Credentialing & Compliance Specialist — Remote After Training

CHI; Omaha (NE); Hybrid; USD 26,000 - 37,000; Full time

Job summary

CHI Health System is seeking a Credentialing Specialist to manage the end-to-end credentialing and re-credentialing for our provider network. You will ensure compliance with Joint Commission, NCQA, URAC, and CMS while maintaining accurate practitioner data.

You will handle background checks, primary source verifications, and generate reports from our credentialing database, coordinating with internal and external stakeholders to resolve discrepancies.

Qualifications

• Strong understanding of medical credentialing standards and regulatory requirements.
• Ability to perform background investigations and primary source verifications.
• Proven experience handling credentialing audits and reports.

Responsibilities

• Manage full lifecycle of practitioner files from appointment to privileging.
• Conduct background investigations and primary source verifications.
• Generate reports from the credentialing database and track eligibility.
• Serve as a key contact for stakeholders and resolve credentialing discrepancies.

Skills

Credentialing knowledge

Analytical skills

Communication skills

Education

High School Diploma or GED

Tools

Credentialing database

Job description

CHI Health System is seeking a Credentialing Specialist to manage the end-to-end credentialing and re-credentialing for our provider network. You will ensure compliance with Joint Commission, NCQA, URAC, and CMS while maintaining accurate practitioner data.

You will handle background checks, primary source verifications, and generate reports from our credentialing database, coordinating with internal and external stakeholders to resolve discrepancies.