Senior Privileging and Credentialing Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee the complete privileging and credentialing process for locum tenens physicians and advanced practice providers, ensuring adherence to client facility standards and Aya Locums guidelines.

• Evaluate provider applications, CVs, and accompanying documents for thoroughness, precision, and potential privileging concerns.

• Prepare, submit, and monitor hospital privileging applications, proactively advancing files to approval while achieving designated start dates.

• Collaborate with providers, medical staff offices, clients, and internal teams to gather necessary documentation and address any outstanding items.

• Conduct and assess primary source verifications and compliance requirements, including licensure, board certifications, malpractice, and exclusion screenings.

• Keep track of expiring licenses, certifications, privileges, and other time-sensitive documents to ensure continuous compliance.

• Facilitate provider payer enrollment for clients by coordinating enrollment efforts, tracking application statuses, and aiding in timely payer approvals.

• Maintain precise provider records and documentation within credentialing and compliance systems.

• Identify, troubleshoot, and escalate complex privileging challenges while providing exceptional customer service to both internal and external stakeholders.

⛳️ Requirements

• A minimum of 2 years of direct experience in locum tenens privileging/credentialing across various specialties and healthcare systems is required; 3+ years is preferred.

• A Bachelor's degree is preferred; equivalent experience may be considered in lieu of formal education.

• Experience in a dynamic, deadline-driven environment related to locum tenens, healthcare staffing, or managed service providers (MSP).

• Familiarity with hospital medical staff offices, credentialing departments, and healthcare facilities.

• Knowledge of Joint Commission, NCQA, payer enrollment, and medical staff office standards.

• Proficient in managing physician and advanced practice provider privileging files from application through to approval.

• Capability to handle a high-volume workload while meeting deadlines and service level expectations.

• Strong attention to detail, excellent organizational skills, and the ability to proactively identify and address issues.

• Outstanding communication and relationship-building skills with providers, clients, and internal stakeholders.

• Proficiency in Microsoft Office Suite and credentialing/compliance systems.

🏝️ Benefits

• Complimentary premium medical, dental, life, and vision insurance.

• Generous 401(k) matching program.

• Aya also offers additional benefits to eligible individuals as mandated by applicable laws, including reimbursements and discretionary bonuses.

• Paid sick leave provided in accordance with all relevant state, federal, and local regulations. Aya’s general policy allows employees to accrue one hour of paid sick leave for every 30 hours worked. However, if any part of this statement conflicts with applicable paid sick leave laws, those laws take precedence.

• Celebrations for achieving goals and rewarding ourselves.

• Company-sponsored virtual events, happy hours, and team-building activities are regularly scheduled — plus, you receive a special treat on your birthday!

• Unlimited DTO — we believe in taking time off!

• Daily virtual yoga, meditation, or boot camp classes offered.