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Medical Credentialing Specialist

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Robert Half

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Location:
United States , Santa Monica

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Category:
IT - Administration

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Contract Type:
Employment contract

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Salary:

Not provided
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Job Description:

A National Hospital System in in Los Angeles is in the immediate need of a Medical Credentialing Specialist to support credentialing and privileging activities for physician staff. This Medical Credentialing Specialist plays an important role in maintaining accurate provider records, supporting compliance efforts, and coordinating documentation for appointment and reappointment workflows. The Medical Credentialing Specialist must bring 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. MD Staff Software is a MUST.

Job Responsibility:

  • Oversee the end-to-end credentialing cycle for physicians, including new appointments, renewals, and ongoing status maintenance
  • Review and validate provider documentation such as licenses, education, certifications, employment history, and references
  • Administer privilege requests and updates by tracking clinical privileges and ensuring alignment with governing bylaws and organizational standards
  • Maintain complete and current practitioner files within the MD Staff platform, ensuring data accuracy and documentation readiness
  • Track expiring credentials and follow up proactively to obtain renewed licenses, certifications, and other required materials before deadlines
  • Assemble credentialing packets and prepare supporting materials for review by committees, leadership groups, and governing bodies
  • Help uphold adherence to accreditation and regulatory expectations, including Joint Commission standards and internal medical staff requirements
  • Serve as a point of contact for physicians, department leaders, and stakeholders regarding application progress, missing items, and approval status
  • Contribute to audits, survey preparation, policy revisions, and process improvement initiatives related to medical staff services

Requirements:

  • At least 3 years of experience in medical staff services, provider credentialing, or privileging within a hospital or healthcare setting
  • Hands-on experience using MD Staff software in a credentialing or medical staff administration environment
  • Solid understanding of physician credentialing practices, reappointment procedures, and privileging requirements
  • 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 and maintain a high level of accuracy
  • Effective written and verbal communication skills for working with providers, committees, and administrative leadership
  • Ability to handle confidential information with discretion and professionalism
  • Industry certification such as CPCS or CPMSM is preferred, and experience supporting medical staff committees is a plus

Nice to have:

  • Industry certification such as CPCS or CPMSM is preferred
  • Experience supporting medical staff 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
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