We are looking for a meticulous Credentialing Specialist to join our team in Palm Springs, California, for a long-term contract position. In this role, you will play a vital part in ensuring healthcare providers meet all credentialing and compliance standards, with a focus on California-specific regulations and managed care requirements. This opportunity is ideal for detail-oriented professionals who thrive in a collaborative and fast-paced environment. Responsibilities: • Oversee initial credentialing and recredentialing processes for healthcare providers in managed care networks. • Verify licenses, certifications, education, and work history to ensure compliance with state and national regulations. • Maintain up-to-date knowledge of managed care policies and credentialing requirements, including Medicare and Medicaid standards. • Monitor adherence to California-specific licensing laws and guidelines from accrediting organizations such as The Joint Commission. • Manage accurate databases for provider credentialing files, including tracking expiration dates and conducting audits. • Act as a liaison between healthcare providers, managed care organizations, and regulatory agencies to facilitate clear communication. • Handle renewals and appeals related to credentialing errors or provider denials in accordance with state laws. • Identify and implement process improvements to streamline credentialing workflows and enhance efficiency. • Stay informed about changes in healthcare regulations and adjust processes accordingly.

• Associate’s or Bachelor’s degree in healthcare administration, business, or a related field, or equivalent work experience. • Minimum of 2-3 years of experience in credentialing, preferably within a managed care or California-based healthcare organization. • Proficiency with credentialing software and electronic medical record systems such as Cerner and Epic. • Strong knowledge of California healthcare credentialing laws and standards from accrediting organizations. • Exceptional attention to detail and organizational skills to manage complex documentation. • Excellent verbal and written communication skills for effective collaboration. • Ability to prioritize multiple tasks and work efficiently under deadlines. • Certification as a Certified Provider Credentialing Specialist (CPCS) is preferred but not required.

<h3 class="rh-display-3--rich-text">TalentMatch®</h3> Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. <a href="https://www.roberthalf.com/us/en/mobile-app" target="_blank">Download the Robert Half app</a> and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit <a href="https://roberthalf.gobenefits.net/" target="_blank">roberthalf.gobenefits.net</a> for more information. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to <a href="https://www.roberthalf.com/us/en/terms">Robert Half’s Terms of Use</a>.

Palm Springs, CA
onsite
Temporary
25.65 - 27.00 USD / Hourly
We are looking for a meticulous Credentialing Specialist to join our team in Palm Springs, California, for a long-term contract position. In this role, you will play a vital part in ensuring healthcare providers meet all credentialing and compliance standards, with a focus on California-specific regulations and managed care requirements. This opportunity is ideal for detail-oriented professionals who thrive in a collaborative and fast-paced environment. Responsibilities: • Oversee initial credentialing and recredentialing processes for healthcare providers in managed care networks. • Verify licenses, certifications, education, and work history to ensure compliance with state and national regulations. • Maintain up-to-date knowledge of managed care policies and credentialing requirements, including Medicare and Medicaid standards. • Monitor adherence to California-specific licensing laws and guidelines from accrediting organizations such as The Joint Commission. • Manage accurate databases for provider credentialing files, including tracking expiration dates and conducting audits. • Act as a liaison between healthcare providers, managed care organizations, and regulatory agencies to facilitate clear communication. • Handle renewals and appeals related to credentialing errors or provider denials in accordance with state laws. • Identify and implement process improvements to streamline credentialing workflows and enhance efficiency. • Stay informed about changes in healthcare regulations and adjust processes accordingly.
2025-08-29T22:08:54Z