New

Credentialing Specialist

Presbyterian Healthcare Services
life insurance
United States, New Mexico, Albuquerque
1100 Central Avenue Southeast (Show on map)
Mar 13, 2026
Location Address: 1100 Central Avenue SE Albuquerque, NM 87106-4930 Compensation Pay Range: Minimum Offer $18.33 Maximum Offer $27.25 Now Hiring: Credentialing Specialist Summary: Presbyterian is seeking a Credentialing Specialist. This role conducts thorough background investigations for physicians and other providers applying for affiliation with PHS-Albuquerque and regional facilities. Responsibilities include reviewing applications for completeness and performing primary source verification of licensure, education, clinical training, board certification, disciplinary actions, malpractice history, and peer assessments of current competence. The specialist identifies issues requiring further followup, manages the collection and processing of Medical Staff reappointments within required timeframes, and processes privilege updates and status changes. The role also maintains tickler systems to ensure timely processing and compliance with regulatory and accreditation standards, while keeping credentialing database information accurate and up to date for use across the organization. Type of Opportunity: Full time Job Exempt: No Job is based: Presbyterian Hospital Work Shift: Days (United States of America) Responsibilities: Analyze practitioner applications and/or requests to ensure that required documentation/information has been submitted in order to initiate the primary source verification processes Conducts primary source verification of applicants' education, licensure, professional work history, medical malpractice history for the purpose of determining competency and eligibility to be awarded membership and/or privileges Prepares processed files for review by appropriate members of medical staff leadership, including identification of information that may require additional investigation Utilizes appropriate tracking tools for the purpose of ensuring timely completion of applications Collects/analyzes data from various sources to include with initial and/or reappointment applications. Such data includes but is not limited to focused professional practice evaluations, ongoing professional practice evaluations, and privileging eligibility criteria Process other credentialing requests, as assigned, in accordance with established policies and procedures Responsible for on-boarding and/or orientation of new Medical Staff members, according to established policies and procedures Qualifications: High School Diploma. One to three years' experience in hospital medical staff or managed care credentialing preferred. Certification or eligibility for certification as a Current certification as a Certified Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) preferred. All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits. Wellness Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more. Why work at Presbyterian? As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans. About Presbyterian Healthcare Services Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses. Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses. We're Determined to Support New Mexico's Well-Being \| Presbyterian Healthcare Services