Temporary Senior Facility Credentialing Specialist

HealthFirst; Bismarck (ND); Sur place; USD 42 000 - 64 000; Plein temps

Résumé du poste

HealthFirst seeks a Credentialing Specialist to manage provider, facility, and vendor credentialing and re-credentialing, ensuring accuracy and compliance with state and federal regulations. The role includes preparing hard-copy directories and facilitating audits.

Responsibilities also cover presenting at quarterly credentialing meetings, communicating with internal teams and external partners, and driving process improvements to uphold regulatory standards.

Qualifications

• HS diploma or GED required.
• Bachelor’s degree preferred.
• Experience in credentialing and project management.
• Strong communication and problem-solving skills.

Responsabilités

• Credential providers, facilities, and vendors in accordance with regulations and HealthFirst policy.
• Prepares presentations for quarterly credentialing and delegate vendor oversight committee meetings.
• Facilitates pre-delegation and delegation vendor audits to ensure contractual adherence.
• Prepares hard-copy directories and coordinates with third-party vendors for online directories.
• Reviews relevant data to ensure accuracy and compliance with state and federal regulations.
• Identifies opportunities to improve processes to better ensure regulatory compliance.
• Raises issues to management and assists in resolution.
• Assists with additional duties as assigned.

Connaissances

Attention to detail

Regulatory compliance

Communication

Formation

HS diploma/GED

Bachelor’s degree preferred

Description du poste

The Healthfirst Credentialing department credentials and re-credentials providers, facilities and vendors; prepares hard-copy directories and reviews network provider data for accuracy and ensures compliance with regulatory requirements and federal and state regulations.

Credentials providers, facilities, and vendors in accordance with regulations and Healthfirst policy.Prepares presentations for the quarterly credentialing and delegate vendor oversight committee meetings.Facilitates pre-delegation and delegation vendor audits to ensure adherence to contractual arrangements.Prepares hard-copy directories and works with third party vendors for posting online directories. Reviews relevant data to ensure accuracy.Effectively communicates to internal departments and external partners.Identifies and assesses opportunities to improve processes to better ensure regulatory compliance and adherence to state and federal regulations.Raises issues to management and assists in resolution.Additional duties as assigned.

Minimum Qualifications:HS diploma/GEDFacility credentialingPreferred Qualifications:Bachelor’s degreePrior relevant experienceTime and project management, critical/creative thinking, communication, and problem-solving skills.Intermediate Microsoft software skills include Adobe, Access, Excel, Word, PowerPoint, and OfficeWE ARE AN EQUAL OPPORTUNITY EMPLOYER.

HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified.

If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to

or calling . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services, LLC.

Know Your RightsAll hiring and recruitment at Healthfirst is transacted with a valid “@healthfirst.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process.