Medical Staff Analyst
About The Position
Initiates and cultivates partnerships with department management, medical staff and hospital/health plan leadership to ensure compliance and optimal efficiency for appropriate membership and privileges for UCSF Medical Staff, Advanced Health Professionals and CVO contracted facilities (LPPH, School of Dentistry, UCSF Foundation and others, as applicable). First responder to onboarding and revenue channel disruptions as well as performs auditing functions pursuant to facility Bylaws, Rules and Regulations; Credentialing Policy and Procedures; and other applicable accreditation/payor standards (e.g. NCQA, TJC, DHS, DMHC, CMS, delegated credentialing agreements, etc.) Facilitates and supports committees and continuous performance improvement efforts to achieve department and organization goals/workplans. Implements policy and procedures, provides training and orientations to a variety of constituents and supports efforts to sustain best practices.
Requirements
- Partnerships with department management, medical staff and hospital/health plan leadership
- Compliance and optimal efficiency for appropriate membership and privileges for UCSF Medical Staff, Advanced Health Professionals and CVO contracted facilities
- Auditing functions pursuant to facility Bylaws, Rules and Regulations; Credentialing Policy and Procedures; and other applicable accreditation/payor standards (e.g. NCQA, TJC, DHS, DMHC, CMS, delegated credentialing agreements, etc.)
- Facilitation and support of committees and continuous performance improvement efforts
- Implementation of policy and procedures
- Training and orientations to a variety of constituents
- Support for efforts to sustain best practices
Responsibilities
- Initiates and cultivates partnerships with department management, medical staff and hospital/health plan leadership to ensure compliance and optimal efficiency for appropriate membership and privileges for UCSF Medical Staff, Advanced Health Professionals and CVO contracted facilities (LPPH, School of Dentistry, UCSF Foundation and others, as applicable).
- First responder to onboarding and revenue channel disruptions.
- Performs auditing functions pursuant to facility Bylaws, Rules and Regulations; Credentialing Policy and Procedures; and other applicable accreditation/payor standards (e.g. NCQA, TJC, DHS, DMHC, CMS, delegated credentialing agreements, etc.).
- Facilitates and supports committees and continuous performance improvement efforts to achieve department and organization goals/workplans.
- Implements policy and procedures, provides training and orientations to a variety of constituents and supports efforts to sustain best practices.
Benefits
- Total compensation
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What This Job Offers
Education Level
No Education Listed
