Facility Credentialing Lead - Compliance & Audits

Healthfirst, Inc.; New York (NY); On-site; USD 60,000 - 90,000; Full time

Job summary

Healthfirst, Inc. is seeking a Credentialing professional to manage credentialing and re-credentialing for providers, facilities, and vendors in compliance with federal and state regulations.

The role includes preparing hard-copy and online directories, audits, and detailed data review, with strong communication across internal teams and external partners. You will support quarterly committee meetings, drive process improvements for regulatory adherence, and assist in resolution of issues in a

Qualifications

• HS diploma or GED mandatory.
• Facility credentialing experience or capability.

Responsibilities

• Credentials providers, facilities, and vendors in accordance with regulations and Healthfirst policy.
• Prepares presentations for the quarterly credentialing and delegate vendor oversight committee meetings.
• Facilitates pre-delegation and delegation vendor audits to ensure adherence to contractual arrangements.
• Prepares hard-copy directories and works with third party vendors for posting online directories. Reviews relevant data to ensure accuracy.
• Effectively communicates to internal departments and external partners.
• Identifies and assesses opportunities to improve processes to better ensure regulatory compliance and adherence to state and federal regulations.
• Raises issues to management and assists in resolution.
• Additional duties as assigned.

Skills

Facility credentialing

MS Office

Adobe

Access

Excel

Word

PowerPoint

Education

HS diploma/GED

Tools

Adobe

Access

Excel

Word

PowerPoint

Office

Job description

Healthfirst, Inc. is seeking a Credentialing professional to manage credentialing and re-credentialing for providers, facilities, and vendors in compliance with federal and state regulations.

The role includes preparing hard-copy and online directories, audits, and detailed data review, with strong communication across internal teams and external partners. You will support quarterly committee meetings, drive process improvements for regulatory adherence, and assist in resolution of issues in a