About the Role
Manage provider enrollment with Medi-Cal, Medicare, and commercial payers, and coordinate credentialing and privileging for La Clinica's 50+ providers across East Bay sites, ensuring no lapses in billing eligibility or clinical privileges.
Requirements
- 2+ years provider enrollment or medical staff credentialing experience
- Knowledge of CAQH, PECOS, Medi-Cal provider enrollment, and Joint Commission credentialing standards
- OCHIN Epic provider file management experience preferred; CPCS certification a plus
- High attention to detail; ability to manage multiple concurrent provider enrollment timelines
Department: Medical Staff