Credentialing Analyst

Gundersen Health System•La Crosse, WI

2d•$52,500•Hybrid

About The Position

Emplify Health by Gundersen is seeking a detail‑oriented Credentialing Analyst to support and manage medical and associate staff privileging criteria across the organization. This role plays a vital part in ensuring provider qualifications, privileges, and regulatory compliance align with organizational standards, accreditation requirements, and patient safety priorities.

Requirements

Bachelor's degree or equivalent combination of experience and education
5 years of healthcare, legal, or business experience
Strong Knowledge of Medical Staff regulations, department specific privilege delineation
Strong understanding of accreditation and regulatory standards
Certified Provider Credentialing Specialist (CPCS) or Certified Professional in Medical Services Management (CPMSM) Required upon hire
Excellent problem-solving abilities and strong attention to detail
Effective written and verbal communication with clinical leadership

Responsibilities

Review, evaluate, and maintain privilege criteria for medical and associate staff in collaboration with clinical leaders and Medical Staff leadership.
Analyze provider privilege requests to ensure alignment with approved criteria, training, experience, and competency requirements.
Support the development, revision, and standardization of privilege delineation forms and criteria across specialties.
Ensure privileging processes comply with regulatory, accrediting, and organizational standards (e.g., Joint Commission, CMS, state regulations).
Respond to inquiries from providers and medical staff leadership regarding privilege criteria and requirements.
Monitor and document regulatory changes that may impact privileging standards and recommend updates as appropriate.
Maintain accurate documentation and audit‑ready records related to privilege criteria and approvals.
Contribute to continuous process improvement initiatives to enhance efficiency, consistency, and transparency in privileging workflows.

Benefits

A highly adaptable and mission-driven organization with a work environment that supports you personally and professionally and a work culture where you are valued and appreciated
A comprehensive and generous benefits package (Medical, Dental, Life Ins, HSA/FSA) ensuring your comfort and well-being as a valuable team member
Substantial retirement contribution including a 401k match & annual discretionary base contribution
Paid Time Off (PTO) combines vacation, sick, and personal days into one balance to allow you the flexibility to use your time off as you need
Support for your career growth through Professional Development Opportunities, our Tuition Investment Program, and our Career Development Center
Additional Employee Discounts and Perks
Other benefits include a Wellness program with incentives, employer-paid life insurance and AD&D, optional short-term and long-term disability coverage, an employee assistance program, identity theft protection, pet insurance, Inspire & Celebrate colleague recognition and rewards program, a discount program, and more!
Empowerment to shape your work environment, encouragement to improve processes and create efficiencies, and support when seeking opportunities for growth
Culture that encourages self-care and provides you with opportunities to be your best self at work and at home
Competitive compensation and comprehensive benefits packages, as applicable, ensuring your comfort and well-being as a valuable team member
Support for your career growth through Professional Development Opportunities, our Tuition Investment Program, Career Development Center, and online continuing education courses