Credentialing Specialist, Insurance Services

Overview

Opportunities for you! 

• Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek 

• Free Continuing Education and certification  

• Tuition reimbursement, education programs and scholarships 

• Vacation time starts building on Day 1, and builds with your seniority 

• Free money toward retirement with a 403(b) and matching contributions 

• Great food options with on-demand ordering 

• Free parking and electric charging 

 

Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. 

We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page. 

Responsibilities

The Credentialing Specialist CCH coordinates, monitors and performs the credentials verification process for initial appointments, temporary privileges, provisional reviews and reappointments of physicians and allied health professionals. Through formal and on-the-job training, incumbents will develop their skills in all aspects of initial comprehensive credentialing and privileging to include reappointment process, and temporary privilege requests in accordance with the Department of Managed Healthcare (DMHC) and NCQA accreditation standards, state and federal regulatory requirements, bylaws, rules and regulations, policies and procedures aligned with the Knox-Keene Act.  

Qualifications

Education• High School Diploma, High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required• Associate's Degree preferred  Experience• 1 year previous Medical Staff experience preferred   Licenses and Certifications• CPCS - Certified Provider Credentialing Specialist preferred

Disclaimers

• Pay ranges listed are an estimate and subject to change.• If any bonuses are noted, they are only applicable to external hires meeting criteria.