Credentialing Operations Lead

The Ohio State University; United States; On-site; USD 70,000 - 110,000; Full time

Job summary

The Ohio State University is seeking a Credentialing Consultant for University Hospital's Credentialing Services. The role leads the delegated credentialing operations and ensures efficient management of the Corporate Credentialing Office functions.

Responsibilities include overseeing non-physician credentialing and privileging, FPPE/OPPE processes, database management, and ongoing verification of licenses and certifications.

Qualifications

• Bachelor’s degree or equivalent with strong supervisory and writing skills.
• Minimum five years in a hospital setting, preferably in Medical Staff Services.
• Familiarity with medical staff management software is desired.
• Background check and drug screen may be required.

Responsibilities

• Lead and oversee corporate credentialing services for OSU hospitals.
• Manage non-physician credentialing, privileging, FPPE/OPPE processes.
• Coordinate delegated credentialing, contracts, and liaison with MCO/OSUWMC.
• Oversee credentialing database management and data entry.
• Audit credentialing files per guidelines, TJC, and NCQA.
• Track licenses, DEA, board certifications, and regulatory requirements.
• Coordinate CAQH database management and provider identification.
• Facilitate physician licensure applications with OSBM, FCVS, and FSMB.
• Supervise staff and ensure confidentiality; communicate effectively.

Skills

Supervisory and management skills

Communication skills

Written communication

Interpersonal skills

Confidentiality handling

Education

Bachelor’s Degree in Medical Staff Sciences

Experience in hospital credentialing or medical staff services

Master’s Degree (preferred)

Job description

The Ohio State University is seeking a Credentialing Consultant for University Hospital's Credentialing Services. The role leads the delegated credentialing operations and ensures efficient management of the Corporate Credentialing Office functions.

Responsibilities include overseeing non-physician credentialing and privileging, FPPE/OPPE processes, database management, and ongoing verification of licenses and certifications.