Healthcare Credentialing Specialist Remote

Utah; Murray, Northern (UT, KY); Hybrid; USD 52,000 - 68,000; Full time

Job summary

University of Utah Health Plans seeks a credentialing specialist to manage monthly credentialing and three-year re-credentialing for medical and allied staff, ensuring bylaws and regulatory compliance. You will maintain provider data and coordinate with Epic for updates.

The role supports audits, data integrity, and cross-department collaboration to meet contractual and regulatory requirements. Remote-friendly, with a focus on accurate, timely credentialing.

Qualifications

• Knowledge of credentialing requirements and related regulations.
• Ability to maintain accurate credentialing documentation and provider updates.
• Experience with provider databases and data integrity.
• Experience supporting audits and regulatory inquiries.

Responsibilities

• Facilitates monthly credentialing and three year re-credentialing for medical and allied staff.
• Implements process improvements to increase efficiency while ensuring compliance.
• Participates in annual audits of the credentialing program.
• Maintains credentialing documentation and provider updates for reliable retrieval.
• Analyzes data between provider database and Epic; reports discrepancies.
• Assists with special projects for internal/external requests.
• Exhibits excellent customer relations with staff and external contacts.

Skills

Credentialing knowledge

Regulatory compliance

Communication

Confidentiality

Detail oriented

MS Excel

MS Word

MS Access

Data analysis

Education

Bachelor's Degree in Healthcare or Business Management or equivalency

Two years of related experience

Tools

Microsoft Access

Job description

University of Utah Health Plans seeks a credentialing specialist to manage monthly credentialing and three-year re-credentialing for medical and allied staff, ensuring bylaws and regulatory compliance. You will maintain provider data and coordinate with Epic for updates.

The role supports audits, data integrity, and cross-department collaboration to meet contractual and regulatory requirements. Remote-friendly, with a focus on accurate, timely credentialing.