Senior Credentialing Specialist: Facilities & Providers

HealthFirst; North Dakota; On-site; USD 50,000 - 70,000; Full time

Job summary

HealthFirst is seeking a Credentialing Administrator to support credentialing and re-credentialing of providers, facilities, and vendors, ensuring regulatory compliance.

Responsibilities include preparing hard-copy directories, coordinating with third-party vendors for online postings, and reviewing data for accuracy.

The role also involves preparing materials for quarterly meetings and seeking process improvements to meet state and federal requirements.

Qualifications

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

Responsibilities

• Credential and re-credential providers, facilities, and vendors to ensure regulatory compliance.
• Prepare hard-copy directories and coordinate with third-party vendors for online postings.
• Review provider data for accuracy and regulatory adherence.
• Prepare materials for quarterly credentialing and vendor oversight meetings.
• Identify opportunities to improve processes to enhance regulatory compliance.
• Facility credentialing.

Skills

Time management

Project management

Critical thinking

Creative thinking

Communication

Problem-solving

Education

Bachelor’s degree

Tools

Adobe

Access

Excel

Word

PowerPoint

Office

Job description

HealthFirst is seeking a Credentialing Administrator to support credentialing and re-credentialing of providers, facilities, and vendors, ensuring regulatory compliance.

Responsibilities include preparing hard-copy directories, coordinating with third-party vendors for online postings, and reviewing data for accuracy.

The role also involves preparing materials for quarterly meetings and seeking process improvements to meet state and federal requirements.