Credentialing Administrator - Full-Time - Morristown NJ

Atlantic Health System•Morristown, NJ

19h•$33 - $59•Onsite

About The Position

At Atlantic Health, our promise to our communities is; Anyone who enters one of our facilities will receive the highest quality care delivered at the right time, at the right place, and at the right cost. This commitment is also echoed in the respect, development and opportunities we give to our more than 22,000 team members. Headquarters in Morristown, New Jersey, we are one of the leading non-profit health care systems in the nation. Our facilities and sites of care include: Atlantic Health Morristown Medical Center, Morristown, NJ; Atlantic Health Overlook Medical Center, Summit, NJ; Atlantic Health Newton Medical Center, Newton, NJ; Atlantic Health Chilton Medical Center, Pompton Plains, NJ; Atlantic Health Hackettstown Medical Center, Hackettstown, NJ; Atlantic Health Goryeb Children's Hospital, Morristown, NJ; Atlantic Health CentraState Healthcare System, Freehold, NJ; Atlantic Medical Group; Atlantic Visiting Nurse; Atlantic Mobile Health; Atlantic Rehabilitation. We have more than 900 community-based healthcare providers affiliated through Atlantic Medical Group. We have received awards and recognition for the services we have provided to our patients, team members and communities. Atlantic Health System is at the forefront of medicine, setting standards for quality health care powered by a workforce of more than 18,000 team members and 4,800 affiliated physicians dedicated to building healthier communities, the system offers more than 400 sites of care, including eight award-winning medical centers. Specializing in cardiovascular care, cancer care, orthopedics, neuroscience, pediatrics, women's health and rehabilitation medicine. Atlantic Medical Group, comprised of 1,000 physicians and advanced practice providers, represents one of the largest multi-specialty practices in New Jersey and includes finance, legal, marketing, human resources, talent acquisition, ISS and more. Caring for our patients, our team members and the communities we serve is our central mission.

Requirements

Credentialing and privileging software system proficiency
Knowledge of current clinical practice, regulatory requirements, and accreditation standards (e.g., Joint Commission, CMS)
Experience with Focused Professional Practice Evaluation (FPPE) and Ongoing Professional Practice Evaluation (OPPE)
Proficiency in preparing proposals, revisions, comparison documents, and summary materials
Experience in facilitating feedback, revisions, and consensus-building
Experience in defining, refining, and documenting specialty-specific privileging parameters and performance metrics
Experience in monitoring privileging practices for compliance
Experience in conducting routine audits and data reviews related to privilege assignments, expirations, and special privilege tracking
Experience in preparing reports, dashboards, and analyses
Content expertise for privileging data within the credentialing system
Experience ensuring data accuracy, integrity, and consistency
Experience collaborating with IT and vendor partners on system enhancements and workflow optimization
Experience maintaining documentation of privileging processes, standards, and governance decisions
Ability to serve as a backup to a Lead Credentialing Specialist
Participation in department projects, policy development, education, and process improvement initiatives

Responsibilities

Develop, build, and maintain clinician delineation of privileges (DOP) forms within the credentialing and privileging software system.
Translate approved Medical Staff Rules & Regulations, bylaws, policies, and specialty criteria into structured, standardized electronic privilege forms.
Ensure privilege language reflects current clinical practice, regulatory requirements, and accreditation standards (e.g., Joint Commission, CMS).
Perform regular review and updates of privilege forms to reflect changes in scope of practice, technology, clinical standards, or organizational initiatives.
Monitor and track special, advanced, and condition-based privileges across specialties.
Ensure required qualifications, proctoring, focused professional practice evaluation (FPPE), and ongoing professional practice evaluation (OPPE) elements are built into the privileging framework.
In collaboration with the department of Quality, carries out the FPPE & OPPE review and approval with Medical Staff leaders, including Chiefs, Chairs, Service Line Leaders, Medical Executive Committees, and Chief Medical Officers.
Track and ensure timely review
Prepare draft proposals, revisions, comparison documents, and summary materials to support informed physician leadership decision-making.
Coordinate privilege form review and approval with Medical Staff leaders, including Chiefs, Chairs, Service Line Leaders, Medical Executive Committees, and Chief Medical Officers.
Prepare draft proposals, revisions, comparison documents, and summary materials to support informed physician leadership decision-making.
Facilitate feedback, revisions, and consensus-building across multiple specialties and stakeholders.
Track approvals and ensure timely implementation of newly adopted or revised privilege forms.
Work collaboratively with Medical Staff leadership to define, refine, and document specialty-specific privileging parameters and performance metrics and requirements.
Support consistent application and compliance with privileging criteria across departments and locations
Monitor privileging practices for compliance with regulatory, accreditation, and internal policy requirements.
Conduct routine audits and data reviews related to privilege assignments, expirations, and special privilege tracking including robotic surgery, sedation, fluoroscopy, and laser use, ensuring adherence to medical staff governance requirements, regulatory expectations, and patient safety standards.
Prepare reports, dashboards, and analyses to support leadership oversight, quality initiatives, and accreditation readiness.
Identify trends, gaps, or risks and recommend
Serve as a content expert for privileging data within the credentialing system.
Ensure data accuracy, integrity, and consistency related to privileges and scope of practice.
Collaborate with Medical Staff Services, IT, and vendor partners on system enhancements, template updates, and optimization of privileging workflows.
Maintain documentation of privileging processes, standards, and governance decisions.
Serve as a backup to the Lead Credentialing Specialist.
Participate in department projects, policy development, education, and process improvement initiatives.
Perform other duties as assigned in support of Medical Staff Services operations.

Benefits

Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members)
Life & AD&D Insurance.
Short-Term and Long-Term Disability (with options to supplement)
403(b) Retirement Plan: Employer match, additional non-elective contribution
PTO & Paid Sick Leave
Tuition Assistance, Advancement & Academic Advising
Parental, Adoption, Surrogacy Leave
Backup and On-Site Childcare
Well-Being Rewards
Employee Assistance Program (EAP)
Fertility Benefits, Healthy Pregnancy Program
Flexible Spending & Commuter Accounts
Pet, Home & Auto, Identity Theft and Legal Insurance