Credentialing & Enrollment Manager/Supervisor

Credentialing & Enrollment Manager/Supervisor

You are an experienced Credentialing and Enrollment professional with strong knowledge of healthcare provider credentialing, recredentialing, privileging, and payer enrollment. This is a temporary assignment expected to last approximately 4 months, with consideration for either a Manager or Supervisor-level candidate.

Location: Santa Rosa, CA

This Position Pays: $35-$42/hr

Schedule: Temporary assignment, approximately 4 months. 

What You Will Be Doing:

• Oversee provider credentialing, recredentialing, privileging, proctoring, and reappointments.

• Manage provider enrollment with Medi-Cal, Medicare, private insurance plans, Partnership HealthPlan, PECOS, CAQH, PAVE, and Verity Stream.

• Coordinate credentialing applications, verifications, approvals, and required Board and leadership documentation.

• Maintain current provider licenses, certifications, credentials, and electronic and hard-copy records.

• Monitor credentialing and enrollment compliance, ensuring ongoing requirements are met between renewal cycles.

• Maintain credentialing data in CredentialStream and Verity Stream.

• Support audits and site visits while maintaining compliance with JCAHO, HRSA, and FTCA standards.

• Develop and maintain related policies and procedures.

• Coordinate professional liability insurance updates with insurance brokers.

• Partner with providers to obtain documentation and guide them through credentialing and enrollment processes.

• Oversee credentialing and recredentialing for Other Clinical Staff (OCS), including RNs.

• Coordinate CPR classes and track employee enrollment and completion.

• Maintain compliance tracking and reporting related to provider enrollment, credentialing, and licensing.

What You Bring:

• Previous healthcare credentialing and provider enrollment experience.

• Strong knowledge of Medi-Cal, Medicare, CAQH, PECOS, PAVE, and private payer enrollment.

• Experience with CredentialStream and/or Verity Stream preferred.

• Knowledge of JCAHO, HRSA, and FTCA requirements and compliance standards.

• Experience managing credentialing operations, audits, and regulatory documentation.

• Strong organizational, communication, and follow-up skills.

• Ability to work independently and partner effectively with providers, leadership, and internal teams.

For over 50 years, Nelson Connects has empowered employers and job seekers to achieve their unique versions of success. Our commitment to excellence, integrity, compassion, and innovation has made us a trusted partner in connecting jobs, people, and communities. The remarkably talented and dedicated people of Nelson Connects are building on the rich history of this company to define the future of our industry, and we can’t wait to work with you.

We are Nelson Connects, and our purpose is your success.

To learn more about our workplace culture and the position, please apply!

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