Senior Medical Staff Credentialing & Onboarding Leader

SIU Medicine; Springfield (IL); On-site; USD 90,000 - 130,000; Full time

Job summary

Southern Illinois University School of Medicine seeks a Credentialing Manager to oversee onboarding, licensing, credentialing and enrollment for SIU Healthcare and SIU School of Medicine. This on-site role directs the Credentialing Team, ensures NCQA compliance, and collaborates with HR, risk, and legal to streamline processes and maintain accreditation.

The incumbent will lead a team, develop efficiencies, and manage payor relationships to support timely credentialing, privileging, and

Qualifications

• High school diploma or equivalent required.
• Two years (24 months) of work experience in a medical setting or similar.
• Knowledge of NCQA standards and credentialing processes.

Responsibilities

• Provide day-to-day supervision to the Credentialing team.
• Administer credentialing, privileging, and enrollment processes.
• Coordinate onboarding with HR and clinical departments.
• Maintain NCQA accreditation and ensure compliance with standards.
• Prepare for and attend payor meetings and audits.

Skills

Team supervision

Credentialing software

Regulatory knowledge

Budget concepts

Managed care

Attention to detail

Education

High school diploma

Healthcare administration coursework

Tools

Microsoft Office

Credentialing software

Job description

Southern Illinois University School of Medicine seeks a Credentialing Manager to oversee onboarding, licensing, credentialing and enrollment for SIU Healthcare and SIU School of Medicine. This on-site role directs the Credentialing Team, ensures NCQA compliance, and collaborates with HR, risk, and legal to streamline processes and maintain accreditation.

The incumbent will lead a team, develop efficiencies, and manage payor relationships to support timely credentialing, privileging, and