Credentialing Analyst : Medical Staff Office

Hoag • Newport Beach, CA

11d

About The Position

The Credentialing Analysts possess specialized, high-level expertise that is applied to meet the internally established quality metrics and to comply with external accreditation standards, state laws and Medicare Conditions of Participation. The Credentialing Analysts are expected to perform all credentialing-related functions and follow-up, working independently with minimal oversight. These positions develop reports for meetings, including the credentials report for presentation to the Credentials Committee, Medical Executive Committee and Board of Directors.

Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of three acute-care hospitals with sixteen urgent care centers, eleven health centers and a network of more than1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. More than 30,000 inpatients and 550,000 outpatients choose Hoag each year.
For over 70 years, Hoag has delivered a level of personalized care that is unsurpassed among Orange County’s health care providers. Since 1952, Hoag has served the local communities and continues its mission to provide the highest quality health care services through the core strategies of quality and service, people, physician partnerships, strategic growth, financial stewardship, community benefit and philanthropy.
Hoag offers a comprehensive blend of health care services including six institutes providing specialized care in the areas of cancer, heart and vascular, neurosciences, women's health, orthopedics, and digestive health through our institutes.
Hoag was the highest ranked hospital in Orange County in the 2024-2025 U.S. News &World Report, the only Orange County hospital ranked in the top 10 for California. The organization was ranked the #5 hospital in the Los Angeles Metro Area and the #10 hospital in California.
To learn more about Hoag’s awards and accreditations, visit: https://www.hoag.org/about-hoag/awards-accreditations/.
Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives.

Responsibilities

• Process all applications for Medical Staff and Allied Health Staff. This includes the collection and maintenance of all required information, including, but not limited to primary source verifications, licensing agencies, insurance carriers, other references, and clinical activity reports.
• Compare collected credentialing information against regulatory and accrediting standards to determine adherence to those standards.
• Prepare practitioner information for review and evaluation by medical staff leaders and support of follow-up on actions taken by the Medical Staff organization with regard to practitioner competency management.
• Conduct quality control activities to determine regulatory/accrediting compliance and level of achievement to established performance goals and exercise sound, independent decision-making to take action necessary to correct deficiencies.
• Design processes to promote continuous readiness for various regulatory and accrediting surveys
• The Credentialing Analyst processes applications for initial appointments and/or reappointments of health care providers. The incumbents shall review applications, prepare verification letters and maintain Medical Staff database while also contacting primary source verifications, licensing agencies, insurance carriers, and other references required by the Medical Staff.

What This Job Offers

• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees