Credentialing Specialist

Job Description Insight Global is seeking a Medical Staff Credentialing & Provider Enrollment Specialist for a top academic healthcare client. This individual will play a critical role in onboarding and maintaining clinical faculty by managing medical staff credentialing, applications and third‑party payer enrollment. The role partners closely with physicians, managed care teams, and practice plan administration to ensure all applications, documentation, and regulatory requirements are completed accurately and on time. This is an excellent opportunity for a detail-oriented credentialing professional who thrives in a fast-paced, highly regulated healthcare environment and enjoys being a key resource for new physician hires. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.

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https://insightglobal.com/workforce-privacy-policy/. Skills and Requirements

• Medical Staff Credentialing experience for physicians/faculty
• Hands-on experience with provider enrollment (Medicare, Medicaid, Managed Care plans)
• Knowledge of NJ physician licensing, DEA registration, and hospital privilege requirements
• Strong documentation management and application processing skills
• Experience coordinating with hospitals, clinical faculty, and administrative offices
• Ability to manage new hire and reappointment credentialing cycles High attention to detail and follow-through in regulated environments
• Experience working in an academic medical center or university-based practice
• Familiarity with UPA of NJ or similar practice plans
• Experience with online credentialing and payer enrollment portals
• Prior exposure to managed care or practice plan administration workflows Credentialing software or systems experience