Make a difference in people’s lives every day. When you join UCLA Health, you’ll be working at an institution that provides leading-edge care to the people of L.A. and throughout the world. We provide our team members with the environment and support to do amazing work, because each and every one of them plays a vital role in our commitment to care.
- Lead, supervise, and develop credentialing staff.
- Manage all credentialing and recredentialing operations ensuring timely processing and regulatory compliance.
- Oversee ongoing monitoring of provider credentials and regulatory requirements.
- Lead departmental audits, including corrective action plans and delegation oversight.
- Ensure compliance with NCQA, CMS, DMHC, DHCS, and other regulatory agencies.
- Maintain and enhance credentialing systems, policies, and procedures.
- Coordinate credentialing committees, present cases, and ensure appropriate documentation.
- Serve as the primary contact for health plans, regulatory agencies, and provider organizations.
- Collaborate with cross-functional teams to support onboarding, training, process improvement, and data integrity.
- Ability to travel/attend off-site meetings and conferences
- Ability to travel/attend off-site meetings and conferences, when necessary
- Minimum of five years previous experience in Credentialing working for a complex and diversified health plan, IPA, or other managed care organization – Required
- Minimum of three years’ experience managing personnel with at least two years supervising credentialing personnel – Required
- Bachelor’s degree in healthcare administration or other related field or a combination of equivalent education, training and experience.
- CPMSM or CPCS certification preferred.
- In depth knowledge of healthcare industry regulatory agencies, credentialing and provider directory standards including but not limited to CMS, NCQA, DMHC, DHCS, and HICE.
- Extensive understanding and experience using credentialing systems including the flow of credentialing and provider demographic information.
- Demonstrated computer skills; proficient with Microsoft Windows applications including but not limited to Excel, Word, Teams and Outlook.
- Demonstrated software skills in MD Staff [Preferred]
- Familiarity with EPIC Tapestry
EMPLOYMENT SCAM ALERT:
UCLA Health Recruitment is currently being targeted by scam artists through external job board sites. Review some tips in order to avoid becoming targeted. El reclutamiento de salud de UCLA actualmente está siendo atacado por estafadores a través de sitios de juntas de trabajo externos. Revisar algunos consejos para evitar ser apuntado.
“The environment is nurturing and fosters growth. When I come to work, I know what I'm doing matters.”
VINCENT, Sr. CLS Specialist, Toxicology
MONICA
I've been blessed to touch so many lives through my serving. It's a privilege to uplift other employees with words of encouragement and a smile.
SOZIT
The first thing i noticed when i joined the team was how everyone is very welcoming and friendly with supportive management. I did not feel like an outsider.
EDGAR
Once I joined, I knew UCLA Health was THE place to be due to the growth potential and training offered
RENE
If you want to grow professionally, this is the right place for you.
ERA
We are family here. We support each other. We collect together.
ELIZABETH
It’s so diverse and inclusive here. There’s always the opportunity to share your thoughts. It's a place where you feel you belong.
JERRY
Your career path at UCLA Health will enable you to follow a myriad of avenues and turns. It opens up a wide variety of opportunities.
ORLANDO
There’s a togetherness and higher level of commitment to teamwork at UCLA Health. We are several groups and teams that work together with a common goal which is to improve our patients experience.
DAVID
UCLA Health walks the walk and talks the talk! It's an incredible feeling to work for an organization that always puts the patient first. I am honored to work in full alignment with the UCLA Health Mission and Vision.
DR. ISLA GARRAWAY
UCLA has incredible resources and a team science approach. The ability to work with collaborative teams and access the amazing resources around campus is the best part about being at UCLA.
RADU
UCLA is very diverse in its personnel as well as its many research fields studied
JENNA
UCLA Health provides so many opportunities to exchange ideas, share moments and grow. I have learned a lot about team management and relationship building.
SHARON
I was looking for a job to further my career and continue to improve and learn as a therapist.
TARO
I have been blessed to be surrounded by supportive colleagues who aspire me to be the best version of myself.
Awards & recognition
