Senior Credentialing Specialist - Medical Staff Admin - FT Days

Senior Credentialing Specialist - Medical Staff Admin - FT Days

Req ID: 141112

Location: Irvine, California

Division: Medical Center

Department: Medical Staff Admin

Position Type: Full Time

Salary Range Minimum: USD $71,600.00/Yr.

Salary Range Maximum: USD $127,400.00/Yr.

Who We Are

UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America's Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County's only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.

To learn more about UCI Health, visit www.ucihealth.org.

Your Role on the Team

Position Summary:

Incumbent is an advanced technical professional who functions with minimal supervision applying extensive knowledge and expertise in the field to problem solve, formulate strategies in unique and complex situations, and administer policies, processes, and resources. The Senior Credentialing Specialist serves as an essential link and resource between department senior management and the medical staff to coordinate the operational processes and ongoing credentialing, privileging, and medical staff governance functions of the Medical Staff Administration Department. Responsible for review, analysis and follow up, and processing credentialing and privileging applications and ensuring compliance with organizational policies and accrediting and regulatory standards. Responsible for meeting management to the Credentials Committee. Acts as mentor to other credentialing specialists, and provides other support and assistance within the department as needed or assigned.

What It Takes to be Successful

Required Qualifications:

• Must possess the skill, knowledge and abilities essential to the successful performance of assigned duties
• Must demonstrate customer service skills appropriate to the job
• Minimum of five (5) years in the overall field with expertise in specific areas, including credentialing, privileging, formulating strategies, and administering policies and processes
• Knowledge of FPPE/proctoring processes and procedures
• Excellent verbal and written English communication skills
• Discretion and judgment in the handling of confidential and/or sensitive information
• Demonstrated skill and ability to independently set and meet deadlines, multi-task, and effectively manage competing priorities
• Demonstrated advanced skill and proficiency in MS Office Suite (Outlook, Word, Excel, PowerPoint, SharePoint)
• Demonstrated advanced knowledge in data analysis, research and reporting, particularly with respect to licensure compliance
• Demonstrated ability to multi-task and manage time and prioritize projects efficiently and effectively
• Demonstrated ability to apply sound judgment and formulate strategies in ambiguous situations and effectively manage change
• Demonstrated ability to apply knowledge and recommend viable solutions for complex situations
• Current NAMSS certification as CPCS and/or CPMSM
• Bachelor's degree in related area and / or equivalent experience / training
• Advanced knowledge of Joint Commission, CMS Conditions of Participations, and NCQA and Title 22 accreditation standards and regulations
• Advanced knowledge and expertise in medical staff credentialing and privileging processes and procedures
• Advanced analytical, critical thinking, organizational, and project management skills
• Ability to maintain professional demeanor and poise while working under pressure, meeting deadlines, and managing changing priorities
• Ability to maintain a work pace appropriate to the workload
• Ability to complete job responsibilities with a high degree of accuracy under minimum supervision

Preferred Qualifications:

• Minimum of two (2) years meeting management experience
• Knowledge of university and medical center organizations, policies, procedures, and forms
• Experience with MD-Staff Credentialing Database Software
• Dual NAMSS certification as CPMSM and CPCS

Total Rewards

We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits.