Credentialing Specialist

About the role

As our Credentialing Specialist, you will play a pivotal role in maintaining the accuracy and integrity of our healthcare provider data. You will be responsible for coordinating the end-to-end credentialing and re-credentialing process for the CHI Health System. By ensuring strict compliance with regulatory bodies such as The Joint Commission, NCQA, URAC, and CMS, you will support our commitment to high-quality care and medical staff excellence.

Responsibilities

• Managing the full lifecycle of practitioner files, from initial appointment and clinical privileging to ongoing expirables monitoring.
• Conducting thorough background investigations.
• Performing primary source verifications.
• Utilizing the credentialing database to generate reports and track eligibility.
• Serving as a key point of contact for internal and external stakeholders, providing clear communication while resolving credentialing discrepancies.
• Assisting with delegated credentialing audits.

Requirements

Must be located in the Metro Omaha/Lincoln and surrounding area. High school diploma or GED required.

Skills

• Strong working knowledge of medical credentialing standards, hospital operations, and regulatory requirements.
• Sharp analytical skills to interpret research findings.
• Ability to exercise independent judgment when handling confidential information.
• Proficiency in database management and report generation.
• Dedication to professionalism.
• Ability to effectively manage competing priorities in a fast‑paced healthcare administrative environment.

Pay

Pay range: $18.96 - $26.78 per hour.