Senior Credentialing Specialist

Senior Credentialing Specialist

Sacramento, CA (100% Onsite) | $87,360–$108,500/year | Full-Time

We're seeking an experienced healthcare professional to oversee credentialing, provider enrollment, and compliance operations for a growing healthcare organization. This leadership opportunity is ideal for someone with experience in provider credentialing, medical staff services, healthcare administration, or enrollment operations who enjoys supporting a team and improving processes.

Key Responsibilities

• Oversee provider credentialing, recredentialing, licensing verification, privileging, and enrollment.
• Lead and support staff responsible for credentialing documentation and provider records.
• Ensure compliance with healthcare regulations, accreditation standards, and payer requirements.
• Review applications, licenses, certifications, and supporting documentation for accuracy and completeness.
• Coordinate audits, compliance reviews, reporting, and committee activities.
• Develop and improve policies, procedures, and departmental workflows.
• Collaborate with HR, clinical leadership, providers, and external partners.
• Monitor team performance and ensure credentialing activities are completed accurately and on time.

Qualifications

• Experience in healthcare credentialing, provider enrollment, medical staff services, or a related area.
• Previous supervisory, team lead, or staff leadership experience.
• Knowledge of licensing verification, credentialing processes, healthcare compliance, and payer requirements.
• Familiarity with audits and healthcare accreditation standards.
• Strong organizational, communication, and problem-solving skills.
• Proficiency with Microsoft Office, databases, spreadsheets, or credentialing software.
• Bachelor's degree in healthcare administration, business, or a related field preferred; equivalent relevant experience may be considered.

Preferred: CPCS or CPMSM certification.

If you have experience in healthcare credentialing, provider enrollment, or medical staff operations and are ready to take on a leadership role, we'd love to hear from you!

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