Healthcare Credentialing & Compliance Specialist

Shriners Hospitals for Children; Oregon; Hybrid; USD 65,000 - 90,000; Full time

Job summary

Shriners Children's is seeking a Credentialing Specialist to coordinate credentialing and privileging across SHC facilities and affiliates. You will verify credentials, manage confidentiality, and ensure compliance with accreditation and regulatory standards.

You will interact with the Medical Staff Offices to ensure timely approvals, maintain credentialing databases, and stay current on federal/state regulations and bylaws. A minimum of 3 years in credentialing is expected.

Qualifications

• Minimum of 3 years of credentialing experience, preferably in a Centralized Verification Office (CVO) or Medical Staff Office.
• Experience with MD Staff or relevant credentialing database system(s).
• Candidate should understand privacy and confidentiality requirements.

Responsibilities

• Coordinate and organize credentialing/privileging requests for SHC facility and affiliate locations.
• Verify credentials and expirables using verification sources to ensure compliance.
• Document discrepancies and adverse information; evaluate sanctions and complaints.
• Maintain confidential provider data in database to support enrollment and delegation.
• Collaborate with SHC Medical Staff Offices to ensure timely approvals and audits.
• Maintain knowledge of accreditation standards (TJC, NCQA) and regulations.

Skills

Problem solving

Written communication

Prioritization

Adaptability

Detail oriented

Self-starter

Independent work

Confidentiality

Education

High school diploma

Associate degree

Bachelor’s degree

Tools

MS Office

Credentialing databases

Job description

Shriners Children's is seeking a Credentialing Specialist to coordinate credentialing and privileging across SHC facilities and affiliates. You will verify credentials, manage confidentiality, and ensure compliance with accreditation and regulatory standards.

You will interact with the Medical Staff Offices to ensure timely approvals, maintain credentialing databases, and stay current on federal/state regulations and bylaws. A minimum of 3 years in credentialing is expected.