Facility Credentialing Lead – Compliance & Directory Ops

HealthFirst; Nebraska; On-site; USD 48,000 - 72,000; Full time

Job summary

HealthFirst's Credentialing department handles credentialing and re-credentialing for providers, facilities, and vendors while ensuring compliance with federal and state regulations. The role involves preparing hard-copy directories, coordinating with third-party vendors for online postings, and creating data-driven presentations for quarterly oversight committees.

Candidates should possess a Bachelor’s degree and strong skills in time management, project management, critical and creative

Qualifications

• Bachelor’s degree required.
• Strong time and project management, critical/creative thinking, communication, and problem-solving skills.

Responsibilities

• Credentialing and re-credentialing providers, facilities and vendors; ensure compliance with regulatory requirements.
• Prepare hard-copy directories and coordinate with third party vendors for online directories.
• Prepare presentations for quarterly credentialing and delegate vendor oversight committee meetings.
• Review data to ensure accuracy and compliance with state and federal regulations.

Skills

Time management

Project management

Critical thinking

Creative thinking

Communication

Problem-solving

Education

Bachelor’s degree

Tools

Adobe

Microsoft Access

Excel

Word

PowerPoint

Office

Job description

HealthFirst's Credentialing department handles credentialing and re-credentialing for providers, facilities, and vendors while ensuring compliance with federal and state regulations. The role involves preparing hard-copy directories, coordinating with third-party vendors for online postings, and creating data-driven presentations for quarterly oversight committees.

Candidates should possess a Bachelor’s degree and strong skills in time management, project management, critical and creative