Credentialing Specialist — Compliance & Data Integrity

CommonSpirit Health; Omaha (NE); Hybrid; USD 55,000 - 70,000; Full time

Job summary

CommonSpirit Health seeks a Credentialing Specialist to manage the full lifecycle of practitioner files, from initial appointment through privileging and ongoing monitoring. You will ensure compliance with Joint Commission, NCQA, URAC, and CMS standards while coordinating audits and reporting.

This role requires strong knowledge of credentialing standards, hospital operations, and regulatory requirements, with the ability to handle confidential information and manage competing priorities in a

Qualifications

• Must work with credentialing standards and regulatory requirements.
• Strong analytical skills and attention to detail.
• Proficiency in database management and report generation.
• Ability to handle confidential information with discretion.

Responsibilities

• Coordinate end-to-end credentialing and re-credentialing processes.
• Perform primary source verifications and background investigations.
• Utilize credentialing database to generate reports and track eligibility.
• Resolve credentialing discrepancies and support delegated credentialing audits.
• Communicate clearly with internal and external stakeholders.

Education

High School GED

High School Diploma

Job description

CommonSpirit Health seeks a Credentialing Specialist to manage the full lifecycle of practitioner files, from initial appointment through privileging and ongoing monitoring. You will ensure compliance with Joint Commission, NCQA, URAC, and CMS standards while coordinating audits and reporting.

This role requires strong knowledge of credentialing standards, hospital operations, and regulatory requirements, with the ability to handle confidential information and manage competing priorities in a