Medical Credentialing Coordinator

Vancouver Clinic is seeking a Credentialing Coordinator to monitor and maintain the credentialing, recredentialing, and privileging process for our health care providers. This role ensures compliance with regulatory standards (NCQA, CMS, The Joint Commission, AAAHC) while supporting provider enrollment with hospitals, surgery centers, and health plans.

Location: Vancouver Clinic – Vancouver, WA (Hybrid)  Must be resident of Washington or Oregon

Schedule: Monday – Friday 7:00am to 4:00pm

Key Responsibilities

• Coordinate and track provider credentialing, recredentialing, and privileging.
• Maintain complete, accurate, and audit-ready provider credentialing files.
• Liaise with hospitals, health plans, and surgery centers regarding provider updates.
• Manage provider enrollment with government and commercial health plans.
• Conduct credentialing file audits and support compliance with regulatory requirements.
• Perform primary source verification for licensure, board certification, education, training, DEA, malpractice history, and sanctions.
• Track credentialing expirables and ensure timely follow-up and renewal.
• Support internal and external audits, including health plan delegation audits.
• Maintain credentialing databases and ensure data accuracy (MD Staff)

Education and Experience: 

• High School Diploma or equivalent required; college coursework preferred.
• 3+ years of credentialing experience in a clinic system, hospital, or health plan setting with responsibility for credentialing, hospital appointment and privileging, private and government health plan enrollment - REQUIRED.
• Experience with NCQA and AAAHC guidelines – REQUIRED.
• Strong organizational, communication, and customer service skills.
• Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) preferred.

Pay Range:

The above information is intended to indicate the general nature and level of work required in this position. It is not designed to contain or be interpreted as a comprehensive description of all duties, responsibilities, and qualifications required of those assigned to this job.

We offer a competitive Total Rewards Program. Eligibility for benefits is dependent on factors such as position type and FTE. Benefit-eligible employees qualify for benefits beginning on the first of the month following one month of employment. Vancouver Clinic offers medical, dental, vision, life insurance, AD&D, long term disability, health savings account, flexible spending account, employee assistance program, and multiple supplemental benefits (voluntary life, critical illness, accident, hospital indemnity, identity theft protection, legal services, etc.). We also offer a 401k retirement plan, along with an employer matching contribution up to 4%. Compensation packages and time off programs vary and are dependent on factors such as department, position type, primary work state and FTE. Contact your Recruiter for full information.

Vancouver Clinic is proud to be an Equal Opportunity Employer. Vancouver Clinic does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, gender identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Vancouver Clinic is an alcohol and drug-free workplace.  Offers are contingent on successful completion of background screen and immunization requirements.