Temporary Senior Facility Credentialing Specialist

HealthFirst; Heber (UT); On-site; USD 52,000 - 76,000; Full time

Job summary

HealthFirst credentialing department handles credentialing and re-credentials for providers, facilities and vendors, ensuring accuracy and compliance with federal and state regulations. The team also prepares hard-copy directories and coordinates with third-party vendors for online postings.

Additionally, presentations for quarterly credentialing and delegate vendor oversight committee meetings are prepared, while exploring improvements to processes to strengthen regulatory adherence.

Qualifications

• Credentials role handling for providers, facilities and vendors to ensure regulatory compliance.
• Prepares hard-copy directories and coordinates with third-party vendors for online postings.
• Reviews network provider data for accuracy and regulatory adherence.

Responsibilities

• Credentialing of providers, facilities and vendors per HealthFirst policy.
• Prepare quarterly credentialing and vendor oversight committee materials.
• Identify opportunities to improve processes for 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

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.

Prepares hard-copy directories and works with third party vendors for posting online directories. Reviews relevant data to ensure accuracy.

Identifies and assesses opportunities to improve processes to better ensure regulatory compliance and adherence to state and federal regulations.

Facility credentialing

Bachelor’s degree

Time and project management, critical/creative thinking, communication, and problem-solving skills.

Intermediate Microsoft software skills include Adobe, Access, Excel, Word, PowerPoint, and Office

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 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.