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6 results for Credentialing Auditor in Monterey Park, CA

Credentialing Analyst

Long Beach, CA
onsite
Temporary to Hire
22.1635 - 28.91 USD / Hourly
A Healthcare Company in Long Beach in looking to hire a Credentialing Analyst to support provider enrollment and credentialing activities. The Credentialing Analyst is ideal for someone who can step into a fast-paced healthcare environment, work fully onsite Monday through Friday, and help maintain accurate, compliant credentialing records. The person in this role will play an important part in keeping provider files current, complete, and ready for timely onboarding and activation. Key Responsibilities:• Manage credentialing and recredentialing case files by gathering, reviewing, and organizing provider documentation for completeness and accuracy.• Communicate with providers and practice contacts to obtain outstanding materials and resolve incomplete submissions in a timely manner.• Conduct and coordinate primary source verification for items such as licensure, certifications, education history, sanctions screening, and malpractice coverage or claims history.• Support provider onboarding efforts by tracking packet status and helping move applications through the credentialing workflow efficiently.• Enter, update, and maintain credentialing data within internal systems to ensure records remain current and reliable.• Monitor key operational indicators, including missing file components, upcoming renewal deadlines, processing turnaround times, and open backlog items.• Assist with audit preparation and file quality reviews to support compliance with organizational, state, and health plan standards.• Verify provider demographic details and roster information while also helping with backlog reduction, document indexing, scanning, and other administrative support tasks. Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-05-07T00:00:00Z

Credentialing Specialist

Santa Monica, CA
onsite
Temporary / Contract
32 - 45 USD / Hourly
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. Key Responsibilities:<ul><li>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.</li><li>Review and validate provider documentation such as licenses, education, certifications, employment history, references, and malpractice coverage, ensuring alignment with MSO, payer, and organizational standards.</li><li>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.</li><li>Maintain complete, accurate, and current practitioner files within the MD Staff platform, supporting MSO credentialing operations, data integrity, and audit readiness.</li><li>Track expiring credentials and proactively follow up to obtain renewed licenses, certifications, and supporting documentation needed for MSO participation and payer enrollment continuity.</li><li>Assemble credentialing and re‑credentialing packets for review by medical staff committees, leadership groups, and MSO governance bodies.</li><li>Support compliance with Joint Commission, NCQA, CMS, and MSO‑specific accreditation and regulatory standards.</li><li>Serve as a primary point of contact for physicians, department leaders, MSO stakeholders, and affiliated practices regarding application status, missing items, and approval timelines.</li><li>Contribute to audits, survey preparation, policy updates, and process improvement initiatives related to MSO credentialing, provider enrollment, and medical staff services.</li></ul> Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-04-25T00:00:00Z

IT Auditor

Santa Ana, CA
onsite
Permanent / Full Time
95000 - 105000 USD / Yearly
We are seeking a skilled IT Audit & Compliance Analyst to support our client based in Tustin, CA. This position is instrumental in evaluating IT environments, maintaining compliance with regulatory requirements, and ensuring the effectiveness of internal controls. The ideal individual will work cross-functionally to enhance risk management efforts and align technology practices with broader business goals.Key Responsibilities:<ul><li>Execute end-to-end IT audits to assess internal controls, operational processes, and security protocols</li><li>Conduct thorough risk evaluations to uncover system vulnerabilities and process gaps</li><li>Maintain compliance with established frameworks including SOX, COBIT, and other relevant standards</li><li>Design and manage audit plans that support organizational objectives and compliance mandates</li><li>Track and validate remediation activities to ensure audit findings are addressed in a timely manner</li><li>Act as a primary point of contact for external auditors during reviews and regulatory assessments</li><li>Drive improvements to compliance programs, governance structures, and internal policies</li><li>Work alongside IT and cybersecurity teams to reinforce data protection and security best practices</li><li>Monitor evolving regulatory landscapes and evaluate their impact on current processes</li><li>Recommend and implement process enhancements to improve audit effectiveness and efficiency</li></ul>
2026-04-06T00:00:00Z

Medical Credentialing Specialist

Santa Monica, CA
onsite
Temporary to Hire
31.97 - 45 USD / Hourly
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. Key Responsibilities:• 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. Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-05-07T00:00:00Z

Audit Manager

Claremont, CA
onsite
Permanent / Full Time
30000 - 40000 USD / Yearly
We are looking for an experienced Audit Manager to oversee part-time audit engagements specializing in 401(k) and employee benefit plan audits. This role is ideal for a, semi-retired auditor, or someone with a background in public accounting seeking flexible and seasonal work. This position allows you to leverage your expertise while maintaining a balanced work schedule. Responsibilities:• Lead audit engagements for employee benefit plans, including 401(k), 403(b), and defined benefit plans.• Conduct thorough audit planning and risk assessments to identify critical testing areas.• Execute audit fieldwork efficiently while adhering to deadlines and applicable standards.• Review workpapers, financial statements, and supplemental schedules for accuracy and compliance.• Ensure all audits meet regulatory requirements, including Uniform Guidance and industry standards.• Communicate audit results and recommendations effectively to clients, providing clear and practical guidance.• Collaborate with clients to address issues and deliver tailored solutions.• Maintain confidentiality and uphold high standards of integrity in handling sensitive information.• Stay updated on regulatory changes and industry trends impacting employee benefit plans.• Ensure audit quality and consistency throughout engagements.
2026-05-06T00:00:00Z

Medical Credentialing Administrative Assistant

Santa Monica, CA
onsite
Temporary / Contract
26 - 37 USD / Hourly
We are looking for a detail-oriented Medical Administrative Assistant to support the Medical Staff department in Santa Monica, California. This Medical Administrative Assistant position is ideal for someone who excels at coordinating administrative processes, maintaining accurate records, and keeping compliance-related documentation current in a busy healthcare setting. The role also involves organizing department meetings, preparing documentation, and communicating effectively with physicians, staff, and leadership. Success in this position requires sound judgment, strong organizational skills, and the ability to handle confidential information with care. Key Responsibilities:• Oversee the tracking of time‑sensitive items such as licenses, certifications, privileging documents, and other required medical staff records to support ongoing compliance.• Maintain accurate, complete, and current credentialing and departmental records across internal files and systems.• Arrange department and committee meetings by managing calendars, confirming attendance, preparing agendas, and assembling supporting materials.• Record clear, thorough meeting minutes, track action items, and distribute finalized documentation promptly to physicians, leadership, and other stakeholders.• Perform document control, filing, and data entry tasks to ensure information is organized, accessible, and audit‑ready.• Follow up with physicians, team members, and leadership regarding outstanding paperwork, renewals, and submission deadlines.• Provide day‑to‑day administrative support for the Medical Staff department, including office coordination, communication support, and confidential information handling. Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-04-25T00:00:00Z