years of medical staff credentialing or payer enrollment experience.
• Proficiency with CAQH, NPPES, PECOS, and payer portals.
• Strong organizational skills and ability to manage multiple priorities.
• High attention to detail and accuracy.
• Ability to maintain confidentiality with sensitive information.
Preferred
• Associate’s or Bachelor’s degree in Healthcare Administration, Business, or related field.
• Experience with ACHC or similar accreditation standards.
• Familiarity with medical terminology and hospital or medical group operations.
Core Competencies
• Strong communication and interpersonal skills.
• High attention to detail and accuracy.
• Customer service mindset when supporting providers and internal partners.
• Ability to interpret regulations and payer requirements.
• Effective problem-solving and follow-through.
• Commitment to quality and patient-centered values.
About Wilson Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
501 - 1,000 Employees
Headquarters location
Sidney, OH, US
Year founded
1930