Credentialing Specialist Job at Robert Half, Palm Springs, CA

czM4ZXA3NGRpcmFZTzlld0hTZVJrVFEyUkE9PQ==
  • Robert Half
  • Palm Springs, CA

Job Description

Description We are looking for a dedicated Credentialing Specialist to join our team in Palm Springs, California. This long-term contract position is ideal for someone with a strong attention to detail and a solid background in healthcare credentialing and compliance. The role involves ensuring providers meet managed care requirements and adhere to California-specific regulations. Responsibilities: - Manage the initial credentialing and recredentialing processes for healthcare providers, ensuring compliance with relevant standards and guidelines. - Verify provider qualifications, including licenses, certifications, education, and work history, in line with California state regulations. - Maintain a thorough understanding of managed care policies and contracts to ensure proper credentialing procedures. - Ensure adherence to standards set by regulatory organizations such as the National Committee for Quality Assurance (NCQA), The Joint Commission, and Centers for Medicare & Medicaid Services. - Maintain accurate and up-to-date credentialing records, performing regular audits to ensure data integrity. - Act as the primary point of contact for providers, managed care organizations, and regulatory agencies, resolving inquiries and providing guidance on credentialing requirements. - Oversee the renewal process for provider contracts and credentials, addressing any appeals or disputes as needed. - Identify opportunities to streamline credentialing workflows and implement improvements in line with regulatory updates. - Monitor compliance with California-specific licensing and managed care guidelines, ensuring readiness for audits. - Stay informed about changes in healthcare regulations and adjust credentialing processes accordingly. Requirements - Associate's or Bachelor's degree in healthcare administration, business, or a related field, or equivalent experience. - At least 2-3 years of experience in credentialing, preferably within a managed care or healthcare organization. - Proficiency with electronic health record (EHR) systems and credentialing software. - Strong understanding of California-specific healthcare credentialing laws and managed care requirements. - Familiarity with standards from NCQA, The Joint Commission, and other regulatory bodies. - Excellent organizational skills and attention to detail. - Strong communication abilities, both verbal and written, with the capability to manage multiple priorities. - Certification as a Certified Provider Credentialing Specialist (CPCS) is highly preferred. TalentMatch® 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. Download the Robert Half app ( 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 roberthalf.gobenefits.net for more information. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use ( .

Job Tags

Permanent employment, Contract work, Temporary work,

Similar Jobs

U.S. Army

Construction Technician - 12N Horizontal Construction Engineer Job at U.S. Army

As a Horizontal Construction Engineer, you'll operate heavy construction equipment like bulldozers, tractors, backhoes, cranes, excavators, and road graders to help pave the way for fellow Soldiers and to make room for construction projects. Without safe roads to travel... 

Pizza Hut

General Manager Job at Pizza Hut

 ...Pizza Hut is looking for General Managers!At Pizza Hut we believe that a passion to please and customer satisfaction are the driving forces behind our success! We are seeking goal-oriented individuals with strong leadership and interpersonal skills, the ability to build... 

Henner Tank Lines

Class A Local Tanker Drivers Job Job at Henner Tank Lines

Class A Local Tanker Drivers JobRequirements:Two years of verifiable Class-A driving experienceA current tanker and haz-mat endorsementsA valid TWIC cardA current Medical CertificatePass a DOT Drug TestMust be able to drive for up to 10 hours... 

Spring Hill Christian Academy & Early Learning

Christian School 4th Grade Teacher Job at Spring Hill Christian Academy & Early Learning

 ...for you. We are currently searching for teachers for the 2025-2026 school year with experience teaching the late elementary grades. You should not only love the subjects you teach, but also be excited about creating lifelong learners. Youll cultivate student... 

Brown Foodservice

Route Delivery Driver - Class A CDL Job at Brown Foodservice

 ...Job Description Route Delivery Driver UP TO A $10,000 SIGN ON BONUS BASED ON ELIGIBILITY MINIMUM BASE PAYAND STARTING PAY ARE $52,000/YEAR JOB SUMMARY / GENERAL DESCRIPTION: In the Route Delivery Driver position, you will be responsible for the accurate and...