Advanced Credentialing Specialist

IU Health•Roanoke, IN

11h

About The Position

The Advanced Credentialing Specialist supports IU Health’s patient safety, quality, and regulatory compliance objectives by coordinating and executing complex credentialing and privileging activities for medical staff and licensed practitioners. The role conducts and maintains primary source verification; facilitates credentialing, recredentialing, and privileging; supports ongoing clinical competency evaluations; manages peer review activities; and facilitates Medical Staff functions in accordance with Medical Staff Bylaws, organizational policies, accreditation standards, and federal and state regulations. The specialist applies critical thinking and professional judgment to analyze credentialing information, identify discrepancies, evaluate trends and potential risk indicators, and maintain accurate, complete practitioner records in designated systems. Using advanced knowledge of regulatory and accreditation requirements, the role helps ensure compliant practices and quality outcomes across the organization. The Advanced Credentialing Specialist also serves as a resource and mentor to credentialing staff, supporting training, onboarding, and professional development. The role contributes to credentialing policy and procedure development, interpretation, and maintenance; participates in audits and quality reviews; and leads or supports process improvement initiatives to improve operational effectiveness, consistency, compliance, and continuous improvement. IU Health describes its mission as improving the health of all Hoosiers and its vision as transforming healthcare through quality, innovation, and education. The organization reports nearly 40,000 team members, 15 hospitals, and $8.64 billion in operating revenue. It states that new hires must receive various vaccinations, including influenza and COVID-19 vaccines, unless an exemption is approved; new hires may submit proof of previous vaccination. The posting also describes IU Health as an equal opportunity employer and says reasonable accommodations are available during the application and interview process and for job functions and employment benefits.

Requirements

Bachelor’s degree or equivalent years of experience.
2–4 years of relevant experience.
Proficiency in Microsoft 365 applications, including Word, Excel, PowerPoint, and Outlook.
Demonstrated ability to communicate clearly and professionally, analyze information, use independent judgment, adapt to changing priorities, and address problems.

Nice To Haves

Certified Provider Credentialing Specialist (CPCS) certification.
Working knowledge of credentialing software.

Responsibilities

Coordinate and execute complex credentialing and privileging activities for medical staff and licensed practitioners.
Conduct and maintain comprehensive primary source verification.
Facilitate credentialing, recredentialing, and privileging processes.
Support ongoing clinical competency evaluations.
Manage peer review activities and facilitate Medical Staff functions in accordance with bylaws, policies, accreditation standards, and applicable regulations.
Analyze credentialing information, identify discrepancies, evaluate trends and potential risk indicators, and maintain accurate, complete practitioner records in designated systems.
Apply regulatory and accreditation knowledge to support compliant credentialing practices and quality outcomes.
Serve as a resource and mentor to credentialing staff, including supporting training, onboarding, and professional development.
Contribute to the development, interpretation, and maintenance of credentialing policies and procedures.
Participate in audits and quality reviews.
Lead or support process improvement initiatives to improve effectiveness, consistency, compliance, and continuous improvement.
Demonstrate commitment to IU Health’s mission, vision, values, and strategic direction.
Seek understanding of departmental goals and operations and align work to help achieve them.
Proactively resolve issues, address concerns, identify risks, and improve processes and outcomes.
Use critical thinking and analysis to connect information, explore decision-making rationale, identify root causes, and make meaningful suggestions.
Exercise sound professional judgment and diplomacy when addressing unexpected problems and interruptions, seeking guidance when appropriate.
Adapt to changes in job demands, work priorities, and organizational structure.
Communicate clearly and professionally in oral and written formats, listen actively, seek clarification, and respond promptly to information requests.