Senior Analyst – Physician Credentialing

Position: Senior Analyst Physician Credentialing

Location: Remote

Duration: Long term contract

Note: Looking for Permanent / Visa Independent Consultants

Senior Analyst Physician Credentialing:

The Senior Analyst Physician Credentialing supports the integrity efficiency and compliance of the organizations credentialing and privileging processes. This role partners with credentialing teams physician leadership and compliance stakeholders to ensure accurate provider onboarding recredentialing and privileging while identifying opportunities to improve credentialing workflows. The position combines deep operational knowledge of physician credentialing with analytical capabilities to enhance turnaround times ensure data integrity and maintain regulatory compliance ultimately supporting provider readiness and patient care delivery.

Job Qualifications / Education / Training / Certification / Licensure:

• Bachelors degree in Healthcare Administration Business or related field or equivalent experience in physician credentialing
• Minimum 3 5 years of experience in physician credentialing and privileging
• Experience with credentialing systems (e.g. MDStaff symplr or equivalent)
• Strong Experience with data/reporting tools (SQL Tableau or similar)
• Strong analytical mindset with ability to identify process improvement opportunities within credentialing workflows
• Excellent communication skills; ability to work effectively with physicians administrators and leadership
• High attention to detail with a focus on compliance audit readiness and data accuracy
• Knowledge of EPIC provider data (SER / Provider Master) or related systems is a plus

Job Responsibilities:

• Manage and support end-to-end physician credentialing and privileging processes including initial appointments reappointments and expirables tracking
• Ensure compliance with regulatory and accreditation standards (TJC NCQA CMS) throughout credentialing lifecycle
• Maintain and validate provider data across credentialing systems and downstream platforms (e.g. EPIC payor enrollment systems)
• Monitor key credentialing performance metrics including:
• Credentialing turnaround times
• Application completeness and deficiency resolution
• Expirable tracking and compliance
• Identify operational bottlenecks and recommend process improvements to improve efficiency and reduce delays
• Develop and maintain credentialing reports and dashboards to support leadership visibility and decision-making
• Support internal audits external surveys and accreditation reviews
• Collaborate on provider onboarding to ensure timely activation and readiness
• Assist with standardization of credentialing policies and procedures across entities
• Document workflows and recommend technology/process enhancements
• Support onboarding of new providers or entities by ensuring accurate and complete credentialing data