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Credentialing Specialist

Indian Health Service · Posted 3 days ago

On-site Red Lake, MN $62K – $80K Apply by Jul 6, 2026 Miscellaneous Administration And Program ENTJESFJESTJISTJ Healthcare
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About the Role

This position serves as a Credentialing Specialist within the Division of Clinical Services at Red Lake Service Unit in Red Lake, Minnesota. The incumbent coordinates provider credentialing and privileging activities, ensures compliance with applicable standards and requirements, and supports medical staff credentialing processes to maintain provider readiness and organizational compliance. A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).

What You'll Do

  • Independently prepares and maintains Medical Staff credentialing and privileging files for review and presentation to medical staff, clinical director, and governing board.
  • Provides complete, accurate information that allows appropriate decision-making to the satisfaction of the Clinical Director, Chief Executive Officer, Medical Staff, and/or the Governing Body.
  • Ensures the integrity of all paper and/or electronic provider files in accordance with bylaws, policies, and procedures.
  • When applicable and in accordance with the centralized verification organization policy, notify all appropriate parties of any actions taken.
  • Conducts all ongoing monitoring of national practitioner data banks, the Office of Inspector General, and licensure.
  • Ensures compliance with federal accreditation and organizational requirements to support provider credentialing and survey readiness.
  • Performs all centralized credentialing functions across the organization.
  • This includes application verification, data entry, review, and organization of virtual committees within the MD Staff credentialing software package.

Requirements

  • Selectee may be subject to a probationary period ESEP appointees typically serve a two year trial period U.S.
  • Citizenship is required Selective Service Registration is required for males born after 12/31/1959 This is a designated position covered by Public Law 101-630, requiring contact or control over Indian children.
  • Due to this requirement, the agency must ensure that persons hired for these positions have not been found guilty of or pleaded nolo contendere or guilty to certain crimes.
  • Successfully pass the E-Verify employment verification check.
  • To learn more about E-Verify, including your rights and responsibilities, visit www.dhs.gov/E-Verify/.
  • You will need to set up direct deposit so we can pay you.
  • Background Investigation Requirement: This position requires the successful completion of a federal background investigation as a condition of employment.
  • A background investigation is a standard process used by the Federal Government to verify an individual's identity, employment history, education, and other relevant information to determine suitability for Federal service.
  • Upon receipt of instructions, applicants must complete all required background investigation forms within five (5) calendar days of issuance.
  • Timely completion is critical to avoid delays in processing or a determination of unsuitability.
  • Applicants are strongly encouraged to prioritize this requirement and to maintain regular communication with their assigned Personnel Security Specialist throughout the process.
  • Financial Suitability Requirement: This position requires a review of the applicant's financial history as part of the personnel security and suitability determination.
  • Applicants must demonstrate financial responsibility, maintain good standing with creditors, and satisfy all legal financial obligations prior to applying.
  • Individuals with substantial delinquent or unresolved financial obligations-including, but not limited to, delinquent federal or state tax liabilities, defaulted federal student loans, court-ordered fines or fees, or child support arrears-may be deemed unsuitable for employment with the Indian Health Service (IHS).

Personality Fit

This role is commonly a great fit for these MBTI types:

Job ID: fb3a0184-c77e-45a1-9d8b-cdd6e8aad87b

Posted via USAJobs

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