Medical Privileging Specialist

Overview

The Privileging Specialist verifies the qualifications, licenses, and experience of healthcare providers to grant authority for specific medical acts within a facility, ensuring compliance with regulatory and organizational standards. This Specialist will manage the full lifecycle of provider onboarding, including application processing, background checks, and will maintain accurate records for accreditation.

• Verify education, training, work history, board certifications, and licensure for doctors and APPs.
• Manage the appointment, reappointment, and delineation of clinical privileges of doctors and APPs.
• Ensure adherence to NCQA, JCAHO, state and federal standards.
• Maintain and update detailed provider records in credentialing database(s).
• Act as liaison and communicate with providers, medical staff offices and licensing boards.
• Help coordinate and obtain peer-to-peer references.
• Submit and maintain applications submitted to facilities.
• Maintain and update databases for facilities and practitioners.
• Collaborate with internal teams to ensure smooth transition for new practices and providers.
• Obtain and organize information and documentation pertinent to practices and providers.
• Track status of activities and provide updates to internal departments.
• Document processes and procedures for privileging activities.
• Participate in special projects and complete other duties as assigned.

• High School Diploma or equivalent; associate or bachelor’s degree preferred.
• 3+ years in the healthcare industry.
• Compliance with all HIPAA policies.
• Microsoft Office experience (Excel, Word, Outlook, PowerPoint).
• Excellent organization and communication skills.
• Ability to handle multiple projects simultaneously in a fast-paced environment.
• Satisfactory criminal background check.
• Stride Care is an Equal Opportunity Employer and is committed to diversity and inclusion in our workforce. We encourage applications from candidates of all backgrounds and experiences.