[Hiring] Senior Credentialing Specialist @Planned Systems International, Inc.

Role Description

Planned Systems International (PSI) is seeking a highly skilled and detail-oriented Senior Credentialing Specialist to support a mission-critical credentialing and privileging program. This role is responsible for ensuring healthcare providers meet security, regulatory and compliance standards through accurate and timely verification processes.

The ideal candidate brings strong experience in provider credentialing, including licensure verification and databank queries, with the ability to manage high-volume workloads efficiently. You will collaborate closely with applicants, medical staff, and stakeholders to maintain seamless credentialing operations and audit-ready files.

Essential Functions and Job Responsibilities

• Managing the verification process for all healthcare professionals (physicians, dentists, nursing, allied health).
• Reviewing applications for completion and verifying state licensure.
• Collecting information contained in national data banks, federal, and state records.
• Compiling all applicable security and credential documents.
• Assembling qualification packages for review by the customer’s Security & Credentialing Office.
• Managing timelines and processing, and handling customer expectations.
• Performing Primary Source Verification (PSV).
• Completing verifications and ensuring compliance with DHA directives and industry trends.
• Generating and emailing notification letters of credentialing results to applicants.
• Responding to questions from applicants regarding the status of credentialing.
• Promptly responding to inquiries sent by the customer’s Security and Credentialing Office.
• Providing direct supervision to the support staff in administering all aspects of processing applications.
• Implementing DHA policies and standards to ensure compliance in credentialing operations.
• Working with applicants and QL staff to support and enhance credentialing functions.

Qualifications

• Five plus years of experience in medical credentialing.
• Overall knowledge of the credentialing and privileging process.
• Familiarity with required credentials for healthcare professionals.
• Ability to utilize applicable policies, guidelines, and regulations for the DoD credentialing process.
• Two plus years of credentialing experience with the DoD.
• Ability to interface with all levels of military medical staff.
• Excellent verbal and written communication skills.
• Strong customer relationship skill sets.
• Skills with MS Office (Word, Excel, PowerPoint).
• Strong organization skills and attention to detail.

Requirements

• Desired Bachelor's Degree in Healthcare or related field.
• Experience in Quality Assurance preferred.
• Experience in the DOD credentials process preferred.
• Leadership experience/ability/aptitude.

Benefits

• Competitive total compensation package including paid leave.
• Options for employer-sponsored group medical, dental, and vision insurance.
• Short-term and long-term disability, life insurance, AD&D coverage.
• Legal services, identity theft, and accident insurance.
• Flexible spending account and health savings account options.
• Company-sponsored 401(k) retirement plan with employer contribution match.
• Investment in professional growth through courses, certifications, and tuition reimbursement programs.