Credentialing Specialist jobs in United States
Explore 36 matching jobs.
Temporary Senior Facility Credentialing Specialist
Healthfirst
Posted: 10/20/2026Credentialing Specialist
NeighborHealth Center
Posted: 10/20/2026Medical Staff Credentialing Specialist
Lifepoint Health®
Posted: 10/16/2026Credentialing Specialist
Core Health LLC
Posted: 10/16/2026Credentialing Specialist
Point32Health
Posted: 10/15/2026Credentialing Specialist 2
Baptist Health
Posted: 10/15/2026License and Credentialing Specialist
Equum Medical
Posted: 10/15/2026Provider Credentialing Specialist II
Qualifacts
Posted: 10/14/2026Credentialing Specialist
Platinum Dental Services
Posted: 10/13/2026Lead System Credentialing Specialist, Oncology
Munson Healthcare
Posted: 10/12/2026Credentialing and Licensing Specialist
Coloplast
Posted: 10/10/2026Delegated Credentialing Specialist
CHG Healthcare
Posted: 10/9/2026Credentialing Specialist
Children's Specialized ABA
Posted: 10/9/2026Credentialing Specialist
IMH
Posted: 10/7/2026Credentialing Specialist
Talkspace
Posted: 10/7/2026Credentialing Specialist
Verse
Posted: 10/6/2026Credentialing/Payor Specialist
Capitol Imaging Services
Posted: 10/3/2026Credentialing Specialist
Meds.com
Posted: 10/2/2026Credentialing Specialist
Workit Health
Posted: 10/2/2026Credentialing Specialist
Tava Health
Posted: 9/29/2026
Temporary Senior Facility Credentialing Specialist
HealthfirstCore Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in facility credentialing and regulatory compliance, with strong skills in project management and effective communication. Proficient in preparing presentations and facilitating audits to ensure adherence to policies and regulations.
Highest-signal resume keywords
Facility CredentialingRegulatory ComplianceProject ManagementEffective CommunicationProcess Improvement
About the role
Key responsibilities & impact- Credential and re-credential providers, facilities, and vendors in accordance with regulations and Healthfirst policy
- Prepare presentations for quarterly credentialing and delegate vendor oversight committee meetings
- Facilitate pre-delegation and delegation vendor audits to ensure adherence to contractual arrangements
- Prepare hard-copy directories and work with third-party vendors for posting online directories
- Review relevant provider data to ensure accuracy
- Communicate effectively with internal departments and external partners
- Identify and assess process improvement opportunities to ensure regulatory compliance and adherence to state and federal regulations
- Raise issues to management and assist in resolution
- Perform additional duties as assigned
Requirements
What you’ll need- HS diploma/GED
- Facility credentialing
- Time and project management, critical/creative thinking, communication, and problem-solving skills
- Intermediate Microsoft software skills, including Adobe, Access, Excel, Word, PowerPoint, and Office
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
CredentialingVendor AuditsData ReviewPresentation PreparationProcess Improvement
Soft Skills
Critical ThinkingCreative ThinkingProblem-SolvingTime Management
Tools & Technologies
Microsoft OfficeAdobeAccessExcelWordPowerPoint
Certifications & Qualifications
HS DiplomaGED
Industry Keywords
Healthfirst PolicyRegulationsContractual ArrangementsInternal DepartmentsExternal Partners