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 serve as a key contact for practitioner status inquiries while working remotely.

Key responsibilities:

• Conduct primary source verification and manage the evaluation of applications and supporting documents
• Assist in the development and facilitation of training for newly appointed physician leaders and maintain relationships with key stakeholders
• Process provider enrollment and ensure compliance with internal policies and external regulations through audits and data management

Required qualifications:

• Associates degree in Business Administration, Health Care Administration, Nursing, Public Health, or related field AND a minimum of three years of experience in clinical credentialing or a related field, or four years of relevant experience
• Minimum one year of experience with databases and spreadsheets
• Provider Credentialing Specialist Certificate within 36 months of hire