Credentialing Lead

Craig Technologies•Houston, TX

3d•$80,000 - $95,000•Onsite

About The Position

Craig Technologies has an opening for a Credentialing Lead at the NASA Johnson Space Center in Houston, Texas. In this role, you will be responsible for preparing, submitting, and maintaining enrollment, credentialing and recredentialing documentation for physicians and other healthcare providers. This role requires deep expertise in credentialing operations, exceptional attention to detail, flexibility, and the ability to collaborate effectively with internal teams, providers, and external agencies. You will co-lead and provide clear feedback to the Credentials Committee, and support special functions and programs of Johnson Space Center. This is a full-time role.

Requirements

Bachelor's degree in healthcare administration, business administration, or a related field
Minimum of 5 years of experience in medical staff credentialing, provider enrollment, or related healthcare administrative roles.
NAMSS accreditation (CPCS or CPMSM) required.
Strong knowledge of regulatory and accreditation standards, including CMS, Joint Commission, NCQA, and state-specific requirements.
Proficient with credentialing software systems and databases
Excellent communication, organizational, and analytical skills.
Ability to manage multiple priorities and meet strict deadlines.
Ability to lead physician-attended meetings, and advocate for adherence to best practices in a non-traditional setting
Ability to work independently and assume assigned responsibilities
Ability to deal with problems involving non-traditional work settings
Ability to handle confidential information

Nice To Haves

Experience working in a hospital, health system, or large multi-specialty practice.
Previous use of MD Staff credentialing software.
Advanced skills in data management and reporting.
Previous NASA experience a plus

Responsibilities

Oversee and execute all credentialing and recredentialing activities for medical providers, including verification of education, training, licensure, certifications, work history, and malpractice coverage.
Ensure full compliance with NAMSS (National Association Medical Staff Services) accreditation standards, as well as federal, state, and payer requirements.
Maintain accurate and up to date provider files within credentialing databases and systems.
Conduct primary source verification (PSV) and ensure timely follow up on outstanding items.
Prepare credentialing files for committee review and support Medical Staff Office operations as needed.
Collaborate with providers and managers to resolve credentialing issues and ensure timely onboarding.
Maintain copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers as well as track all state license, DEA, and board certification expirations for all providers to ensure timely renewals.
Monitor expiring credentials and proactively manage renewal processes.
Participate in audits, quality improvement initiatives, and policy development related to credentialing standards.
Generate reports and maintain documentation to support compliance and accreditation readiness.
Develop and implement credentialing policies and procedures to ensure compliance with federal and state regulations and accreditation standards.
Serve as a subject matter expert on credentialing issues and provide training to internal stakeholders as needed.
Demonstrate excellent written/oral communication skills
Identify and assist with opportunities for performance improvement activities.
Demonstrate positive behaviors, interactions, and attitude.
Comply with Safety, Health and Environmental plan; must be committed to a high standard of safety and be willing and able to comply with all safety laws and all of the Company’s safety policies and rules and must be willing to report safety violations and potential safety violations to appropriate supervisory or management personnel.
Comply with the Quality Assurance Plan, policies and procedures.
Maintain regular and acceptable attendance level as determined by the Company.
Complete all assigned training.
Attend or lead meetings as required.
Fulfill the duty and responsibility to maintain competence and to continue personal and professional growth.
Other duties as assigned.