Credentialing Specialist: Compliance & Process Lead

Henry Ford Health; Bingham Farms (MI); On-site; USD 50,000 - 70,000; Full time

Job summary

Henry Ford Health in Detroit, MI, seeks a Credentialing Specialist to manage the full credentialing cycle for medical staff and allied health professionals. You will verify credentials, coordinate applications, and ensure timely processing to support patient safety and organizational excellence.

The role emphasizes data integrity, regulatory compliance with Joint Commission, NCQA, URAC, HFAP, and collaboration with internal teams.

Qualifications

• Knowledge of credentialing processes for medical staff and allied health professionals.
• Experience with primary source verification and regulatory compliance is preferred.
• Ability to manage data with accuracy and audit readiness.

Responsibilities

• Drive the Credentialing Process Forward: manage end-to-end credentialing for medical staff and allied health professionals, including initial appointments, provisional reviews, reappointments, and privilege delineation.
• Coordinate application processing with precision, ensuring submissions are complete and processed within timelines.
• Conduct primary source verification of credentials, maintaining compliance with policies and regulatory requirements.
• Proactively track responses and follow up on outstanding items to keep processes moving.

Skills

Credentialing knowledge

Provider enrollment

Attention to detail

Regulatory compliance

Education

Associate’s Degree preferred

High School Diploma required

Job description

Henry Ford Health in Detroit, MI, seeks a Credentialing Specialist to manage the full credentialing cycle for medical staff and allied health professionals. You will verify credentials, coordinate applications, and ensure timely processing to support patient safety and organizational excellence.

The role emphasizes data integrity, regulatory compliance with Joint Commission, NCQA, URAC, HFAP, and collaboration with internal teams.