Strategic Facility Credentialing Lead - Compliance & Data

HealthFirst; Oklahoma City (OK); On-site; USD 40,000 - 60,000; Full time

Job summary

HealthFirst is seeking a Credentialing Specialist to manage credentialing and re-credentialing for providers, facilities, and vendors. You will review provider data for accuracy and ensure compliance with regulatory requirements and HealthFirst policy.

Responsibilities include preparing hard-copy directories, coordinating with third-party vendors for online postings, and creating presentations for quarterly credentialing and delegate oversight committee meetings.

Qualifications

• Bachelor's degree required.
• Strong time and project management skills.
• Proficient in Microsoft Office and Adobe suite.
• Ability to review regulatory compliance.

Responsibilities

• Credential and re-credential providers, facilities, and vendors.
• Prepare hard-copy directories and coordinate with third-party vendors for online directories.
• Prepare presentations for quarterly credentialing and delegate oversight committee meetings.
• Identify opportunities to improve processes to ensure regulatory compliance.

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 Specialist to manage credentialing and re-credentialing for providers, facilities, and vendors. You will review provider data for accuracy and ensure compliance with regulatory requirements and HealthFirst policy.

Responsibilities include preparing hard-copy directories, coordinating with third-party vendors for online postings, and creating presentations for quarterly credentialing and delegate oversight committee meetings.