Credentialing Specialist - Remote Potential (Omaha/Lincoln)

Talentify; Omaha (NE); Hybrid; USD 50,000 - 70,000; Full time

Job summary

CommonSpirit Health in Omaha is seeking a Credentialing Specialist to manage the end-to-end credentialing and re-credentialing for our medical staff, ensuring accuracy and regulatory compliance with The Joint Commission, NCQA, URAC and CMS.

You will oversee the full lifecycle of practitioner files—from appointment and privileging to expirables monitoring—conduct background investigations, primary source verifications, and generate reports, while communicating clearly with internal and external

Qualifications

• Background investigations are required for credentialing.
• Primary source verifications must be performed.
• Handle confidential information with discretion.
• Proficient in credentialing database management and reporting.

Responsibilities

• Manage end-to-end credentialing and re-credentialing for medical staff.
• Oversee full lifecycle of practitioner files from appointment to privileging and expirables monitoring.
• Conduct background investigations and primary source verifications.
• Utilize credentialing database to generate reports and track eligibility.
• Serve as point of contact for internal and external stakeholders and resolve discrepancies.
• Assist with delegated credentialing audits.

Skills

Credentialing standards

Hospital operations

Regulatory requirements

Analytical skills

Independent judgment

Database management

Report generation

Communication

Education

High School GED General Studies

High School Graduate General Studies

Job description

CommonSpirit Health in Omaha is seeking a Credentialing Specialist to manage the end-to-end credentialing and re-credentialing for our medical staff, ensuring accuracy and regulatory compliance with The Joint Commission, NCQA, URAC and CMS.

You will oversee the full lifecycle of practitioner files—from appointment and privileging to expirables monitoring—conduct background investigations, primary source verifications, and generate reports, while communicating clearly with internal and external