Senior Credentialing Coordinator — Provider Compliance

El Camino Health Medical Network; Los Gatos (CA); On-site; USD 107,710,000 - 130,920,000; Full time

Job summary

El Camino Health Medical Network is seeking a Credentialing Coordinator III to oversee end-to-end credentialing and re-credentialing for providers across the network. You will partner with the internal CVO to audit files, track timelines, and ensure verification standards meet regulatory and organizational policies.

In this role, you will manage provider communications, maintain CAQH profiles, prepare credentialing materials for committee review, and support audits and enrollment tasks while

Qualifications

• Familiarity with CAQH, credentialing software, and accreditation standards.
• CPCS certification preferred, or willingness to obtain CPCS.
• Experience in credentialing or provider data management in healthcare.

Responsibilities

• Oversee credentialing and re-credentialing applications for network providers.
• Audit credentialing data and ensure accuracy and compliance.
• Prepare and format credentialing materials for committee reviews.
• Support enrollment tasks and NCQA/compliance audits.

Skills

Attention to detail

Time management

Prioritization

Communication skills

Education

High School diploma or GED

Associate’s or Bachelor’s degree preferred

Tools

CAQH

Credentialing software

Microsoft Office

Job description

El Camino Health Medical Network is seeking a Credentialing Coordinator III to oversee end-to-end credentialing and re-credentialing for providers across the network. You will partner with the internal CVO to audit files, track timelines, and ensure verification standards meet regulatory and organizational policies.

In this role, you will manage provider communications, maintain CAQH profiles, prepare credentialing materials for committee review, and support audits and enrollment tasks while