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Credentialing Specialist
Company : Carepoint Health System
Location : Hoboken, NJ, 07030
Job Type : Full Time / Part Time
Date Posted : 13 January 2026
About Us
Welcome to Hudson Regional Health
Technology Transforming Care
Hudson Regional Health is a newly unified healthcare network serving Hudson County through four hospitals:Secaucus University Hospital, Bayonne University Hospital, Hoboken University Hospital, and The Heights University Hospital in Jersey City.
Together, these hospitals form a single, integrated system with a shared vision—to deliver modern, patient-first care supported by innovation. From robotic-assisted surgery and AI-powered diagnostics to real-time monitoring and precision neurosurgery, HRH is redefining what’s possible in community healthcare.
Patients across the region now have access to state-of-the-art procedures and nationally recognized specialists, all within a connected, local network designed to put care first.
Our Services
We focus on the care our patients need most, delivered with precision, innovation, and a commitment to excellence.
- Advanced Emergency Services – 24/7 emergency departments across all four hospitals
- Robotic-Assisted Surgery – featuring the Da Vinci XI and ExcelsiusGPS systems
- Neurosurgery & Spine Care – including Stealth Navigation and precision-guided treatment
- Women’s Health & Maternity – comprehensive services tailored for every stage
- Imaging & Diagnostics – AI-enhanced systems for faster, more accurate results
- Outpatient & Specialty Care – coordinated care across multiple disciplines
Our Hospitals
Explore our hospitals and discover care that’s high-tech, high-touch, and close to home:
- Secaucus University Hospital, Flagship campus featuring the Robotic Surgery Institute and modernized emergency care.
- Bayonne University Hospital, A full-service community hospital offering personalized acute care.
- Hoboken University Hospital, A local leader in women’s health, family medicine, and outpatient services.
- The Heights University Hospital (Jersey City), Expanding access to state-of-the-art care in the heart of Jersey City.
What You'll Be Doing
The successful candidate will be able to: Under the supervision of the MSO Manager of the area, responsible for credentialing and recredentialing practitioners as well as enrollment with participating client health plans. Credentialing functions include, but are not limited to, processing credentialing applications, following up with payers, and updating and maintaining the CAQH data base. As well as following applicable state and federal requirements for Medicare and Medicaid.
- Leads, coordinates, and monitors the review and analysis of practitioner applications and accompanying documents, ensuring applicant eligibility.
- Conducts thorough background investigation, research and primary source verification of all components of the application file.
- Identifies issues that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow up.
- Prepares credentials file for completion other healthcare organizations, ensuring file completion within time periods specified.
- Responds to inquiries from other healthcare organizations, interfaces with internal and external customers on day-to-day credentialing issues as they arise.
- Utilizes the Cactus credentialing database, optimizing efficiency, and performs query, report and document generation; submits and retrieves National Practitioner Database reports in accordance with Health Care Quality Improvement Act.
- Monitors the initial, reappointment and expirable process for all medical staff, Allied Health Professional staff, Other Health Professional staff, and delegated providers, ensuring compliance with regulatory bodies (Joint Commission, NCQA, URAC, CMS, federal and state), as well as Medical Staff Bylaws, Rules and Regulations, policies and procedures, and delegated contracts.
- Performs miscellaneous job-related duties as assigned.
What We're Looking For
- Degree in business or health related field desired. Previous experience in a Credentialing position required.
- CPMSM and/or CPCS Certification by the National Association Medical Staff Services required or obtained within two years of employment.
- A minimum of 2 years of experience
- Affiliation with the National Association Medical Staff Services and the State Association Medical Staff Services strongly encouraged.
- Must have excellent organizational, time management, customer service and oral & verbal communications skills
- Ability to focus on detail while responding to multiple tasks simultaneously and work effectively in a goal-oriented team environment
- Must be able to maintain confidentiality of proprietary information related to all aspects of the position, hospital, medical staff and allied health professional staff
- Excellent interpersonal skills, including the ability to communicate clearly, professionally, both verbally and in writing with a broad range of professionals and people of varying education and backgrounds.
- Proficiency Cactus is critical.
- Proficiency in data entry, typing and computer skills using a variety of software programs including Microsoft Word, Excel, Access, Outlook, PowerPoint and Cactus
- Willingness to maintain a flexible work schedule as needed.
- Ability to adapt to changing schedules, deadlines and demands, and a heavy workload
What We Offer
What We Offer
- Competitive compensation based on experience and qualifications: When determining the compensation, several factors may be considered including, years of relevant experience, credentials, union contracts, education, and internal equity.
- Comprehensive health, dental, and vision insurance
- 401K, Retirement savings plan with employer contribution
- Generous Paid Time Off (PTO) and paid holidays
- Tuition Reimbursement
- Opportunities for professional growth, development, and continuing education
- Employee wellness programs and resources
Influenza Vaccinations are a requirement for employment. If you are not currently vaccinated you will be required to receive the vaccination prior to hire date, during the influenza season, if you are offered employment, unless you request and receive an approved medical exemption.
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Frequently asked questions
In Hoboken, NJ, credentials like CPMSM or CPCS are highly valued for Credentialing Specialists. These certifications demonstrate expertise in practitioner credentialing and compliance with healthcare regulations, enhancing job prospects at institutions like Carepoint Health System amid competitive credentialing roles.
While some remote credentialing roles exist, Hoboken's healthcare network, including Carepoint Health System, typically favors onsite specialists for direct coordination with medical staff and compliance teams. However, hybrid setups may arise depending on organizational needs and pandemic protocols.
Beyond verifying credentials, a successful Credentialing Specialist must excel in data management, regulatory compliance, and communication. Mastery of databases like CAQH and Cactus, along with strong organizational and investigative skills, ensures accurate practitioner enrollment and regulatory adherence.
Credentialing Specialists often handle end-to-end verification and credential maintenance, requiring direct interaction with practitioners and payers. Credentialing Analysts might focus more on data analysis and reporting within credentialing systems, supporting decision-making processes.
Carepoint Health System's integration of advanced technologies like AI diagnostics and robotic surgery adds complexity to credentialing. Specialists here ensure practitioners meet stringent standards across multiple hospitals, blending high-tech healthcare with community-focused service.
Carepoint Health System offers tuition reimbursement, continuing education opportunities, and encourages affiliation with professional bodies like NAMSS. This fosters ongoing skill development, helping Credentialing Specialists stay current with healthcare regulations and credentialing best practices.
Hoboken's expanding healthcare network has increased demand for Credentialing Specialists, especially with the growth of Carepoint Health System. Competition remains moderate, with a preference for candidates holding CPMSM or CPCS certifications and experience in complex credentialing environments.
Credentialing Specialists in Hoboken, NJ, typically earn between $55,000 and $70,000 annually, depending on experience and certifications. Given the region's healthcare demand and cost of living, salaries at Carepoint Health System align competitively with these market trends.
Due to Carepoint Health System's multi-hospital structure, Credentialing Specialists must navigate diverse regulatory requirements from bodies like NCQA, CMS, and Joint Commission. Ensuring uniform compliance across facilities demands meticulous attention and up-to-date knowledge.
Daily tasks at Carepoint include detailed practitioner application reviews, primary source verifications, maintaining CAQH databases, and liaising with payers and medical staff. The role requires balancing compliance duties with efficient data processing to support timely credential approvals.