Credentialing Analyst Job Kenosha area,Wisconsin USA,Science

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Scheduled Weekly

Hours:

40

Emplify Health by Gundersen is seeking a detail‑oriented Credentialing Analyst to support and manage medical and associate staff privileging criteria across the organization. This role plays a vital part in ensuring provider qualifications, privileges, and regulatory compliance align with organizational standards, accreditation requirements, and patient safety priorities.

Key Responsibilities Include:

Review, evaluate, and maintain privilege criteria for medical and associate staff in collaboration with clinical leaders and Medical Staff leadership.
Analyze provider privilege requests to ensure alignment with approved criteria, training, experience, and competency requirements.
Support the development, revision, and standardization of privilege delineation forms and criteria across specialties.
Ensure privileging processes comply with regulatory, accrediting, and organizational standards (e.g., Joint Commission, CMS, state regulations).
Respond to inquiries from providers and medical staff leadership regarding privilege criteria and requirements.
Monitor and document regulatory changes that may impact privileging standards and recommend updates as appropriate.
Maintain accurate documentation and audit‑ready records related to privilege criteria and approvals.
Contribute to continuous process improvement initiatives to enhance efficiency, consistency, and transparency in privileging workflows.

What's Available:

Full time, 1.0 FTE
Monday-Friday 8:00am-5:00pm
Located at our Front Street Office in La Crosse, WI;
Hybrid eligible but will need to be willing to work onsite as needed
Starting pay of $52,500 and up, based on your years of experience.

What You'll Need:

Education:

Bachelor's degree or equivalent combination of experience and education
5 years of healthcare, legal, or business experience
Strong Knowledge of Medical Staff regulations, department specific privilege delineation
Strong understanding of accreditation and regulatory standards
License/ Certification:
Certified Provider Credentialing Specialist (CPCS) or Certified Professional in Medical Services Management (CPMSM) Required upon hire
Excellent problem-solving abilities and strong attention to detail
Effective written and verbal communication with clinical leadership

In addition to the rewarding work, you'll receive:

A highly adaptable and mission-driven organization with a work environment that supports you personally and professionally and a work culture where you are valued and appreciated
Competitive Benefits: A comprehensive and generous benefits package (Medical, Dental, Life Ins, HSA/FSA) ensuring your comfort and well-being as a valuable team member
Substantial retirement contribution including a 401k match & annual discretionary base contribution
Work-Life Balance:
Paid Time Off (PTO) combines vacation, sick, and personal days into one balance to allow you the flexibility to use your time off as you need
Professional Development:
Support for your career growth through Professional Development Opportunities, our Tuition Investment Program, and our Career Development Center
Additional Employee Discounts and Perks Other benefits include a Wellness program with incentives, employer-paid life insurance and AD&D, optional short‑term and long‑term disability coverage, an employee assistance program, identity theft protection, pet insurance, Inspire & Celebrate colleague recognition and rewards program, a discount program, and more!

PRACTICES AND PROMOTES BEHAVIOR CONSISTENT WITH THE MISSION, VISION AND VALUES :

Mission : Together, we inspire your best life by relentlessly caring, learning and innovating.
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