Credentialing Analyst
Gundersen Health System•La Crosse, WI
•$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
- Medical
- Dental
- Life Ins
- HSA/FSA
- 401k match
- annual discretionary base contribution
- Paid Time Off (PTO)
- Professional Development Opportunities
- Tuition Investment Program
- Career Development Center
- Wellness program with incentives
- employer-paid life insurance and AD&D
- optional short-term and long-term disability coverage
- employee assistance program
- identity theft protection
- pet insurance
- Inspire & Celebrate colleague recognition and rewards program
- discount program
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
