Principal Credentialing Specialist

General Information

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Work Location: Los Angeles, CA, USA Onsite or Remote Flexible Hybrid Work Schedule Monday - Friday, 8:00am - 5:00pm PST Posted Date 11/04/2025 Salary Range: $70900 - 145200 Annually Employment Type 2 - Staff: Career Duration Indefinite Job # 27280

Primary Duties and Responsibilities

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Play a vital role in ensuring the delivery of safe, high-quality patient care by leading UCLA Health’s centralized credentialing operations. As a Principal Credentialing Specialist, you’ll oversee credentialing, privileging, onboarding, and enrollment activities for physicians and allied health practitioners across UCLA’s hospitals and community partners. You’ll provide technical expertise, operational oversight, and mentorship to the credentialing team while maintaining compliance with regulatory standards and institutional policies.
Key Responsibilities

• Supervise 10–22 credentialing staff and oversee day-to-day operations of the Centralized Credentialing Unit in managers' absence
• Manage onboarding, credentialing, and payer enrollment for UCLA hospitals, medical groups, and 90+ community hospital partners
• Analyze hospital bylaws, proctoring requirements, and privilege criteria to ensure compliance and timely provider onboarding
• Lead process improvement initiatives, workflow optimization, and training programs to enhance departmental efficiency
• Maintain and optimize the credentialing database (MD-Staff) and ensure data accuracy across all systems
• Prepare, review, and distribute credentialing reports and summaries for medical staff committees
• Oversee financial activities including CVO payments, membership dues, and credentialing-related expenditures
• Serve as a resource and subject matter expert on credentialing policies, bylaws, and accreditation standards

Salary Range: $70,900 - $145,200/Annually

Job Qualifications

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We’re seeking an independent, deadline-driven professional with:

• Bachelor’s degree in a relevant field with 5 years of experience or a combination of equivalent years of education, training and experience; Master's degree preferred
• Certified Provider Credentialing Specialist (CPCS) and Certified Professional Medical Services Management (CPMSM) preferred
• Five years of experience in physician and advanced healthcare credentialing required
• Expert knowledge of regulatory best practices, credentialing operations, and administrative processes, with the ability to identify and implement improvements
• Advanced analytical and critical thinking skills to manage complex, long-term proj