Advanced Credentialing Specialist

IU Health • Roanoke, IN

1d

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 comprehensive primary source verification; facilitates credentialing, recredentialing, and privileging processes; 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 uses critical thinking and professional judgment to analyze credentialing information, identify discrepancies, evaluate trends and potential risk indicators, and maintain accurate and complete practitioner records in designated systems to support informed, risk-based decisions. The role applies advanced knowledge of regulatory and accreditation requirements to support compliant credentialing 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 developing, interpreting, and maintaining credentialing policies and procedures; participates in audits and quality reviews; and leads or supports process improvement initiatives to enhance operational effectiveness, consistency, compliance, and continuous improvement throughout credentialing operations.

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.

Nice To Haves

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

Responsibilities

• Conduct and maintain comprehensive primary source verification.
• Facilitate credentialing, recredentialing, and privileging processes for medical staff and licensed practitioners.
• 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 practitioner records.
• Support informed, risk-based credentialing decisions and compliant practices.
• 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 operational effectiveness, consistency, compliance, and continuous improvement.
• Demonstrate initiative in resolving issues, addressing concerns, identifying risks, and improving processes and outcomes.
• Communicate clearly and professionally, listen actively, and respond promptly to information requests.
• Align work with IU Health’s mission, values, strategic direction, and departmental goals.

Benefits

• Access to learning and development opportunities, including advanced clinical training, leadership development, promotion opportunities, and cross-training development.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level