Hoag Health System
Enterprise Credentialing Specialist: Enterprise Credentialing
Hoag Health System, Newport Beach, California, us, 92659
Overview
The Enterprise Credentialing Specialist maintains regular cooperation and compliance with all regulatory, accrediting, and membership-based organizations. The specialist creates and carries out credentialing processes for physicians, other healthcare professionals, and sites, and assists the Supervisor in ensuring that all personnel and services adhere to facility and staff policies, department guidelines, regulations, and government laws. Responsibilities
Process applications and reappointment paperwork, ensuring completeness and accuracy. Collect and process verification and accreditation information; maintain and update accurate databases for practitioners and facilities, including education, training, experience, and licensure data. Prepare records for regular auditing and maintain communication with practitioners to ensure records are up-to-date and consistent. Demonstrate behaviors aligned with the organization’s core values and comply with required standards. Qualifications
Education and Experience: High School diploma, GED, California High Proficiency or equivalent work experience. Proficiency with Microsoft Office (Word, Excel, PowerPoint). Certifications (preferred): NCQA standards experience, Certified Professional Credentialing Analyst (CPCS), Certified Professional Medical Services Specialist (CPMSM). About Us
Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of three acute-care hospitals with sixteen urgent care centers, eleven health centers and a network of more than 1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. Hoag provides high-quality care across multiple institutes including cancer, heart and vascular, neurosciences, women’s health, orthopedics, and digestive health. Hoag was ranked highly in the 2024-2025 U.S. News & World Report and is an Equal Opportunity Employer. For more information about Hoag’s awards and accreditations, visit our awards page. Hoag is committed to equal employment opportunity and a work environment free of discrimination and harassment. Job Details
Seniority level: Entry level Employment type: Full-time Job function: Health Care Provider Industries: Hospitals and Health Care Location: Newport Beach / Orange, CA Compensation: See posting for details Note
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The Enterprise Credentialing Specialist maintains regular cooperation and compliance with all regulatory, accrediting, and membership-based organizations. The specialist creates and carries out credentialing processes for physicians, other healthcare professionals, and sites, and assists the Supervisor in ensuring that all personnel and services adhere to facility and staff policies, department guidelines, regulations, and government laws. Responsibilities
Process applications and reappointment paperwork, ensuring completeness and accuracy. Collect and process verification and accreditation information; maintain and update accurate databases for practitioners and facilities, including education, training, experience, and licensure data. Prepare records for regular auditing and maintain communication with practitioners to ensure records are up-to-date and consistent. Demonstrate behaviors aligned with the organization’s core values and comply with required standards. Qualifications
Education and Experience: High School diploma, GED, California High Proficiency or equivalent work experience. Proficiency with Microsoft Office (Word, Excel, PowerPoint). Certifications (preferred): NCQA standards experience, Certified Professional Credentialing Analyst (CPCS), Certified Professional Medical Services Specialist (CPMSM). About Us
Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of three acute-care hospitals with sixteen urgent care centers, eleven health centers and a network of more than 1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. Hoag provides high-quality care across multiple institutes including cancer, heart and vascular, neurosciences, women’s health, orthopedics, and digestive health. Hoag was ranked highly in the 2024-2025 U.S. News & World Report and is an Equal Opportunity Employer. For more information about Hoag’s awards and accreditations, visit our awards page. Hoag is committed to equal employment opportunity and a work environment free of discrimination and harassment. Job Details
Seniority level: Entry level Employment type: Full-time Job function: Health Care Provider Industries: Hospitals and Health Care Location: Newport Beach / Orange, CA Compensation: See posting for details Note
Referrals increase your chances of interviewing. Sign in to set job alerts for credentialing roles.
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