Lavon G.

Credentialing Specialist Ii @L.A. Care Health Plan

Los Angeles, CA, US

Policy Oversight: Process credentialing files and ensure full compliance with organizational policies and regulatory requirements for provider enrollment into the LA Care network.Cross-Department Collaboration: Partner with auditors and credentialing leadership to manage credentialing applications, review adverse actions, and resolve file discrepancies to maintain workflow efficiency.Committee Participation: Actively contribute to monthly Credentialing Committee and peer review meetings, presenting files and supporting decision-making processes.Communication & Time Management: Coordinate outreach with providers and organizations to secure required documentation, ensuring credentialing applications are completed accurately and within established timelines.