HR Credentialing Specialist

Pay range:  $26-$33 per hour, depending on experience 

Schedule/Shift: Full-time, Non-Exempt position working Monday-Friday, 8am-5pm

Location: San Diego, CA

The Human Resources Credentialing Specialist is responsible for supporting Associate credentials, including licensure, certification, and registration. Expertise includes adherence to policies, compliance with job requirements and healthcare standards, accurate data entry, maintenance and clean-up of records within the HRIS, verification of licensure, reporting and data analytics and understanding of internal processes.

Responsibilities:

• Ensure timely completion of credentialing to support onboarding and continued compliance.
• Maintain strict confidentiality of employee and provider information.
• Stay current with CHAP standards and changes in accreditation or regulatory requirements.
• Coordinate initial and ongoing credentialing and re-credentialing of healthcare providers in compliance with CHAP, CMS, state, and payer requirements.
• Maintain credentialing and personnel files to ensure survey readiness for CHAP accreditation and recertification.
• Assist in preparation for CHAP surveys by organizing documentation, performing internal audits, and correcting deficiencies.
• Track and monitor licensure, certifications, competencies, background checks, health screenings, and expirations.
• Collaborate with HR, Compliance, Clinical Leadership, and Quality teams to ensure alignment with accreditation standards.
• Prepare reports and documentation for CHAP surveyors and respond to credentialing-related findings or requests.
• Must execute responsibilities with a sense of urgency and pay attention to detail with a high level of accuracy.
• Perform other HR Compliance or HR program support-related duties or projects as assigned.
• Assist in the design and implementation of process improvements by working closely with stakeholders to assess, develop, and implement process changes or remediation plans for identified HR-related issues, including, but not limited to, workforce licensing requirements.

Qualifications:

• High school diploma required; Associate’s or Bachelor’s degree in Human Resources, Business Administration, Healthcare Administration, or related field preferred.
• At least 1 year of experience in credentialing, HR compliance, healthcare HR, or similar administrative work (preferred).
• Strong proficiency in Microsoft Outlook, Excel, Word, and related HRIS or credentialing systems.
• Excellent written and verbal communication skills.
• Ability to handle confidential information with tact and professionalism.
• Demonstrated ability to work independently, manage multiple priorities, and adapt to changing HR and organizational needs.
• Strong organizational skills and ability to produce high volumes of work accurately with minimal supervision.
• Willingness to learn and contribute to evolving HR processes.