Credentialing Analyst — Hybrid: Privileges & Compliance

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

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.