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Credentialing Specialist

United States, Fresno · Job Posted February 13, 2026
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Job Description

A healthcare organization is moving quickly, to identify a detail-driven professional to support provider readiness, compliance, and credentialing workflows. This role manages the full lifecycle of provider and clinic staff credentialing, recredentialing, and privileging, ensuring alignment with California regulations, HRSA FTCA, NCQA, and Joint Commission standards. This is a high-impact, time-sensitive need supporting leadership and clinical teams where accuracy and compliance are critical. The Credentialing Specialist compiles and maintains the full lifecycle of provider and clinic staff credentialing, recredentialing, and privileging for all licensed, certified and other clinical staff. Manages workflows, ensures data accuracy, and collaborates with leadership, providers, and external agencies to maintain timely and compliant credentialing processes. Responsible for tracking and scheduling clinic staff BLS/CPR renewal appointments.

Job Responsibility

  • Compile and maintain current and accurate data for all providers
  • Track and schedule clinic staff BLS/CPR renewal appointments
  • Complete provider credentialing and recredentialing applications
  • monitor applications and follow-up as needed
  • Maintain copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers
  • Maintain knowledge of current health plan and agency requirements for credentialing providers
  • Set up and maintain provider information in online credentialing databases and system
  • Track license and certification expirations for all providers to ensure timely renewals
  • Ensure clinic addresses are current with health plans, agencies and other entities
  • Process applications for appointment and reappointment of privileges to other healthcare facilities as applicable
  • Track license, DEA, and professional liability expirations for providers
  • Maintain appointment files, and information in credentialing database
  • Audit health plan directories for current and accurate provider information
  • Provides credentialing and privileging verifications
  • Consistently demonstrate good use of time and resources
  • Attend training events and maintain competency as required to perform duties
  • Regularly support compliance and accreditation efforts as assigned (e.g., OSHA, HIPAA)
  • Be familiar with and consistently implement the organizations mission and all approved policies, protocols, and procedures
  • Performs other duties that may be assigned from time to time

Requirements

  • Intermediate knowledge of Microsoft Word, Outlook, and Excel applications
  • Ability to work independently with minimal supervision
  • Ability to organize and prioritize work and manage multiple priorities
  • Strong analytical and problem-solving skills
  • Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization
  • Effective verbal and written communication skills
  • Ability to maintain good judgement when handling sensitive and personal information

What we offer

  • medical
  • vision
  • dental
  • life and disability insurance
  • 401(k) plan
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