Credentialing Specialist

Credentialing Specialist at KVC Health Systems Support Excellence in Care Through Precision and Compliance KVC Health Systems is seeking a dedicated and detail-oriented Credentialing Specialist to join our team. This vital role manages the comprehensive lifecycle of onboarding, credentialing, re-credentialing, and privileging for all medical and therapy providers. By ensuring 100% compliance with Joint Commission (TJC), CMS, and state Medicaid standards, you will directly support clinical safety and financial revenue integrity.

About KVC Missouri

• At KVC, we prioritize the health and happiness of our team.
• We are proud to share that our organization holds a Work Wellbeing Score of 86, reflecting our commitment to a supportive, inclusive, and fulfilling professional environment.
• Our Team If you are a solutions-focused professional who takes ownership of complex processes and values integrity in healthcare administration, we invite you to apply.
• Help us maintain a strong continuum of care and ensure a smooth onboarding experience for the providers who serve our communities.

Responsibilities

• -Hybrid; in office 2 days a week; Olathe, KS The Impact You Will Make As a Credentialing Specialist, you will act as a critical gatekeeper for quality care.
• Executing thorough verification of medical licenses, DEA registrations, board certifications, and education to ensure every practitioner meets our high standards.
• Utilizing a 60-90 day notification protocol to facilitate the renewal of expiring licenses and insurances, preventing any lapses in care.
• Maintaining survey-ready files and conducting regular audits of credentialing folders to ensure continuous readiness for regulatory reviews.
• Preparing credentialing packets for the Medical Executive Committee and Governing Board while providing risk updates to leadership.
• Where Care and Compliance Meet.

Requirements

• Rigorous Onboarding: Collecting and documenting all pre-employment compliance items, including background checks and out-of-state registry verifications.
• We are seeking a professional who embodies the "KVC Way"—combining a zero-error mindset with trauma-informed professionalism.
• Education: A High School diploma is required; a Bachelor’s degree in HR or Healthcare Administration is preferred.
• At least 2 years of credentialing experience.
• Certified Provider Credentialing Specialist (CPCS) is preferred.
• A valid driver’s license and current auto insurance.
• Strong communication, independent judgment, and the ability to manage highly confidential information with discretion.

Preferred

• Knowledge of TJC and NCQA standards is highly preferred.
• Qualifications Experience working with children and families in a trauma-informed environment.
• Demonstrated ability to work seamlessly across HR, clinical, and billing departments.
• Self-motivated discipline with the ability to prioritize work in a fast-paced environment.