Credentialing Risk & Compliance Specialist - Hybrid, Dallas, TX
About the position Integrative Emergency Services, LLC ("IES") is looking for a Credentialing Risk & Compliance Specialist. As an integrated vendor and partner to health systems, the focus of this role is to proactively identify, prioritize, and resolve credentialing-related risks that may impact provider scheduling, regulatory compliance, and client relationships. Will be responsible for providing forward-looking analysis of expirables, licensure, and privileging requirements to ensure providers are cleared to work scheduled shifts. Role will be Hybrid format 3 days in office at 4835 LBJ Fwy, Dallas, TX, 75244. IES is dedicated to cultivating best practices in emergency care, providing comprehensive acute care services, creating value, and supporting patients, employees, client providers, and physicians in pursuit of the highest quality healthcare.
Responsibilities
- Analyze daily reporting to identify credentialing risks related to licenses, certifications, privileges, and expirables
- Review provider schedules 30+ days in advance to proactively identify potential disruptions
- Assess level of risk and prioritize issues based on impact to scheduled shifts, compliance, and client relationships
- Determine appropriate course of action to mitigate risk, exercising independent judgment
- Lead resolution of credentialing gaps prior to shift impact, ensuring timely and accurate outcomes
- Coordinate across credentialing, scheduling, and operations to remove barriers
- Independently drive issues to resolution, escalating only when necessary with clear recommendations
- Maintain accountability for ensuring no preventable disruptions occur
- Serve as a central point of coordination across teams impacting provider readiness
- Clarify ownership, align stakeholders, and ensure follow-through on action items
- Communicate risk, status, and resolution plans clearly and proactively to stakeholders
- Ensure accuracy and completeness of credentialing data used for decision-making
- Identify trends, systemic gaps, or recurring issues and recommend improvements
- Contribute to development of more proactive reporting, workflows, and risk mitigation strategies
Requirements
- Ability to assess, prioritize, and mitigate credentialing-related risk by analyzing expirables, provider schedules, and downstream operational impact
- Ability to exercise independent judgment and decision-making in determining appropriate actions, escalation paths, and resolution strategies
- Strong analytical skills, including the ability to interpret reporting/data and translate findings into actionable next steps
- Ability to take ownership of issues end-to-end, driving resolution across multiple stakeholders and ensuring no gaps remain
- Advanced organizational and prioritization skills in a fast-paced, high-risk environment with competing deadlines
- Ability to influence and coordinate across cross-functional teams without direct authority
- Working knowledge of provider credentialing processes, including licensure, certifications, privileging, and expirables
- Strong communication skills, with the ability to clearly articulate risk, status, and expectations to stakeholders
- Ability to identify system-level issues vs. individual performance concerns and recommend appropriate solutions
- Proficiency in navigating systems and reporting tools (e.g., credentialing platforms, Excel) to support analysis and tracking
- HS Diploma or GED equivalent
- 2+ years of experience in provider credentialing, healthcare operations, or related field
- Experience working with credentialing data, reporting, or systems
- Demonstrated ability to manage high-risk, time-sensitive work
Nice-to-haves
- Bachelors Degree in Healthcare Management, Business, or a related field
- Experience in hospital, MSO, or physician services environment
- Experience working cross-functionally in a shared services environment
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