Credentialing Specialist

Ocean Beach Health

Build a career where your work truly matters.

Job Summary:

The Credentialing Specialist is responsible for coordinating, verifying, and maintaining provider credentialing and privileging records to ensure compliance with organizational, regulatory, and accreditation requirements. This role plays a critical part in supporting patient safety, regulatory readiness, and timely onboarding of providers by managing all aspects of the credentialing lifecycle with accuracy, confidentiality, and professionalism.

• Family-feel culture with collaborative mentorship

• Meaningful work that directly supports patient care

• Opportunity to grow your skills in a healthcare environment

• Live and work on the beautiful Long Beach Peninsula on the Washington Coast

• Medical, dental, and vision insurance

• 5+ weeks of PTO in your first year

• 9 paid holidays

• 8 paid volunteer hours annually

• Short-term disability coverage

• Retirement plan with 5% employer match after one year

• Employee Assistance Program (EAP)

• And more

Education/Experience/Minimum Qualifications:

• High school diploma required; associate or bachelor's degree preferred
• 2 years of experience in medical staff services, credentialing, or healthcare administration preferred
• Experience in hospital or multi-provider clinic setting strongly preferred
• Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) preferred or willingness to obtain

What you'll do:

• Coordinate initial and recredentialing processes for all medical staff and allied health professionals
• Collect, verify, and evaluate provider credentials in accordance with hospital policy, medical staff bylaws, and regulatory standards
• Perform primary source verification for licensure, education, training, board certification, DEA registration, and work history
• Prepare credentialing and privileging files for review by Medical Staff leadership, Credentials Committee, and Governing Board
• Maintain accurate, complete, and up-to-date credentialing files and databases
• Track expiration dates and proactively manage reappointments and renewals to prevent lapses
• Serve as a liaison between providers, medical staff leadership, HR, compliance, and department leadership
• Ensure compliance with CMS, state, and payer credentialing requirements
• Support onboarding of new providers by coordinating credentialing, privileging, and enrollment timelines
• Respond to internal and external audits, surveys, and credential requests
• Maintain strict confidentiality of all providers and organizational information

Knowledge, Skills & Abilities

• Strong knowledge of credentialing and privileging processes and regulatory requirements
• Familiarity with CMS, National Committee for Quality Assurance (NCQA), and state licensing standards
• Excellent attention to detail and organizational skills
• Ability to manage multiple providers and deadlines simultaneously
• Strong written and verbal communication skills
• High level of professionalism and discretion
• Proficient in Microsoft Office and credentialing databases/systems
• Completes all training on time.
• Contributes to a culture of Patient Centered Care.
• Contributes to a safe work environment.
• Demonstrates commitment to the team.
• Maintain practices of financial stewardship.
• Regular and punctual attendance required.
• Adheres to all company policies and procedures.
• Must be able to respond to emergencies.
• CPR certification required within probationary period.
• Supports Organizational Values
• Other duties may be assigned.

Interested?
For more information, please contact HR at

All final candidates must successfully complete a background check and pre-employment drug screening, including THC testing.

Ocean Beach Health is an Equal Employment Opportunity employer.