Senior Credentialing Coordinator - Healthcare Compliance

MyMichigan Medical Group; Midland (MI); On-site; USD 55,000 - 75,000; Full time

Job summary

MyMichigan Health seeks a Credentialing Specialist to plan, coordinate, implement and direct credentialing and recredentialing for medical staff, ensuring compliance with CMS Regulations and Joint Commission standards.

The role oversees daily credentialing operations, verifies licensure and certifications, handles initial appointments and reappointments, and liaises with executives, staff coordinators, recruiters, and external customers. Strong communication and detail orientation are essential.

Qualifications

• Bachelor’s degree in business or health related field is required.
• Two years experience in Medical Staff Services or a managed care organization preferred.
• All staff hired after 5/23/13 are required to obtain CPCS within five years of hire.
• Extensive knowledge of credentialing and privileging processes preferred.

Responsibilities

• Coordinate and oversee credentialing processes including primary source verification and evaluation of practitioner data.
• Manage initial appointment and reappointment processes per CMS, Joint Commission, and UMHS requirements.
• Address inquiries and confidential matters with professionalism and customer service.
• Act as liaison between the CEO, medical staff coordinators, department leaders, recruiters, and external customers.
• Assist with Joint Commission surveys and ongoing accreditation activities.

Skills

Interpersonal skills

Problem-solving

Communication

Team player

Time management

Education

Bachelor's degree in business or health related field

CPCS certification within five years of hire

Tools

PowerPoint

Excel

Database management

Word

Job description

MyMichigan Health seeks a Credentialing Specialist to plan, coordinate, implement and direct credentialing and recredentialing for medical staff, ensuring compliance with CMS Regulations and Joint Commission standards.

The role oversees daily credentialing operations, verifies licensure and certifications, handles initial appointments and reappointments, and liaises with executives, staff coordinators, recruiters, and external customers. Strong communication and detail orientation are essential.