Credentialing Verification Specialist

Location:

Anchorage, AK Exit Disclaimer: You Are Leaving www.ihs.gov

Type: Tribal Salary Range: Salary Negotiable Open Period: 10/23/2026 until filled Summary: Chugachmiut is a rapidly growing 501(3)c Non-profit, Alaska Native Regional Tribal Consortium. We are seeking highly motivated, talented candidates to join us on our journey to excellence! Join a dynamic, team-driven environment that features an abundance of opportunities for growth and development! At Chugachmiut, you not only start a job but a career that truly makes a difference in the lives of others! Chugachmiut offers its employees a generous and robust benefits package including: Retirement Plans, Medical & Prescription Insurance, Dental & Vision Insurance, Disability Insurance - Short & Long Term, Life Insurance, Subsidized Gym Memberships, 13-Paid Holidays, Personal Leave, Aflac Supplemental benefits and so much more!

Under limited supervision, the Credentialing Verification Specialist (CVS) is responsible for maintaining credentialing and re-credentialing by thoroughly reviewing and verifying the credentials of licensed healthcare and behavioral health providers, such as doctors, dentists, physician assistants, nurse practitioners, social workers, CHA/Ps, and behavioral health therapists, to ensure they meet all necessary licensing, certification, and experience requirements to practice within a healthcare facility, by collecting primary source documentation, maintaining accurate records, and upholding compliance with relevant regulations and standards; essentially acting as a gatekeeper to verify that licensed professionals are qualified to provide patient care. More info about area: https://www.chugachmiut.org/jobs Exit Disclaimer: You Are Leaving www.ihs.gov

Duties: • Process initial credentialing and re-credentialing applications for providers, carefully examining submitted documents like medical licenses, board certifications, malpractice insurance, and training certificates. • Contact primary sources, such as medical schools, licensing boards, and hospitals, to verify the accuracy of information provided on applications. • Maintain a comprehensive database of provider credentials, including expiration dates, ensuring information is updated and readily accessible. • Stay abreast of changing regulations and standards related to healthcare credentialing, ensuring the facility adheres to all applicable laws. • Perform quality checks on credentialing processes to identify potential errors or inconsistencies. • Contact providers to request missing documentation, address concerns and provide updates on the credentialing process. • The position serves as the head of the credentialing committee, which includes a representative from health services, community, and family services, as well as the Human Resources Director. • Prepare reports and present findings to the credentialing committee for review and decision-making regarding provider privileges. • Assist with internal and external credentialing audits, providing necessary documentation and addressing identified issues. • Functions as primary contact for all internal and external inquiries for credentialing; develops and maintains positive working relationships. • Release information to requesting agencies and public inquiries when required by law • Performs other duties as assigned or required. Qualifications: • Completing a bachelor''s degree from an accredited university in a related field, such as healthcare administration, business administration, health information management, and medical terminology. • The position requires five years of experience directly related to the duties and responsibilities specified. • A combination of related work experience and education demonstrating the ability to fulfill the position''s functions may qualify as a degree substitute. • The National Association of Medical Staff Services (NAMSS) offers certification programs to recognize professional achievements in medical services management and provider credentialing, such as a Certified Professional Medical Services Manager (CPMSM) or Certified Provider Credentials Specialist (CPCS). Must have certification or actively pursuing certification within one year of hire. Work Type: Permanent, Full Announcement #: 09-26-1-003 Who May Apply? All Groups of Qualified Individuals Get Details & Apply: https://www.vscyberhosting.com/Chugachmiut//Careers.aspx?req=09-26-1-003&type=JOBDESCR Exit Disclaimer: You Are Leaving www.ihs.gov