Credentialing Specialist — Remote After Training (Omaha Area)

CHI Health; Oregon; Hybrid; USD 52,000 - 72,000; Full time

Job summary

CHI Health seeks a Credentialing Specialist to manage the full lifecycle of practitioner credentialing and re-credentialing, ensuring compliance with Joint Commission, NCQA, URAC, and CMS standards. You will coordinate verifications, audits, and stakeholder communications in a fast-paced healthcare setting.

Primary responsibilities include maintaining practitioner files, generating reports, and supporting delegated credentialing audits while upholding data integrity and confidentiality.

Qualifications

• Experience with end-to-end credentialing and data integrity.
• Knowledge of regulatory bodies such as The Joint Commission, NCQA, URAC, and CMS.
• Ability to manage competing priorities in a fast-paced healthcare administrative environment.

Responsibilities

• Coordinate end-to-end credentialing and re-credentialing for the CHI Health System.
• Perform primary source verifications and background investigations.
• Generate reports and track eligibility using the credentialing database.
• Serve as a key point of contact for internal and external stakeholders.
• Resolve credentialing discrepancies and assist with delegated credentialing audits.

Skills

Credentialing standards

Regulatory requirements

Analytical skills

Independent judgment

Database management

Report generation

Education

High School GED General Studies

High School Graduate General Studies

Job description

CHI Health seeks a Credentialing Specialist to manage the full lifecycle of practitioner credentialing and re-credentialing, ensuring compliance with Joint Commission, NCQA, URAC, and CMS standards. You will coordinate verifications, audits, and stakeholder communications in a fast-paced healthcare setting.

Primary responsibilities include maintaining practitioner files, generating reports, and supporting delegated credentialing audits while upholding data integrity and confidentiality.