Credentialist II - Provider Enrollment

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Credentialist II

101 Truman Medical Center

Job Location

University Health 4 (UH4)

Kansas City, Missouri

Medical Staff Corporate

Full time

8:30AM - 4:30PM

40

Make an Impact Behind the Scenes of Patient Care

Every exceptional patient experience begins with exceptional providers — and behind every qualified provider is a credentialing professional who ensures quality, compliance, and excellence.

We’re seeking a detail-oriented, highly organized Credentialist II to join our Medical Staff Services team. In this role, you will play a critical part in safeguarding patient safety, maintaining regulatory compliance, and supporting the integrity of our Medical Staff operations.

If you thrive in a fast-paced healthcare environment, enjoy working with physicians and leadership, and have a strong eye for detail, we’d love to connect with you.

What You’ll Do

As a Credentialist II, you will manage the full lifecycle of medical staff credentialing activities, including:

Credentialing & Compliance

• Perform all phases of credentialing for initial appointments and reappointments

• Verify licensure, BNDD, DEA, privileges, OPPE, FPPE, PI data, and other regulatory requirements

• Ensure compliance with Medical Staff Bylaws, Credentialing Plan, policies, and accrediting bodies

• Prepare files for audits (TJC, CMS, NCQA) and conduct compliance reviews

• Maintain and audit credentialing files (electronic and paper)

Database & Reporting

• Maintain accuracy in the CACTUS database

• Track credentialing activities through logs and reporting tools

• Generate rosters, reports, queries, and credentialing documentation as needed

Committee & Administrative Support

• Prepare application packets and credentialing correspondence

• Support Credentials Committee preparation and documentation

• Record, transcribe, and maintain Medical Staff meeting minutes as needed

• Assist with temporary privileges and affiliation verifications

• Provide administrative support to ensure smooth department operations

Collaboration & Professionalism

• Build strong working relationships with physicians, department leaders, managed care staff, and administrative teams

• Promote quality improvement, patient safety, and cultural diversity

• Maintain current knowledge of applicable statutes, regulations, and compliance standards

What You Bring

Minimum Qualifications

• High School Diploma or GED

• 3+ years of experience in:

  • Medical staff credentialing

  • OR managed care credentialing

  • OR an academic medical center working with physicians and administrative processes

• Strong computer proficiency and database experience

• Exceptional attention to detail and accuracy

• Ability to manage multiple deadlines and competing priorities

• Experience taking minutes and supporting committees

• Strong interpersonal skills and ability to work effectively with physicians and leadership

• Ability to exercise independent judgment and diligence in credentialing activities

Preferred

• Medical center credentialing experience in a hospital setting