Senior Credentialing Specialist

About the role

Planned Systems International (PSI) is seeking a Senior Credentialing Specialist to support a mission-critical credentialing and privileging program. The role ensures healthcare providers meet security, regulatory, and compliance standards through accurate and timely verification processes.

Responsibilities

• Manage the verification process for all healthcare professionals (physicians, dentists, nursing, allied health)
• Review applications for completion, verify state licensure, collect information from national data banks, federal, and state records
• Compile all applicable security and credential documents
• Assemble qualification packages for review by the customer’s Security & Credentialing Office
• Manage timelines and process, handle customer expectations
• Perform Primary Source Verification (PSV)
• Complete verifications and ensure compliance with DHA directives and industry standards
• Generate and email notification letters of credentialing results to applicants and/or respond to questions about their status
• Promptly respond to inquiries from the customer’s Security and Credentialing Office
• Supervise support staff in administering all aspects of processing applications
• Implement DHA policies and standards to ensure credentialing operations comply with regulations
• Support and enhance credentialing functions by working with applicants and Quality Liaison (QL) staff

Requirements

• Five plus years of experience in medical credentialing, including knowledge of the credentialing and privileging process, required credentials for health care professionals, and appropriate sources for PSV and databank queries
• Two plus years of credentialing experience with the DoD
• Ability to interface with all levels of military medical staff
• Excellent verbal and written communication skills, including excellent customer relationship skills
• Skills with MS Office (Word, Excel, PowerPoint)
• Organization skills and attention to detail

Qualifications

• Bachelor's Degree in Healthcare or related field
• Equivalent combination of education, certification, and relevant experience may be considered
• Experience in Quality Assurance preferred
• Experience in the DOD credentials process preferred
• Leadership experience/ability/aptitude

Benefits

Full-time, benefits eligible employees at PSI receive a competitive total compensation package that includes paid leave, and options for employer-sponsored group medical, dental, vision, short-term and long-term disability, life insurance, AD&D coverage, legal services, identity theft, and accident insurance. Flexible spending account and health savings account options offer pre-tax savings for qualified medical, dental, and vision expenses. The company-sponsored 401(k) retirement plan has an employer contribution match that is immediately vested. Professional growth is supported through professional courses, certifications, and tuition reimbursement programs.

Company Benefits

PSI offers a range of benefits including:

• Paid leave
• Group medical, dental, vision, short-term and long-term disability, life insurance, AD&D coverage, legal services, identity theft, and accident insurance
• Flexible spending account and health savings account options for pre-tax savings on qualified medical, dental, and vision expenses
• 401(k) retirement plan with an employer contribution match
• Professional development opportunities through courses, certifications, and tuition reimbursement programs

Equal Opportunity Employer

PSI is committed to promoting equal employment opportunities. All personnel decisions, including recruiting, hiring, training, promotion, compensation, benefits, and termination, are made without regard to race, color, religion, age, sex, sexual orientation, pregnancy, gender identity, genetic information, national origin, citizenship status, veteran status, protected veteran status, disability, or any other characteristic protected by applicable federal, state, or local law. Reasonable accommodations for applicants and employees with disabilities will be provided upon request.