California Credentialing Specialist

Job Summary

A company is looking for a Credentialing Specialist responsible for managing credentialing activities for healthcare providers.

Key Responsibilities

• Coordinate and monitor credentialing processes, ensuring compliance with NCQA and health plan standards
• Maintain credentialing policies, procedures, and electronic files, while preparing documentation for Medical Directors and committees
• Attend meetings and workshops to stay updated on credentialing requirements and relay information for policy implementation

Required Qualifications

• 3-5 years of experience in the healthcare industry, preferably in credentialing
• High school diploma or GED
• 1+ years of vocational or college coursework preferred
• Certified Provider Credentialing Specialist (CPCS) or Professional Medical Services Manager (PMSVSC) preferred