Credentialing Analyst

gundersenhealth; Wisconsin; Hybrid; USD 47,000 - 58,000; Full time

Benefits offered by this job

Competitive Benefits

401k match

Paid Time Off

Wellness program

Job summary

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 ensures provider qualifications, privileges, and regulatory compliance align with standards and patient safety priorities.

Located at our Front Street Office in La Crosse, WI with hybrid eligibility; starting pay of $52,500 and up based on experience. Monday-Friday 8:00am-5:00pm.

Qualifications

• Bachelor's degree or equivalent combination of experience and education.
• Minimum 5 years of healthcare, legal, or business experience.
• CPCS or CPMSM certification required upon hire.

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.

Skills

Attention to detail

Communication skills

Problem-solving

Regulatory knowledge

Education

Bachelor's degree

Job description

Love + medicine is who we are, it's what we do, it's why people want to work here. If you're looking for a job to love,

Scheduled Weekly Hours: 40

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.

Key Responsibilities Include:

• 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.

What's Available:

• Full time, 1.0 FTE
• Monday-Friday 8:00am-5:00pm
• Located at our Front Street Office in La Crosse, WI; Hybrid eligible but will need to be willing to work onsite as needed
• Starting pay of $52,500 and up, based on your years of experience.

What You'll Need:

• Education: 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
• License/ Certification: 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

In addition to the rewarding work, you'll receive:

• A highly adaptable and mission-driven organization with a work environment that supports you personally and professionally and a work culture where you are valued and appreciated
• Competitive Benefits: A comprehensive and generous benefits package (Medical, Dental, Life Ins, HSA/FSA) ensuring your comfort and well-being as a valuable team member
• Substantial retirement contribution including a 401k match & annual discretionary base contribution
• Work-Life Balance: Paid Time Off (PTO) combines vacation, sick, and personal days into one balance to allow you the flexibility to use your time off as you need
• Professional Development: Support for your career growth through Professional Development Opportunities, our Tuition Investment Program, and our Career Development Center
• Additional Employee Discounts and Perks Other benefits include a Wellness program with incentives, employer-paid life insurance and AD&D, optional short‑term and long‑term disability coverage, an employee assistance program, identity theft protection, pet insurance, Inspire & Celebrate colleague recognition and rewards program, a discount program, and more!

PRACTICES AND PROMOTES BEHAVIOR CONSISTENT WITH THE MISSION, VISION AND VALUES :

• Mission : Together, we inspire your best life by relentlessly caring, learning and innovating.
• Vision : Leading with love, we courageously commit to a future of healthy people and thriving communities.
• Values: Belonging, Respect, Excellence, Accountability, Teamwork, Humility

About Emplify Health:

Emplify Health is comprised of two of the Midwest's most respected healthcare systems, Bellin Health and Gundersen Health System. Once neighbors, we are now partners, united in our mission to provide exceptional care to our communities. As a not-for-profit, patient-centered healthcare network, we have headquarters in Green Bay and La Crosse, Wisconsin. Our extensive network includes 11 hospitals and more than 100 clinics, serving 67 cities and rural communities across Wisconsin, Iowa, Minnesota and Michigan's Upper Peninsula. With over 4,500 dedicated nurses and providers, we are committed to delivering primary, specialty and emergency care, along with innovative medical education programs. Join us in making a meaningful difference in the lives of our patients and communities