Credentialing Specialist: Elevate Medical Staff Compliance

Henry Ford Health; Detroit (MI); On-site; USD 43,000 - 65,000; Full time

Job summary

Henry Ford Health System is seeking a Credentialing Specialist to manage credentialing for medical staff and allied health professionals. You will coordinate applications, verify credentials, and maintain audit-ready databases while ensuring timely processing.

The role supports regulatory compliance with Joint Commission, NCQA, URAC, and HFAP standards, and requires strong data management and cross-team collaboration.

Qualifications

• High school diploma required; associate’s degree preferred.
• 1 year credentialing, provider enrollment, or background/verification experience required.
• Working knowledge of state and federal law relating to due process and HIPAA.

Responsibilities

• 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, accurate, and processed within established timelines.
• Conduct primary source verification of credentials, ensuring compliance with policies and regulatory requirements.
• Proactively track responses and follow up on outstanding items to keep processes moving.
• Manage credentialing software databases with meticulous detail, ensuring data is complete, current, and audit-ready.
• Submit completed files to MSO offices and delegated entities in compliance with requirements.
• Serve as liaison between Henry Ford Health System facilities and the Credentialing Services team; communicate with stakeholders.
• Support compliance with accrediting and regulatory agencies such as The Joint Commission, NCQA, URAC, HFAP.
• Participate in system integration and quality improvement initiatives.

Education

High School Diploma

Associate’s Degree

Job description

Henry Ford Health System is seeking a Credentialing Specialist to manage credentialing for medical staff and allied health professionals. You will coordinate applications, verify credentials, and maintain audit-ready databases while ensuring timely processing.

The role supports regulatory compliance with Joint Commission, NCQA, URAC, and HFAP standards, and requires strong data management and cross-team collaboration.