Credentialing & Privileging Lead — Enrollment Specialist

Wellspace Health; Sacramento (CA); On-site; USD 95,680 - 108,500; Full time

Benefits offered by this job

Health benefits

Life insurance

Long-term disability insurance

Retirement plan match

Job summary

WellSpace Health in Sacramento, CA is seeking a Credentialing, Privileging & Enrollment Supervisor to oversee the full lifecycle of provider credentialing, recredentialing, and privileging for clinical staff. This role ensures regulatory compliance with California rules, HRSA FTCA, Medicare/Medicaid enrollment, and NCQA/Joint Commission standards.

The supervisor will lead credentialing staff, manage workflows, ensure data accuracy, and collaborate with leadership, providers, and external

Qualifications

• Bachelor’s degree in business or healthcare administration or related field, or 5 years’ experience in hospital and/or healthcare credentialing in lieu of education
• Preferred Medical Staff Services certification: CPMSM, CPCS, or CPMSM from NAMSS
• Knowledge of credentialing rules, regulations, and accrediting organization standards
• Experience with audits from TJC, FTCA, plans/IPA, etc.

Responsibilities

• Oversee the credentialing & privileging process to ensure qualified individuals provide patient care based on training, licensure, and experience.
• Supervise the Credentialing & Enrollment team to ensure optimal department performance.
• Act as subject matter expert for credentialing, privileging, and enrollment within Human Resources.
• Ensure compliance with rules, regulations, policies, and regulatory agency standards.
• Audit and evaluate verification processes for licensed and certified providers and allied health professionals' applications and privilege delineation.
• Coordinate processing of credentialing & privileging applications, ensuring timely and complete compliance with HR guidelines.

Skills

Communication skills

Leadership

Analytical skills

Organization

Education

Bachelor’s degree in business or healthcare administration

5+ years credentialing experience (in lieu of education)

Job description

WellSpace Health in Sacramento, CA is seeking a Credentialing, Privileging & Enrollment Supervisor to oversee the full lifecycle of provider credentialing, recredentialing, and privileging for clinical staff. This role ensures regulatory compliance with California rules, HRSA FTCA, Medicare/Medicaid enrollment, and NCQA/Joint Commission standards.

The supervisor will lead credentialing staff, manage workflows, ensure data accuracy, and collaborate with leadership, providers, and external