Temporary Senior Facility Credentialing Specialist

HealthFirst; Provo (UT); On-site; USD 45,000 - 65,000; Full time

Job summary

HealthFirst is seeking a credentialing professional to support credentialing and re-credentialing of providers, facilities, and vendors. The role involves preparing hard-copy directories, reviewing data for accuracy, and ensuring compliance with applicable regulations and HealthFirst policies.

You will prepare presentations for quarterly credentialing and delegate vendor oversight meetings, and coordinate with third-party vendors to post online directories while identifying process improvements

Qualifications

• Bachelor’s degree required.
• Strong time/project management and communication skills.
• Critical thinking and problem-solving abilities.
• Ability to follow state and federal regulatory requirements.

Responsibilities

• Credentialing and re-credentialing providers, facilities and vendors.
• Prepare hard-copy directories and review provider data for accuracy.
• Ensure compliance with regulatory requirements and Healthfirst policy.
• Prepare presentations for quarterly credentialing and oversight meetings.
• Collaborate with third-party vendors to post online directories.
• Identify opportunities to improve processes for regulatory compliance.

Skills

Time management

Project management

Communication

Problem solving

Critical thinking

Regulatory compliance

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.