Credentialing Analyst

Credentialing Analyst

Love + medicine is who we are, it's what we do, it's why people want to work here. If you're looking for a job to love, apply today.

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…