Temporary Senior Facility Credentialing Specialist

HealthFirst; Wyoming (MI); On-site; USD 45,000 - 65,000; Full time

Job summary

HealthFirst’s Credentialing department verifies and re-verifies providers, facilities, and vendors, maintains directory accuracy, and ensures compliance with federal and state regulations. The role prepares materials for meetings, conducts audits, processes directories with third party vendors, communicates with internal teams, and seeks process improvements to meet regulatory standards.

A strong candidate has HS diploma, credentialing experience, and solid MS Office skills; preferred bachelor’s

Qualifications

• HS diploma or GED required.
• Facility credentialing experience is required.
• Bachelor’s degree preferred.
• Prior credentialing experience is a plus.
• Strong time and project management, critical/creative thinking, communication, and problem-solving skills.
• Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint) and Adobe is preferred.

Responsibilities

• Credentials 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 adherence to contractual arrangements.
• Prepares hard-copy directories and coordinates with third-party vendors for online directories.
• Reviews relevant data to ensure accuracy.
• Effectively communicates with internal departments and external partners.
• Identifies and assesses opportunities to improve processes to ensure regulatory compliance and adherence to state and federal regulations.
• Raises issues to management and assists in resolution.
• Additional duties as assigned.

Skills

Time management

Project management

Critical thinking

Communication

Problem solving

Attention to detail

Education

HS diploma/GED

Bachelor’s degree

Tools

Microsoft Office

Adobe

Access

Excel

Word

PowerPoint

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.
• 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/GED
• Facility credentialing

Preferred Qualifications

• Bachelor’s degree
• Prior relevant experience
• Time and project management, critical/creative thinking, communication, and problem-solving skills
• Intermediate Microsoft software skills include Adobe, Access, Excel, Word, PowerPoint, and Office

WE 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.

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.