Advanced Credentialing & Licensing Specialist III

Millennium Physician Group; San Francisco (CA); On-site; USD 31,684 - 48,216; Full time

Job summary

Millennium Physician Group is seeking a Credentialing and Licensing Specialist III to manage advanced credentialing, licensing, enrollment, and renewal activities. You will review licenses, certifications, and education while monitoring timelines to ensure timely participation and compliance.

The role requires attention to detail and experience with credentialing software and payer portals, with opportunities to support audits and accreditation processes.

Qualifications

• Advanced credentialing experience and data validation.
• Experience with licensing, enrollment and renewal processes.
• Familiarity with regulatory standards (NCQA, CMS) preferred.

Responsibilities

• Process credentialing, recredentialing, licensing, enrollment, and renewals.
• Validate documents: licenses, certifications, education, training, malpractice coverage, and sanctions.
• Resolve non-routine discrepancies by coordinating with providers and boards.
• Support audits, accreditation reviews, and data integrity across systems.

Skills

Credentialing

Licensing

Payer enrollment

Data management

Education

High school diploma

Tools

Credentialing software

Payer portals

Job description

Millennium Physician Group is seeking a Credentialing and Licensing Specialist III to manage advanced credentialing, licensing, enrollment, and renewal activities. You will review licenses, certifications, and education while monitoring timelines to ensure timely participation and compliance.

The role requires attention to detail and experience with credentialing software and payer portals, with opportunities to support audits and accreditation processes.