Imagine a career at one of the nation's most advanced health networks.
Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.
LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.
Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.
SummaryOversees all credentialing and privileging functions to ensure that physicians and advanced practice providers, among others, are qualified, compliant, and fully authorized to deliver care. Serves as the primary liaison between medical staff leadership, hospital administration, and regulatory bodies.
Ensures operational excellence, legal compliance, and timely processing of all credentialing and enrollment activities while fostering a culture of transparency, accuracy, and service.
Job Duties
- Lead and manage the MSO, including implementation of policy, procedure, and workflows aligned with accreditation standards (e.g. Joint Commission, NCQA, CMS, state regulations)
- Oversee primary source verification (PSV), application processing, and escalation pathways that ensures accurate and timely appointments, both initial and reaccreditation
- Maintain credentialing software, databases, and dashboards to ensure data integrity and real-time reporting
- Coordinate Medical Executive Committee (MEC), Credentials Committee, and other governance meetings, including agenda preparation, documentation, and follow up
- Develop and monitor KPIs, dashboards, and performance metrics for credentialing and enrollment processes
Minimum Qualifications- Master’s Degree in Healthcare or Business
- 10 years Management experience in a hospital setting
- 5 years Credentialing experience and
- Ability to effectively communicate with all levels of the organization in both the written and oral format.
- Ability to incorporate continuous quality improvement principles into all activities/operations.
- Must possess interpersonal and liaison skills essential for working with all employees.
Additional QualificationsPhysical DemandsLift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.
Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.
Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.
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