Medical Staff Specialist - Credentialing

Trinity Health•Pontiac, MI

About The Position

The Medical Staff Specialist - Credentialing, based in the Medical Staff Office at Trinity Health Oakland, supports a provider-centric experience for medical staff practitioners applying to and serving at multiple hospitals across the Trinity Health Michigan region. The role coordinates medical staff processes from onboarding through the practitioner lifecycle, supporting high-quality patient care, regulatory compliance, provider satisfaction and engagement, and efficient use of resources in a matrixed environment. The specialist manages Medical Staff programming for practitioners in assigned specialty areas, including onboarding, credentialing, privileging, competency assessment, peer review, ongoing education, and database management and reporting. The role works with administrative leaders and organizational and external stakeholders to align processes with provider start dates and patient access needs. It also audits credentialing, privileging, database, and related information to help ensure accuracy and completeness for decision-making and patient-facing website content.

Requirements

Associate’s degree in healthcare administration, business administration, or a similar field, or equivalent.
At least two years of healthcare environment or healthcare administrative/office experience.
General knowledge of the healthcare industry, including hospital settings and physician practices.
Working knowledge of federal and state requirements, The Joint Commission accreditation standards, and general medical terminology.
Proficiency with Microsoft Outlook, Word, and Excel.
Excellent interpersonal, verbal, and written communication skills, including the ability to communicate with hospital personnel, medical staff, and external agencies and organizations.
Strong organizational skills, attention to detail, thoroughness, and critical-thinking skills.
Analytical ability to identify improvement opportunities and resolve problems in assigned specialty areas.
Ability to manage changing priorities and frequent interruptions, exercise independent judgment, and work without direct day-to-day supervision.
Strong customer-service skills and commitment to providing quality service.
Ability to work autonomously and as part of a team in a matrixed environment.

Nice To Haves

Experience in medical staff services, hospital credentialing and privileging, and peer review.
Certified Professional Medical Staff Management (CPMSM) or Certified Professional Credentialing Specialist (CPCS) certification.
Proficiency with credentialing software.
In-depth knowledge of regulatory standards, credentialing processes, and healthcare administration.

Responsibilities

Serve as the primary contact for assigned specialties and support provider and stakeholder satisfaction across multiple hospitals.
Coordinate and align medical staff services processes and procedures across the region.
Help providers and stakeholders navigate organizational requirements, resolve concerns, and communicate effectively.
Build relationships with medical staff, administrators, and department leaders to understand needs and align expectations.
Interpret and communicate medical staff requirements and provide updates to internal teams and external stakeholders.
Train and support medical staff and leaders on credentialing, privileging, regulatory requirements, and hospital policies; orient new medical staff leaders to processes and applications.
Act as a liaison among medical staff, hospital administration, and external regulatory bodies.
Manage onboarding for new medical staff applicants, review information for eligibility and competence, and follow up to complete applications by target dates.
Monitor CPI progress and alignment with medical staff processes to support timely completion and compliance.
Manage reappointment, change-request, and resignation processes.
Ensure completion of FPPE requirements within required timelines and meet processing-time thresholds with minimal errors.
Manage credentialing and privileging processes to ensure compliance with regulatory, statutory, and hospital requirements.
Assist with maintaining the credentialing program and preparing for accreditation surveys.
Interpret and follow regulatory guidance, medical staff bylaws, rules, regulations, policies, and applicable laws.
Monitor privilege delineation forms for current training, competency, and standard-of-care requirements; identify needed changes and opportunities for alignment.
Assist in developing and maintaining privilege request forms, policies, and procedures.
Analyze, audit, and maintain the Medical Staff database and supporting documentation to ensure information integrity, including data used on the patient-facing marketing website.
Participate in quality improvement initiatives and support best practices in Medical Staff Services across the region.
Assist with workflow management, identify outdated processes and wasted resources, and track errors and complaints to support process improvement.