Credentialing Specialist

CHI Health • Omaha, NE

6d • $19 - $27

About The Position

The Credentialing Specialist coordinates the end-to-end credentialing and re-credentialing process for the CHI Health System, maintaining the accuracy and integrity of healthcare provider data. The role supports compliance with The Joint Commission, NCQA, URAC, and CMS requirements and contributes to high-quality care and medical staff excellence.

Responsibilities include managing practitioner files throughout their lifecycle, from initial appointment and clinical privileging to ongoing expirables monitoring. The specialist conducts background investigations and primary source verifications, uses the credentialing database to generate reports and track eligibility, communicates with internal and external stakeholders, resolves credentialing discrepancies, and assists with delegated credentialing audits.

The position requires a strong working knowledge of medical credentialing standards, hospital operations, and regulatory requirements; analytical skills to interpret research findings; independent judgment when handling confidential information; database management and report-generation proficiency; professionalism; and the ability to manage competing priorities in a fast-paced healthcare administrative environment. Candidates must be located in the Metro Omaha/Lincoln area and surrounding communities. The position may have the potential to become remote after the training period.

Requirements

• High school GED in General Studies, upon hire, or high school graduation in General Studies, upon hire.
• Must be located in Metro Omaha/Lincoln and surrounding area.
• Strong working knowledge of medical credentialing standards, hospital operations, and regulatory requirements.
• Analytical skills to interpret research findings.
• Ability to exercise independent judgment when handling confidential information.
• Proficiency in database management and report generation.
• Professionalism and ability to manage competing priorities in a fast-paced healthcare administrative environment.

Responsibilities

• Coordinate the end-to-end credentialing and re-credentialing process for the CHI Health System.
• Maintain the accuracy and integrity of healthcare provider data and ensure compliance with applicable regulatory bodies.
• Manage practitioner files from initial appointment and clinical privileging through ongoing expirables monitoring.
• Conduct background investigations and primary source verifications.
• Use the credentialing database to generate reports and track eligibility.
• Communicate with internal and external stakeholders.
• Resolve credentialing discrepancies.
• Assist with delegated credentialing audits.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED