Credentialing Specialist

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: Request and review primary source information and verifications, identifying and resolving gaps in vendor relationships Process provider enrollment by gathering and reviewing information for application submissions to payors Assist in quality assurance and compliance by evaluating practitioner sanctions and participating in audits of credentialing entities Required qualifications: Associates 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 experience in a directly related field Minimum one year of experience with databases and spreadsheets Provider Credentialing Specialist Certificate within 36 months of hire Experience in clinical credentialing, accreditation, and regulation Knowledge of health care compliance and quality standards