Facility Credentialing & Compliance Lead

HealthFirst; Central City (NE); On-site; USD 45,000 - 60,000; Full time

Job summary

HF Management Services, LLC's Healthfirst Credentialing department handles credentialing and re-credentials for providers, facilities, and vendors. The team prepares hard-copy directories, reviews provider data for accuracy, and ensures compliance with federal and state regulations.

Presentations for quarterly meetings are also prepared, along with oversight of third-party directory posting. Opportunities to improve processes are identified.

Qualifications

• Bachelor’s degree required.
• Time and project management skills.
• Strong communication and problem-solving abilities.
• Proficiency with Microsoft Office (Excel, Word, PowerPoint) and Adobe.
• Knowledge of regulatory requirements and credentialing processes.

Responsibilities

• Credential and re-credential providers, facilities, and vendors.
• Prepare hard-copy directories and post online directories with third-party vendors.
• Review provider data for accuracy and regulatory compliance.
• Prepare presentations for credentialing and vendor oversight committee meetings.

Skills

Time management

Project management

Communication

Problem-solving

Education

Bachelor’s degree

Tools

Adobe

Access

Excel

Word

PowerPoint

Job description

HF Management Services, LLC's Healthfirst Credentialing department handles credentialing and re-credentials for providers, facilities, and vendors. The team prepares hard-copy directories, reviews provider data for accuracy, and ensures compliance with federal and state regulations.

Presentations for quarterly meetings are also prepared, along with oversight of third-party directory posting. Opportunities to improve processes are identified.