Human Resources & Credentialing Specialist

Job Summary

The Human Resources & Credentialing Specialist supports the mission of the Buddhist Tzu Chi Medical Foundation by ensuring effective HR operations and compliance with credentialing requirements for all licensed clinical staff. This role is critical in maintaining a compassionate, ethical, and high-functioning work environment aligned with the values of the organization. The Specialist oversees day-to-day HR activities, assists with employee lifecycle processes, and manages all credentialing and re-credentialing for providers and licensed staff in compliance with regulatory standards.

Core Responsibilities

• Administer the full employee lifecycle, including recruitment, onboarding, orientation, benefits enrollment, performance evaluations, and offboarding.
• Maintain accurate and up-to-date employee records and personnel files, ensuring confidentiality and compliance with state and federal regulations.
• Support employee relations by fostering a positive work environment; respond to HR inquiries, concerns, and assist with conflict resolution when appropriate.
• Assist management with job descriptions, compensation reviews, and performance management processes.
• Track employee training, certifications, continuing education, and compliance with internal policies.
• Coordinate annual reviews, employee satisfaction surveys, and internal HR audits.
• Manage credentialing and re-credentialing processes for all licensed medical providers, nurses, and allied health professionals.
• Collect, verify, and submit required documentation to credentialing bodies, insurance panels, and regulatory agencies.
• Maintain a credentialing database and track expirations of licenses, DEA certificates, malpractice insurance, board certifications, and continuing education.
• Ensure timely enrollment of providers with Medi-Cal, Medicare, private insurers, and other payers as needed.
• Collaborate with clinical and billing teams to ensure credentialing status aligns with billing and compliance requirements.
• Stay current with local, state, and federal healthcare credentialing standards and regulations (e.g., NCQA, CMS, CAQH).
• Ensure HR practices comply with federal and state labor laws, including FMLA, ADA, EEO, HIPAA, HRSA, and OSHA regulations.
• Assist with internal and external audits, including documentation requests and compliance reporting.
• Prepare HR-related reports for leadership, including staffing, turnover, credentialing status, and compliance indicators.
• Promote and uphold the values of Buddhist Tzu Chi Medical Foundation, including compassion, integrity, and service.
• Support wellness initiatives, employee engagement activities, and a culture of gratitude and collaboration.
• Participate in staff training, leadership development programs, and DEI (diversity, equity, and inclusion) initiatives as appropriate.

Qualifications

• Associate’s or Bachelor’s degree in Human Resources, Business Administration, or related field (or equivalent work experience).
• 2–5 years of HR generalist experience, preferably in a healthcare or nonprofit setting.
• At least 1 year of credentialing experience with medical providers strongly preferred.
• Knowledge of healthcare credentialing processes, CAQH, payer enrollments, and regulatory compliance.
• Strong organizational, problem-solving, and communication skills.
• Proficient in Microsoft Office Suite and HRIS systems; knowledge of credentialing software a plus.
• Ability to maintain confidentiality and work independently in a fast-paced, mission-driven environment.
• Bilingual in English and another language (e.g., Mandarin, Spanish) is a plus.

About Buddhist Tzu Chi Medical Foundation

The Buddhist Tzu Chi Medical Foundation is a nonprofit organization dedicated to delivering compassionate, high-quality medical care to underserved communities. Guided by the principles of loving-kindness, relief, and integrity, our clinics offer medical, dental, and vision care while promoting a holistic, patient-centered approach to healing.