Privileging and Credentialing Specialist

The Privileging and Credentialing Specialist is responsible for managing the end-to-end privileging process for locum tenens physicians and advanced practice providers, ensuring compliance with client facility requirements, accrediting agency standards, and Aya Locums policies. This role requires prior experience navigating hospital privileging processes, working directly with medical staff offices, and managing high-volume provider files in a fast-paced environment. Success in this role requires strong critical thinking and problem-solving skills to proactively identify issues, navigate complex privileging requirements, and drive timely resolutions while maintaining exceptional accuracy and customer service.

Who We Are:

We’re a $8+ billion, rapidly growing workforce solutions provider in the healthcare industry. We deliver tech-enabled services that help healthcare organizations meet and manage their contingent labor needs. We build and manage tech-enabled marketplaces for national and local healthcare talent and deliver contingent labor management solutions through our proprietary software platform.

At Aya, we’re obsessed with creating exceptional experiences for our clients, clinicians and employees. In fact, we put employee satisfaction above all else. Our team members are responsible for incomparable customer experience and we know that happy employees are critical to maintaining happy clients. We foster an entrepreneurial, high-energy, low-bureaucracy culture and value innovative thinking and creative problem solving. We embrace diversity in thought and backgrounds unified by a commitment to high achievement. When you join Aya, you’ll be surrounded by teammates who care about you as an individual and leaders who will help you grow both personally and professionally.

Responsibilities

• Manage the end-to-end privileging and credentialing process for locum tenens physicians and advanced practice providers, ensuring compliance with client facility and Aya Locums requirements.
• Review provider applications, CVs, and supporting documentation for completeness, accuracy, and potential privileging risks.
• Prepare, submit, and track hospital privileging applications, proactively driving files to approval while meeting targeted start dates.
• Partner with providers, medical staff offices, clients, and internal teams to obtain required documentation and resolve outstanding items.
• Conduct and review primary source verifications and compliance requirements, including licensure, board certification, malpractice, and exclusion screenings.
• Monitor expiring licenses, certifications, privileges, and other time-sensitive documents to ensure ongoing compliance.
• Facilitates provider payer enrollment for clients by coordinating enrollment activities, monitoring application progress, and supporting timely payer approvals.
• Maintain accurate provider records and documentation within credentialing and compliance systems.
• Identify, troubleshoot, and escalate complex privileging issues while delivering exceptional customer service to internal and external stakeholders.

Required Qualifications

• 2+ years of direct locum tenens privileging / credentialing experience across multiple specialties and healthcare systems required; 3+ years preferred.
• Bachelor's degree preferred; equivalent experience considered in lieu of education.
• Experience within a fast-paced, deadline-driven locum tenens, healthcare staffing, or managed service provider (MSP) environment.
• Experience working with hospital medical staff offices, credentialing departments, and healthcare facilities.
• Knowledge of Joint Commission, NCQA, payer enrollment, and medical staff office standards.
• Experience managing physician and advanced practice provider privileging files from application through approval.
• Ability to manage a high-volume workload while meeting deadlines and service level expectations.
• Strong attention to detail, organizational skills, and ability to identify and resolve issues proactively.
• Excellent communication and relationship-building skills with providers, clients, and internal stakeholders.
• Proficiency with Microsoft Office Suite and credentialing/compliance systems.

Preferred Qualifications

• Experience with end-to-end healthcare payer enrollment experience for physicians and advanced practice providers, including initial enrollment, credentialing coordination, CAQH maintenance, payer follow-up, effective date tracking, roster management, revalidation, and ongoing provider data updates.
• Experience or familiarity with delegated credentialing and/or CVO credentialing processes within a healthcare staffing agency, MSP, or related healthcare environment is strongly preferred.
• Ability to work PST hours

What We Offer:

• Free premium medical, dental, life and vision insurance
• Generous 401(k) match
• Aya also offers other benefits to those that are eligible and where required by applicable law, including reimbursements and discretionary bonuses
• Aya provides paid sick leave in accordance with all applicable state, federal, and local laws. Aya’s general sick leave policy is that employees accrue one hour of paid sick leave for every 30 hours worked. However, to the extent any provisions of the statement above conflict with any applicable paid sick leave laws, the applicable paid sick leave laws are controlling
• Celebrations! We hit our goals and reward ourselves
• Company-sponsored virtual events, happy hours and team-building activities are always on the horizon — plus, you get a special treat on your birthday!
• Unlimited DTO — we believe in time off!
• Virtual yoga, meditation or boot camp classes offered daily

Compensation: Aya reasonably anticipates the pay scale for this position to be $32.69 to $39.90 hourly, which equates to $68,000 to $83,000 annually.     

The pay scale for this position may vary if applicant possesses experience outside of what Aya reasonably anticipates for this position. Bonuses are subject to the role and your manager’s discretion.

Aya is an Equal Opportunity Employer (EEO), including Disability / Vets, and welcomes all to apply. Please click herefor our EEO policy.

Originally posted on Himalayas