Facility Credentialing & Compliance Lead

HealthFirst; Lincoln (NE); On-site; USD 40,000 - 60,000; Full time

Job summary

Healthfirst in Lincoln, Nebraska, seeks a Credentialing Specialist to credential and re-credential providers, facilities, and vendors, prepare directories, and ensure regulatory compliance with federal and state requirements.

You will coordinate audits, support quarterly committee meetings, communicate with internal teams and external partners, and drive process improvements. Requires HS diploma; Bachelor’s degree preferred; strong MS Office skills.

Qualifications

• HS diploma/GED required.
• Facility credentialing experience preferred.
• Bachelor’s degree preferred.
• Strong time management and problem-solving skills.

Responsibilities

• Credential providers, facilities, and vendors in accordance with regulations and Healthfirst policy.
• Prepare hard-copy directories and work with third party vendors for posting online directories.
• Review data to ensure accuracy and regulatory compliance with federal and state regulations.
• Facilitate pre-delegation and delegation vendor audits.
• Prepare presentations for quarterly credentialing and oversight committee meetings.
• Communicate effectively with internal departments and external partners.
• Identify opportunities to improve processes and raise issues to management.

Skills

Credentialing processes

Attention to detail

Regulatory compliance

Communication

Project management

Education

HS diploma/GED

Bachelor’s degree

Tools

Microsoft Office

Adobe Acrobat

Excel

Access

Word

Job description

Healthfirst in Lincoln, Nebraska, seeks a Credentialing Specialist to credential and re-credential providers, facilities, and vendors, prepare directories, and ensure regulatory compliance with federal and state requirements.

You will coordinate audits, support quarterly committee meetings, communicate with internal teams and external partners, and drive process improvements. Requires HS diploma; Bachelor’s degree preferred; strong MS Office skills.