Senior Credentialing Specialist - Medical Staff Admin - FT Days

University of California, Irvine•Irvine, CA

12h

About The Position

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.

Requirements

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

Nice To Haves

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