California Licensed Credentialing Manager

Job Summary

Responsible for overseeing the daily operations of the Office of Integrated Credentialing, the full-time California Licensed Credentialing Manager will ensure compliance with regulatory requirements, manage staff productivity, and assist in the development of credentialing policies while working remotely.

Key responsibilities

• Supervise staff and monitor credentialing work product and productivity
• Ensure compliance with accreditation standards and coordinate internal review processes
• Maintain database accuracy and oversee credentialing staff activities in line with regulatory requirements

Required qualifications

• Bachelor's Degree in a related field or equivalent experience (1-2 years may substitute)
• 3-5 years of experience in credentialing within a medical staff or credentialing office
• Thorough knowledge of TJC, DNV, NCQA, AAAHC, Title 22, and CMS standards
• Certification as a Certified Professional in Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) required
• Fire Life Safety Training certification (LA City) required within 30 days of hire if not already obtained