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.
- Manage and track provider-related requests, including new provider additions, demographic and practice changes, and terminations.
- Review and validate provider rosters and reconcile discrepancies across medical group systems, health plans, credentialing, contracting, and configuration records.
- Support health plan roster submissions, provider directory accuracy, health plan activation, and management of health plan IDs.
- Collaborate with Provider Relations, Contracting, Credentialing, Configuration, Claims, Billing, Finance, Member Services, Quality, and Compliance to coordinate provider changes.
- Monitor requests through completion, proactively follow up on delays, and escalate stalled requests as needed.
- Maintain accurate, audit-ready documentation and support compliance, regulatory, and process improvement initiatives.
- High school diploma
- Two years or more of Healthcare managed care operations, IPA, or MSO provider relations experience
- Two years or more of working knowledge of required credentialing documents, contracting terminology, or network operations
- Two years or more of understanding of the handoffs between Provider Relations, Contracting, Credentialing, and Configuration, i.e., Provider Lifecycle Management (PLM)
- Two years or more of experience with provider rosters, credentialing data, and health plan submissions
- Two years or more of proficiency with Microsoft Office (Word, Excel, Outlook Teams)
- Strong understanding of contracted health plans and provider relationships
- Skilled in documenting with high attention to detail and data accuracy
- Ability to manage high-volume intake in an enterprise environment
- Strong communication skills with providers, practice staff, internal, and external stakeholders
- Comfort working in remote or hybrid environments using collaboration tools. Ability to work departmental hours of Monday – Friday 8am – 5pm
- Associate or bachelor’s degree preferred; and/or equivalent combination of education and experience.
- Proficiency of PLM or CRM software
- Understanding of credentialing documentation requirements and roster standards
- Familiarity with provider contract terminology
- Problem-solving mindset with ability to identify root causes of data discrepancies
- Ability to work independently with minimal supervision
- Ability to research provider issues using multiple data sources
- Understanding of root cause analysis to prevent repeat issues
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.
KATHERINE
UCLA Health is a supportive, collaborative, and purposeful environment where leadership is invested in your growth and creating real opportunities. And knowing that what we do matters gives a real sense of purpose.
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
