Corrections Specialist 3 - Credentialing Program Specialist - P019-HQ

State of Washington$83K — $112K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 4 years of experience in healthcare case management within corrections or social services.
  • Supervisory experience in a relevant field.
  • Proficiency in Microsoft Office Suite and strong communication skills.
  • Ability to substitute experience for education on a year-for-year basis, up to two years.

Responsibilities

  • Independently manage the entire lifecycle for provider enrollment within ProviderOne.
  • Evaluate and confirm eligibility of healthcare providers for Medicaid and NPI compliance.
  • Maintain accuracy and security of provider records in the credentialing database.
  • Collaborate across healthcare disciplines to ensure compliance with credentialing standards.
  • Conduct audits and generate reports to mitigate institutional risks.

Benefits

  • Up to 25 paid vacation days annually.
  • Flexible work schedules including remote/telework options.
  • 12 paid holidays per year and 8 hours of sick leave monthly.
  • Comprehensive health insurance including dental and vision coverage.
  • Generous retirement plan and flex spending accounts.
Full Job Description
Salary: $6,945.00 - $9,341.00 Monthly
Location : Thurston County - Tumwater, WA
Job Type: Project (limited duration)
Job Number:
Department: Dept. of Corrections
Division: HS - HQ
Opening Date: 08/06/2026
Closing Date: 8/12/2026 11:59 PM Pacific

Description
Department of Corrections

Corrections Specialist 3 - Credentialing Program Specialist

Tumwater, WA

Full Time - Project

Monthly Salary Range: $6,945 to $9,341
The Department of Corrections is seeking a motivated project position for the Corrections Specialist 3 (CS3)-Credentialing Program Specialist to join our team.

The Corrections Specialist 3 (CS3) serves as the senior-level Program Specialist within the Office of Quality, Governance, and Accountability. Reporting to the Health Services Credentialing Program Manager, this position independently performs complex duties to manage and implement the Department's healthcare provider enrollment and credentialing programs.

This role has overall responsibility for the technical coordination of enrollment within the DOC Health Services Division. This includes evaluating and verifying practitioner credentials against federal and state guidelines, managing the integrity of the credentialing database, and interpreting RCW, WAC, and national standards to ensure team alignment. The CS3 analyzes complex metrics related to licensure compliance to identify trends and provides recommendations to leadership to mitigate institutional risk.
Acting with high-level autonomy, this position collaborates across disciplines-including Nursing, Behavioral Health, and Medical Services-to lead Health Services divisional readiness and ensure patient safety initiatives. The CS3 serves as a technical advisor & specialist in building governance structures and providing specialized consultation on adverse event reviews and policy development. By ensuring clinical staff meet rigorous qualifications, this position directly enables the delivery of constitutionally mandated care in accordance with RCW 72.10 and the DOC Health Plan.
Application assessment will be ongoing, and the hiring authority reserves the right to offer the position at any time during the recruitment process. It is to the applicant's advantage to apply as early as possible.
"This recruitment could be used to fill multiple permanent or non-permanent positions."
Duties
Serves as the senior program specialist responsible for the coordination and maintenance of ProviderOne enrollment for all licensed employees and contract staff within the Health Services division.

  • Independently manages the end-to-end lifecycle for initial and continuous provider enrollment within ProviderOne.
  • Coordinates and monitors the review and analysis of practitioner applications and primary source documents to verify and ensure applicant eligibility.
  • Evaluates and confirms provider eligibility to participate in Federal programs (Medicaid) and ensures all practitioners possess a valid National Provider Identifier (NPI).
  • Independently monitors and maintains ProviderOne domains and provider records to ensure data accuracy and system security.
  • Serves as the point of contact to coordinate with the Health Care Authority (HCA) Provider Enrollment Team to resolve complex enrollment or system issues.
  • Ensuring all requests for provider information are completed in a timely manner and in strict compliance with federal and state regulatory standards.


Performs complex duties to implement and monitor the credentialing, privileging, and certification systems for Health Services staff.

  • Executes the primary source verification process by conducting background investigations and researching credentialing files to determine the accuracy of practitioner qualifications.
  • Reviews and ensure all eligible employees maintain current license and certification credentials in accordance with Federal, State, and Department requirements.
  • Manages and protects the confidentiality of state licenses, DEA certificates, and board certifications; ensures all required credentialing documents are secured.
  • Collaborates with Nursing, Behavioral Health, Medical Services, and Operations to ensure Health Services Division compliance with credentialing standards and patient safety protocols.
  • Notifies supervisor of credentialing and/or collaboration issues, or HSA in the absence of the manager.


Ensures all provider enrollment and credentialing activities comply with RCW 72.10, the DOC Health Plan, and DOH/HCA requirements.

  • Maintains and audits Managed Care Organization (MCO) provider rosters to ensure divisional accuracy and defensibility.
  • Conducts monthly audits of the Office of Inspector General (OIG) Exclusion List to mitigate agency risk.
  • Performs complex queries and generates reports for the National Practitioner Data Base (NPDB), American Medical Association (AMA), and SAM.gov in accordance with the Health Care Quality Improvement Act (HCQIA).
  • Identifies issues requiring specialized investigation; validates discrepancies and determines appropriate follow-up actions for the Credentialing Manager.


Other duties as assigned by supervisor

  • Represents the unit or supervisor at meetings and workgroups as a technical advisor and specialist.
  • Completes required annual AIS training and other mandatory professional development.
  • Performs other related work as required by the Health Services Division.


Qualifications
Required qualifications:

  • 4 years of professional experience providing healthcare case management services in adult or juvenile corrections, social services, or closely related field 2 years working with Medicaid systems.
  • Supervisory Experience
  • Proficiency using Microsoft Office software (Word, Excel, Outlook). Excellent written and verbal communication skills
  • Note: Additional qualifying experience will substitute, year for year, for up to two years of the desired education.


Preferred/Desired Qualifications:

  • Relevant work experience in healthcare or administrative roles.
  • Certification in credentialing, such as the Certified Provider Credentialing Specialist (CPCS) from NAMSS or willing to work towards certification
  • Strong communication skills and attention to detail, essential for managing the credentialing process.
  • Familiarity with credentialing software and databases used in healthcare settings.
  • Bachelor's degree in healthcare administration, business or related field.


Supplemental Information
What We Offer:
As an employee of the Department of Corrections, your work-life integration is a priority. Washington State employees are offered one of the most inclusive and competitive benefits packages in the nation. Besides comprehensive family insurance for medical, dental, and vision, these perks also may include:
  • Up to 25 paid vacations days a year
  • Remote/telework/flexible schedules (depending on position)
  • 3 days of bereavement Leave
  • 8 hours of paid sick leave per month
  • 12 paid holidays a year
  • Generous retirement plan
  • Flex Spending Accounts
  • Dependent Care Assistance
  • Deferred Compensation and so much more!

State Employees are members of the Washington Public Employees' Retirement System (PERS). New employees have the option of two employer contributed retirement programs. For additional information, check out the Department of Retirement Systems' web site.

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