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 assist in training physician leaders while working remotely.

Key responsibilities:

• Request and review primary source information and verifications, identifying gaps in vendor relationships
• Process provider enrollment by gathering and reviewing information for submission to payors
• Participate in training and regulatory awareness, developing informational documents for internal and external stakeholders

Required qualifications:

• Associate's degree in Business Administration, Health Care Administration, Nursing, Public Health, or related field, with at least three years of relevant experience, or four years of relevant experience without a degree
• Minimum one year of experience with databases and spreadsheets
• Provider Credentialing Specialist Certificate within 36 months of hire