Senior Credentialing Specialist - Regulatory Compliance & Facilities

HealthFirst; Manchester (NH); On-site; USD 52,000 - 78,000; Full time

Job summary

HealthFirst is seeking a Credentialing professional to oversee provider, facility, and vendor credentialing and re-credentialing. The role involves preparing hard-copy directories, coordinating with third-party vendors for online postings, and reviewing data for accuracy in line with federal and state regulations.

The candidate will support quarterly credentialing meetings and look for process improvements to ensure regulatory compliance and efficient operations.

Qualifications

• Bachelor’s degree required.
• Strong time management and organizational skills.
• Excellent written and verbal communication; problem-solving ability.

Responsibilities

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

Skills

Time management

Project management

Communication

Problem-solving

Education

Bachelor's degree

Tools

Adobe

Access

Excel

Word

PowerPoint

Job description

HealthFirst is seeking a Credentialing professional to oversee provider, facility, and vendor credentialing and re-credentialing. The role involves preparing hard-copy directories, coordinating with third-party vendors for online postings, and reviewing data for accuracy in line with federal and state regulations.

The candidate will support quarterly credentialing meetings and look for process improvements to ensure regulatory compliance and efficient operations.