Human Resources Generalist

$60,000 - $70,000/Yr

Serve The People Community Health Center - Santa Ana, CA

Full-time - Entry Level

Santa Ana, CA

About the position

The Human Resources Generalist plays a crucial role in managing credentialing processes for healthcare professionals while providing essential support to human resources functions. This position requires a detail-oriented professional who can handle various HR tasks, including employee onboarding, compliance, and recruitment, while ensuring adherence to organizational standards and regulatory requirements.

Responsibilities

• Manage job postings and coordinate recruitment efforts to attract and hire qualified candidates.
• Facilitate new employee orientation and onboarding processes to ensure seamless integration into the organization.
• Conduct background checks and pre-employment screenings.
• Serve as a point of contact for employee questions, concerns, and grievances, promoting resolution through appropriate channels.
• Administer and document progressive disciplinary actions, including verbal and written warnings, to address performance or behavioral concerns.
• Guide management on employee write-ups, ensuring documentation adheres to legal standards and organizational policies.
• Assist with the preparation and facilitation of employee dismissals, ensuring compliance with regulations and maintaining professionalism during the process.
• Foster a positive work environment by mediating conflicts and ensuring adherence to organizational policies.
• Ensure compliance with federal, state, and local labor laws, including wage and hour regulations and EEO requirements.
• Assist in developing and updating HR policies and employee handbooks.
• Support employees with benefits enrollment and questions.
• Administer leave programs, including FMLA, worker's compensation, and other absence management policies.
• Coordinate and deliver employee training programs focused on compliance, professional development, and organizational values.
• Support leadership in succession planning and workforce development initiatives.
• Maintain accurate and confidential employee records in compliance with legal standards.
• Generate reports and track metrics related to HR activities, including turnover and recruitment performance.
• Assist with payroll and HRIS data entry as needed.
• Perform other related tasks as required to support organizational goals.
• Manage and coordinate the credentialing process for all new and existing healthcare providers, ensuring compliance with Serve the People, health network, and state requirements.
• Ensure timely submission, follow-up, and approval of credentialing and re-credentialing applications for all health plans, contracted IPA health networks, managed care organizations, and state Medi-Cal.
• Maintain up-to-date records of all provider licenses, certifications, and other credentials; proactively manage and track expiration dates to ensure uninterrupted provider authorization.
• Conduct thorough primary source verification for all provider credentials, including education, training, board certification, and state licensing requirements.
• Coordinate provider enrollment with contracted insurance plans and managed care networks, facilitating a smooth onboarding process to ensure new providers can see patients as soon as possible.
• Maintain accurate, detailed records in the credentialing database; uphold patient and provider confidentiality in compliance with all regulatory standards.
• Ensure all credentialing processes align with health center policies, accrediting bodies, and industry standards, contributing to audits and quality assurance initiatives.
• Stay informed on changes in regulatory requirements and best practices in credentialing to ensure continuous compliance and improve processes.
• Work closely with providers, human resources, administration, and external healthcare partners to address any credentialing issues and support timely credentialing outcomes.
• Prepare reports on credentialing status, upcoming renewals, and outstanding applications, providing updates to leadership and ensuring efficient communication.
• Participate in initiatives to improve credentialing processes, contributing to a streamlined, effective, and provider-supportive credentialing system.
• Ensure providers are properly credentialed and authorized to see all patient types serviced by the health center, thereby maximizing access to care across all insurance networks.
• Identify potential risks associated with credentialing errors or delays and assist in mitigating those risks.
• Review provider hospital credentialing applications to ensure they meet the hospital's requirements for initial appointment and privileges, as necessary.
• Maintain a system to track the progress of hospital credentialing applications, ensuring that each step of the verification process is completed on time and in accordance with hospital policies, as necessary.
• Work closely with the medical staff office, department chairs, and credentialing committees to ensure timely processing of applications for new staff members and specialists, as necessary for hospital credentialing.
• Adhere to HIPAA regulations and other relevant laws to protect patient privacy and confidentiality in all communications.
• Perform other duties as assigned by the executive director and administration.

Requirements

• Bachelor's degree in Human Resources, Business Administration, or a related field preferred; equivalent experience may be considered.
• 2-3 years of HR experience, preferably in a healthcare or non-profit setting.
• Knowledge of labor laws and best practices in HR management.
• A Certified Provider Credentialing Specialist (CPCS) or Certified Professional in Medical Services Management (CPMSM) is highly preferred.
• Familiarity with the credentialing process for multiple payer types, including Orange County IPA health networks, managed care organizations (CalOptima), and Medi-Cal.
• Thorough understanding of relevant state and federal regulations, including but not limited to CMS, Joint Commission, and HRSA requirements.
• Proficiency in credentialing software (e.g., CAQH, MD-Staff) and Microsoft Office Suite; strong ability to manage data in credentialing databases and electronic health records (EHR).
• High level of attention to detail and accuracy, particularly in documentation, compliance checks, and primary source verification.
• Excellent verbal and written communication skills to effectively interact with healthcare providers, administrative staff, and external credentialing bodies.
• Strong organizational and time-management skills to manage multiple credentialing timelines and ensure timely completion of credentialing processes.
• Demonstrated ability to resolve issues in the credentialing process and streamline workflows to improve credentialing timelines.
• Commitment to ongoing education and professional growth in the field of credentialing and healthcare compliance.

Nice-to-haves

• Experience in a healthcare setting
• Knowledge of HRIS systems
• Familiarity with employee training programs

Benefits

• Dental insurance
• Health insurance
• Life insurance
• Retirement plan
• Vision insurance