California Licensed Credentialing Specialist

Job Summary

To support credentialing processes, the full-time temporary California Licensed Credentialing Specialist will manage primary source verifications, evaluate applications, and maintain databases while working remotely.

Key Responsibilities

• Requests and reviews primary source information and evaluates applications for credentialing and privileging processes
• Maintains databases and ensures compliance with internal policies and external regulations through audits and quality assurance activities
• Acts as the main point of contact for external queries regarding practitioner status and communicates enrollment status to stakeholders

Required Qualifications

• Associates degree in Business Administration, Health Care Administration, Nursing, Public Health, or related field, or equivalent experience
• Minimum three (3) years of experience in clinical credentialing, accreditation, regulation, or a related field
• Provider Credentialing Specialist Certificate within 36 months of hire
• Minimum one (1) year of experience with databases and spreadsheets
• Experience in health care quality standards and compliance