Facility Credentialing & Compliance Lead

HealthFirst; Provo (UT); On-site; USD 45,000 - 65,000; Full time

Job summary

HealthFirst is seeking a credentialing professional to support credentialing and re-credentialing of providers, facilities, and vendors. The role involves preparing hard-copy directories, reviewing data for accuracy, and ensuring compliance with applicable regulations and HealthFirst policies.

You will prepare presentations for quarterly credentialing and delegate vendor oversight meetings, and coordinate with third-party vendors to post online directories while identifying process improvements

Qualifications

• Bachelor’s degree required.
• Strong time/project management and communication skills.
• Critical thinking and problem-solving abilities.
• Ability to follow state and federal regulatory requirements.

Responsibilities

• Credentialing and re-credentialing providers, facilities and vendors.
• Prepare hard-copy directories and review provider data for accuracy.
• Ensure compliance with regulatory requirements and Healthfirst policy.
• Prepare presentations for quarterly credentialing and oversight meetings.
• Collaborate with third-party vendors to post online directories.
• Identify opportunities to improve processes for regulatory compliance.

Skills

Time management

Project management

Communication

Problem solving

Critical thinking

Regulatory compliance

Education

Bachelor’s degree

Tools

Adobe

Access

Excel

Word

PowerPoint

Office

Job description

HealthFirst is seeking a credentialing professional to support credentialing and re-credentialing of providers, facilities, and vendors. The role involves preparing hard-copy directories, reviewing data for accuracy, and ensuring compliance with applicable regulations and HealthFirst policies.

You will prepare presentations for quarterly credentialing and delegate vendor oversight meetings, and coordinate with third-party vendors to post online directories while identifying process improvements