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Executive Credentialing Verification Organization Jobs

UPMC Horizon

Credentialing Specialist

Farrell, PA · On-site

... Executive Committee and the Credentials Review Committee of the Board. * Monitor information provided by Central Verification Organization (CVO) to ensure complete and accurate primary source ...

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Anders

Credentialing Specialist

Chesterfield, MO · Remote

A5 Healthcare (Anders Affiliate) one of the fastest-growing Credentialing Verification Organizations in the country is seeking a Credentialing Specialist who is motivated to learn, excited to ...

Anders

Credentialing Specialist

Saint Louis, MO · On-site +1

$48K - $62K/yr

The Credentialing Specialist for the Credentials Verification Organization (CVO) at A5 Services is responsible for managing and verifying credentialing applications for initial appointments and ...

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How much do executive credentialing verification organization jobs pay per hour?

As of Aug 2, 2026, the average hourly pay for executive credentialing verification organization in the United States is $24.36, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $27.64 per hour, depending on experience, location, and employer.

What is the difference between Executive Credentialing Verification Organization vs Credentialing Specialist?

AspectExecutive Credentialing Verification OrganizationCredentialing Specialist
Primary RoleVerifies credentials for healthcare executives and high-level professionalsVerifies credentials for healthcare providers and practitioners
Work EnvironmentHealthcare organizations, credentialing firms, hospitalsHospitals, clinics, healthcare facilities
Required CertificationsOften requires healthcare or administrative certificationsTypically requires healthcare credentialing certifications

The main difference is that an Executive Credentialing Verification Organization focuses on verifying credentials for healthcare executives, while a Credentialing Specialist handles verification for healthcare providers and practitioners. Both roles are essential in ensuring compliance and credential accuracy within healthcare institutions.

What are the key skills and qualifications needed to thrive as an Executive in a Credentialing Verification Organization, and why are they important?

To thrive as an Executive in a Credentialing Verification Organization, you need expertise in healthcare administration, regulatory compliance, and credentialing processes, often supported by a relevant degree and leadership experience. Familiarity with credentialing software systems (such as CAQH, VerityStream, or Cactus) and knowledge of accreditation standards (like NCQA or URAC) are critical. Strong leadership, strategic thinking, and excellent communication skills set top executives apart in this role. These skills ensure the organization maintains compliance, operational efficiency, and trust with clients and regulatory bodies.

What is an Executive Credentialing Verification Organization?

An Executive Credentialing Verification Organization (ECVO) is a specialized company that conducts thorough background and credential checks for healthcare executives and other high-level professionals. These organizations verify education, licensure, work history, certifications, and any disciplinary actions to ensure that executives meet industry standards and comply with regulatory requirements. ECVOs support healthcare organizations by streamlining the hiring process and reducing risks associated with inaccurate or fraudulent credentials. Their services are essential for maintaining trust and safety within healthcare institutions.

What are some common challenges faced by executives working in Credentialing Verification Organizations (CVOs), and how can they be addressed?

Executives in Credentialing Verification Organizations often face challenges related to maintaining compliance with constantly evolving accreditation standards and regulatory requirements. Managing high volumes of credentialing applications while ensuring accuracy and efficiency can also be demanding. These challenges are best addressed by investing in robust credentialing software, fostering a culture of continuous process improvement, and staying updated on industry best practices. Collaborating closely with legal, IT, and clinical teams also helps to ensure all verifications meet industry standards while minimizing errors and delays.
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Executive Credentialing Verification Organization jobs near you
Infographic showing various Executive Credentialing Verification Organization job openings in the United States as of July 2026, with employment types broken down into 6% Locum Tenens, 1% As Needed, 56% Full Time, 12% Part Time, and 25% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $50,665 per year, or $24.4 per hour.

Credentialing Specialist

UPMC Senior Communities

Farrell, PA • On-site

$19.19 - $28.18/hr

Full-time

Posted 4 days ago

Job description

UPMC Horizon-Shenango Valley is looking for a Full-Time Credentialing Specialist to support its Medical Staff Services team! The position requires a detail-oriented, learning focused and organized individual who ideally has prior credentialing/medical terminology experience.
Join our great team in its important mission serving our community - ensuring that our providers provide the highest quality care to our community. This position is daylight shifts only (8 hrs.), Monday - Friday starting around 7:30am but some flexibility. No weekend or holiday responsibility is required for this role.
Travelto support UPMCHorizon-GreenvilleandUPMCJamesonwillberequiredasneededfollowingthecompletionofinitialtrainingatUPMCJameson.
Purpose:
Provide all necessary appointment, reappointment, privileging and re-privileging information to enable the timely completion of the appointment process. Review initial and reappointment application files to determine completeness and satisfaction of threshold criteria utilizing established criteria and professional judgment for all applicants to the medical staff, and other health professional staff. Work independently in setting priorities and making decisions.
Responsibilities:
  • Screen mail each day for requests from other facilities and independently prepare a response for general affiliation requests for physicians and allied health professionals within two business days of receipt.
  • Immediately report to Director any collected information which may be adverse to an applicant
  • Provide administrative support for all medical staff committees and departments.
  • Maintain confidentiality of all credentials and peer review files.
  • Respond to hospital/health care affiliation request letters in a timely manner.
  • Prepare all files monthly for Credentials Committee review and follow-up on Credentials Committee decisions.
  • Establish and maintain excellent relationships and good communication channels with physicians, office staff, and practice administrators.
  • Coordinate and maintain the Physician Orientation Manual.
  • Closely monitor information collection; cognitive analysis of information received; evaluate adequacy and quality and pursue additional information if necessary for effective and comprehensive peer review decision-making.
  • Respond to CVO e-mail requests for physician/allied health practitioner affiliation requests.
  • Communicate as necessary electronically or otherwise with outside resources (i.e., State Boards, National Practitioner Data Bank, Credentials Verification Organization CVO, Legal Counsel, etc).
  • Assist with special projects (i.e., physician events, physician education, JCAHO, and Department of Health preparation).
  • Take responsibility for ensuring the accurate development and maintenance of a comprehensive medical staff member database within MSO credentialing system. Coordinate efforts with the UPMC Health System Credentials Verification Organization (CVO) staff.
  • Inform Program Director, Medical Staff Development Director of any files out for signature exceeding 3 working days.
  • Provide recommendations for change and assists with follow-through.
  • On a monthly basis, coordinate all agenda items to be presented to the Medical Executive Committee and the Credentials Review Committee of the Board.
  • Monitor information provided by Central Verification Organization (CVO) to ensure complete and accurate primary source information is provided for practitioner files.
  • For those requests seeking clinical recommendations, the incumbent should log the request then forward to the appropriate department for response.
  • Coordinate and facilitate both the informal and formal credentialing peer review/recommendation process per established policies and procedures.
  • Coordinate clinical privileges with policies, procedures, and practices relative to current regulatory standards.
  • Obtain missing information from CVO files if necessary.
  • Prioritize to meet deadlines on daily work and special projects.
  • Ensure all individuals with clinical privileges provide services within the scope of their training, licensure and individual clinical privileges granted.
  • Coordinate the credentialing process for initial appointment and reappointment for the Medical and Allied Health Professional Staff.
  • Upon receipt of a completed application and/or reappointment application, initiate information collection, primary source verification, and documentation process per established policies and procedures.
  • Maintain a thorough understanding of the standards of the JCAHO, Department of Health, Bylaws, Rules and Regulation of the Medical Staff, and other regulatory agencies as appropriate.
  • Process payment requests through supply chain as necessary.
  • Take responsibility for ensuring accurate development and maintenance of a medical staff data base within the MSO credentialing system.
  • Coordinate efforts to assist with the Medipac assignments and IMS for practitioners.
  • Provides OPPE reports by compiling each profile including data entry.
  • Closely monitor information collection, cognitive analysis or information received; evaluate adequacy and quality and pursue additional information if necessary for effective and comprehensive peer review decision-making and incorporation into physician
  • Assist in oversight of the residents participating at Jameson relative to schedules, housing, educational space and orientation.

Qualifications:
  • Prefer 2 years college level course work.
  • Prefer experience in the medical staff services environment.
  • Require knowledge of accurate record keeping for filing.
  • Require proficiency in Word Windows-based software: Excel, Access and Morrissey's MSO Credentialing Software.
  • Require skill in effective, professional oral and written communications.

Require the ability to relate positively with all levels of the organization with tact, diplomacy and strength.
Licensure, Certifications, and Clearances:
CPCS preferred.
  • Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran

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