Medical Staff Admin Specialist

J  o  b    D  e  s  c  r  i  p  t  i  o  n

JOB INFORMATION

Effective Date:

3/10/2026

Entity:

Wisconsin

Job Code:

350054

Job Title:

Medical Staff Admin Specialist

FLSA Exemption Status:

Non-Exempt

Management Level:

Individual Contributor

JOB SUMMARY

The Medical Staff Administration Specialist coordinates and supports credentialing, privileging, governance, and provider data activities for medical staff members and advanced practice providers (APPs) across UW Health and affiliated organizations. The Specialist performs work in accordance with established policies, procedures, Medical Staff Bylaws, accreditation standards, and regulatory requirements to support accurate, compliant, and audit-ready operations.

The role functions as an operational resource to Medical Staff leaders, clinical departments, administrative partners, and external entities by facilitating credentialing workflows, supporting Medical Staff governance processes, maintaining provider data integrity, and contributing to accreditation and regulatory readiness efforts. The Specialist applies specialized knowledge of medical staff administration practices, escalates issues and variances through defined pathways, and participates in continuous improvement initiatives within the Medical Staff Administration function.

ESSENTIAL DUTIES

•

Manages end to end credentialing and privileging processes for medical staff and APPs.

•

Verifies provider information, resolves application issues, and maintains accurate and secure provider and audit ready records.

•

Supports privilege set review and updates in alignment with regulatory and organizational standards.

•

Prepares credentialing materials and organizes applicant data for Medical Staff committees.

•

Documents committee actions, coordinates annual governance activities, and ensures timely follow up per bylaws and policies.

•

Monitors and applies accreditation, regulatory, and CMS requirements related to credentialing.

•

Supports accreditation readiness through documentation review and data validation.

•

Escalates compliance concerns following established pathways.

•

Manages archival documentation and supports data quality and workflow improvement initiatives.

•

Contributes to enhanced efficiency, consistency, and reporting capabilities.

•

Serves as a liaison for internal departments and regional partners on credentialing standards and processes.

•

Supports CVO, delegated, and by proxy credentialing agreements through documentation coordination and communication.

•

Engages in ongoing professional development to maintain current knowledge of medical staff administration.

As needed, additional responsibilities reasonably within the scope of duties and physical requirements may be assigned.  ALL DUTIES AND REQUIREMENTS MUST BE PERFORMED CONSISTENT WITH THE UW HEALTH PERFORMANCE STANDARDS AND RESPECT FOR PEOPLE COMMITTMENTS.

X

Non-Clinical

JOB REQUIREMENTS

High School Diploma

or equivalent

Required

Bachelor's Degree

in business or related field

Preferred

3 years

of experience in an office environment

Required

Experience in medical staff credentialing and accreditation

Preferred

Certified Provider Credentialing Specialist (CPCS)

Preferred

or

Certified Professional Medical Services Management (CPMSM)

Preferred

LICENSE, CERTIFICATIONS, AND REGISTRATIONS MUST BE MAINTAINED PER UW HEALTH POLICY. 

•

Understanding of credentialing principles, regulatory requirements, and accreditation standards.

•

Ability to apply professional judgment to complex or ambiguous credentialing situations.

•

Strong written and verbal communication skills, including the ability to synthesize and present complex information.

•

Ability to build collaborative relationships with clinical and administrative stakeholders.

•

High level of organizational skill, accuracy, and attention to detail.

•

Proficiency in database management, document management, and productivity software.

•

Ability to maintain strict confidentiality of sensitive information.

PHYSICAL REQUIREMENTS/WORKING CONDITIONS

☒

Sedentary: Sedentary work involves lifting no more than 10 pounds at a time and occasionally lifting or carrying articles like docket files, ledgers, and small tools. Although a sedentary job is defined as one which involves sitting, a certain amount of walking and standing is often necessary in carrying out job duties. Jobs are sedentary if walking and standing are required occasionally and other sedentary criteria are met.

Up to 10 lbs.

Negligible Weight

No Weight

☐

Light: Light work involves lifting no more than 20 pounds at a time with frequent lifting or carrying of objects weighing up to 10 pounds. Even though the weight lifted may be very little, a job is in this category when it requires a good deal of walking or standing, or when it involves sitting most of the time with some pushing and pulling of arm or leg controls. To be considered capable of performing a full or wide range of light work, you must have the ability to do substantially all of these activities. If someone can do light work, we determine that they can also do sedentary work, unless there are additional limiting factors such as loss of fine dexterity or inability to sit for long periods of time.

11-25 lbs.

1 - 10 lbs.

Negligible weight

☐

Medium: Medium work involves lifting no more than 50 pounds at a time with frequent lifting or carrying of objects weighing up to 25 pounds. If someone can do medium work, we determine that they can also do sedentary and light work.

26-50 lbs.

11-25 lbs.

1 - 10 lbs.

☐

Heavy: Heavy work involves lifting no more than 100 pounds at a time with frequent lifting or carrying of objects weighing up to 50 pounds. If someone can do heavy work, we determine that they can also do medium, light, and sedentary work.

51-100 lbs.

26-50 lbs.

11-25 lbs.

☐

Very Heavy: Very heavy work involves lifting objects weighing more than 100 pounds at a time with frequent lifting or carrying of objects weighing 50 pounds or more. If someone can do very heavy work, we determine that they can also do heavy, medium, light, and sedentary work.

Over 100 lbs.

Over 50 lbs.

Over 25 lbs.

Other - list any other physical requirements or bona fide occupational qualifications not indicated above:

Over 50 lbs.

UW Health does not require, nor does it expect that its employees lift more than 50 lbs unassisted. Objects in excess of 50 lbs should be lifted or moved with mechanical means or through a team lift. Employees in patient care areas are expected to utilize mechanical lifts and adhere to the "Use of Mechanical Lifts (Liko)" policy in the Patient Services Policy and Procedure Manual.

Note: The purpose of this document is to describe the general nature and level of work performed by personnel so classified; it is not intended to serve as an inclusive list of all responsibilities associated with this position.

THE EMPLOYEE MUST BE ABLE TO COMPLETE ALL PHYSICAL REQUIREMENTS OF THE JOB WITH OR WITHOUT AN APPROVED ACCOMODATION. Note: The purpose of this document is to describe the general nature and level of work performed by personnel so classified; it is not intended to serve as an inclusive list of all responsibilities associated with this position.