Credentialing Specialist Job at Robert Half (Santa Monica)

Credentialing Specialist

Robert Half

Location:
United States , Santa Monica

Category:
Office Administration

Contract Type:
Not provided

Salary:

Not provided

Save Job

Apply Position

Job Description:

We are looking for a Credentialing Specialist to support credentialing and privileging activities for physician staff in Santa Monica, California. This Credentialing Specialist plays an important role in maintaining accurate provider records, supporting compliance efforts, and coordinating documentation for appointment and reappointment workflows. The ideal candidate brings prior experience in a hospital or healthcare environment, strong working knowledge of MD Staff, and the ability to manage sensitive information with accuracy and care.

Job Responsibility:

Oversee the end‑to‑end credentialing cycle for physicians within an MSO‑supported, multi‑site environment, including new appointments, renewals, and ongoing provider status maintenance
Review and validate provider documentation such as licenses, education, certifications, employment history, references, and malpractice coverage, ensuring alignment with MSO, payer, and organizational standards
Administer privilege requests and updates by tracking clinical privileges across affiliated practices and service locations, ensuring consistency with governing bylaws, MSO policies, and medical staff requirements
Maintain complete, accurate, and current practitioner files within the MD Staff platform, supporting MSO credentialing operations, data integrity, and audit readiness
Track expiring credentials and proactively follow up to obtain renewed licenses, certifications, and supporting documentation needed for MSO participation and payer enrollment continuity
Assemble credentialing and re‑credentialing packets for review by medical staff committees, leadership groups, and MSO governance bodies
Support compliance with Joint Commission, NCQA, CMS, and MSO‑specific accreditation and regulatory standards
Serve as a primary point of contact for physicians, department leaders, MSO stakeholders, and affiliated practices regarding application status, missing items, and approval timelines
Contribute to audits, survey preparation, policy updates, and process improvement initiatives related to MSO credentialing, provider enrollment, and medical staff services

Requirements:

At least 3 years of experience in medical staff services, provider credentialing, or privileging within a hospital or multi‑site healthcare setting, including environments supporting affiliated practices or provider groups
Hands‑on experience using MD Staff software in a credentialing, medical staff administration, or provider services environment
Solid understanding of physician credentialing practices, reappointment procedures, and privileging requirements across complex clinical settings
Working knowledge of healthcare regulatory and accreditation standards, including Joint Commission expectations and medical staff bylaws
Strong organizational skills with the ability to manage multiple deadlines, track expirables, and maintain a high level of accuracy
Effective written and verbal communication skills for working with providers, committees, administrative leadership, and operational stakeholders
Ability to handle confidential information with discretion and professionalism
Industry certification such as CPCS or CPMSM is preferred, and experience supporting medical staff or credentialing committees is a plus

Nice to have:

Industry certification such as CPCS or CPMSM is preferred
experience supporting medical staff or credentialing committees is a plus

What we offer:

Medical, Dental and Vision Insurance
401K Retirement
Sick Time Off
Tuition Reimbursement

Additional Information:

Job Posted:
May 04, 2026

Employment Type:

Fulltime

Work Type:

On-site work

Robert Half - All Job Offers

Job Link Share: