Medical Staff Information Specialist | Medical Staff Department | Day

UF Health • Jacksonville, FL

4d • Onsite

About The Position

This position is responsible for all credentialing and re-credentialing audits with managed care organizations. Responsibilities include keeping current on all NCQA standards and preparing policies regarding these standards. In addition, this position is responsible for hospital credentialing for non-board approved providers.

Requirements

• Bachelor's Degree or ten (10) + years relevant experience and NAMSS certification (CPCS or CPMSM).
• Demonstrated use and knowledge of complex database applications.
• Excellent written and verbal communication skills.
• Ability to work with people across many different departments in the organization, as well as internal teams.
• Ability to work with people of varying levels of skill sets and to utilize those skill sets.
• Ability to interact appropriately with front-line employees, managers, directors and executives.
• Ability to be an effective trainer.
• Knowledge (or ability to comprehend) accreditation standards.
• Certified Provider Credentialing Specialist (CPCS) OR Certified Professional Medical Services Management (CPMSM) by the National Association of Medical Staff Services within two (2) years of date of hire or transfer into position.
• 1-2 years Medical staff services/credentialing, healthcare, human resources in a healthcare environment or related field OR Crystal report writing experience.

Nice To Haves

• Bachelor's in Health Care Administration, Business Administration or other related field.
• Experience with hospital quality process improvement.

Responsibilities

• Conduct credentialing and re-credentialing audits with managed care organizations.
• Maintain current knowledge of NCQA standards.
• Prepare policies regarding NCQA standards.
• Perform hospital credentialing for non-board approved providers.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level