Credentialing Specialist

Healthfirst

2 years ago

Onsite

Full Time

Junior

0 applicants

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About this role

Position within Healthfirst's Credentialing department supporting credentialing and re-credentialing of providers, facilities, and vendors while maintaining accurate network provider data and ensuring adherence to federal and state regulations. The role contributes to committee reporting, directory preparation, and vendor oversight and audit coordination.

Skills

Qualifications

HS Diploma/GEDBachelor's Degree

About Healthfirst

healthfirst.org

Healthfirst is a not‑for‑profit health insurer focused on serving New Yorkers with a range of plans including Medicaid, Medicare Advantage, Child Health Plus, the Essential Plan, and individual & family coverage across New York City, Long Island, Westchester and nearby regions. The company emphasizes coordinated, community‑focused care through a large provider network, care management programs, preventive services, and support for social needs. Healthfirst provides member tools and customer support for plan selection and access to services, and runs quality and population‑health initiatives aimed at improving outcomes and reducing disparities.