Credentialing Specialist - Medical Staff Affairs - Days

About the role

We are seeking a highly organized and knowledgeable Medical Staff Coordinator to oversee the operations of the Medical Staff Affairs office. This role plays a critical part in supporting credentialing and recredentialing processes in collaboration with the Central Verification Organization (CVO), managing medical staff meetings, and ensuring compliance with regulatory and accreditation standards. The coordinator serves as a key resource for medical staff, hospital administration, and legal counsel, maintaining confidentiality and promoting consistent, high-quality support across all medical staff functions.

Key Responsibilities

• Cook up and oversee the Medical Staff Affairs office operations.
• Collaborate with the CVO on credentialing and recredentialing processes.
• Manage medical staff meetings and ensure accurate flow of information from committees to the Medical Executive Committee and Board of Trustees.
• Respond to verification requests and maintain accurate records.
• Serve as a resource for medical staff regarding bylaws, policies, and regulatory standards.
• Ensure compliance with accrediting bodies such as Joint Commission, NCQA, URAC, and HFAP.
• Maintain working knowledge of relevant statutes and laws.
• Cook up annual medical staff projects and perform related bookkeeping activities.
• Communicate regularly with physician quality teams, medical staff leaders, hospital administration, and legal counsel.
• Maintain confidentiality of all medical staff and business-related information.
• Support departmental performance and teamwork.

Qualifications

• A strong understanding of medical staff credentialing and regulatory requirements.
• Experience with accreditation standards (e.g., Joint Commission, NCQA, URAC, HFAP).
• Excellent organizational, communication, and interpersonal skills.
• The ability to manage multiple priorities and maintain confidentiality.
• A proficiency in interpreting and applying medical staff bylaws, rules, and policies.

Education & Experience

• A high school diploma is required.
• An associate's degree is preferred.
• One (1) year of credentialing, provider enrollment, or background/verification specialist experience is required.
• A high level of energy to work in a fast-paced environment often including time deadlines, frequent interruptions, multiple demands, and multi-tasking.
• A working knowledge of State and Federal law relating to due process and provisions of the Health Insurance Portability and Accountability Act of 1996 and all applicable standards.

Additional Information

Organization: Henry Ford Jackson Hospital
Department: Medical Staff Affairs
Shift: Day
Job Union Code: Not Applicable