CERTIFIED PROVIDER CREDENTIALING SPECIALIST

Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer.

As the only National Cancer Institute-designated Comprehensive Cancer Center based in Florida, Moffitt employs some of the best and brightest minds from around the world. Join a dedicated team of nearly 11,000 who are shaping the future we envision. Moffitt has been recognized as a Best and Brightest Company to Work For in the Nation and is continually named one of the Tampa Bay Times’ Top Workplaces.

 

Summary

The Certified Provider Credentialing Specialist independently leads the credentialing and privileging of each individual practitioner applying for Medical Staff Appointment and Membership, and ensures compliance with Medical Staff Bylaws, Rules & Regulations, Credentialing Policies & Procedures, APP Credentialing Policies & Procedures, Joint Commission (TJC) Medical Staff standards, National Commission on Quality Assurance (NCQA) standards, State regulations and Conditions of Medicare Standards (CMS) and Utilization Review Accreditation Commission (URAC) as applicable and related to medical staff credentialing and privileging.The Credentialing Specialist conducts in-depth reviews and analysis of all provider applications, qualifications, training, experience and accompanying documentation. This role oversees the Managed Care credentialing process and Health Plan Enrollment.Provides subject matter expertise to the Credentials Committee. Prepares Credential agenda and provides supports to the Chair and Vice Chair, Credentials Committee. Acts as a liaison between Department Charis and Administrators and Human Resources to ensure efficient onboarding for credentialed providers.

 

Job Summary: The Certified Provider Credentialing Specialist independently leads the credentialing and the privileging of each individual practitioner applying for Medical Staff Appointment and Membership, and ensures compliance with Medical Staff Bylaws. The Joint Commission (TJC) Medical Staff standards, National Commission on Quality Assurance (NCQA) standards, State regulations and Conditions of Medicare Standards (CMS) and Utilization Review Accreditation Commission (URAC) as applicable and related to medical staff credentialing and privileging. The Credentialing Specialist conducts an in-depth review and analysis of the providers’ application, qualifications, training, experience and accompanying documentation. The coordinator leads all duties related to the Managed Care credentialing/re-credentialing process and Health Plan enrollment. Provides subject matter expertise to the Credentials Committee. Prepares Credential agenda and provides support to the Chair and Vice Chair, Credentials Committee. Acts as a liaison between Department Chairs and Administrators and Human Resources to ensure efficient onboarding for credentialed providers.   Required: • Associate’s degree ◦ In lieu of a degree, a High School diploma or equivalent plus an additional 2 years of relevant experience for a total of 7 years will be considered. • Five (5) years' experience in a credentialing and/or managed care role in an office, academic or healthcare setting. • Certified Professional Credentialing Specialist (CPCS) by NAMSS (National Association Medical Staff Services)

 

Salary Range

$23.32 - $35.52

Salary ranges posted for this position represent the expected base pay range for the role. Actual compensation may vary based on location and a variety of job-related factors, including experience, skills, education, and internal equity among Team Members in similar positions.

We are committed to maintaining fair and equitable pay practices and regularly review compensation to ensure alignment across our workforce.

 

Moffitt Career Site

 

 

If you have the vision, passion, and dedication to contribute to our mission,

then we have a place for you!

 

1. Equal Employment Opportunity

Moffitt Cancer Center is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, or protected veteran or disabled status. We seek candidates whose skills, and personal and professional experience, have prepared them to contribute to our commitment to diversity and excellence.

2. Reasonable Accommodation

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply fo