On-site Interim Director of Medical Staff Office, Southern California, PRS Credentialing Services, LLC

Posted on February 17th, 2025

Seeking a Director of Medical Staff Office for a hospital located in Southern California. Experience running multiple Medical Staff Offices as a Regional Director is preferred.

Responsibilities:

Director of Medical Staff Office administers medical staff credentialing, privileging, appointment and reappointment process, and assists the medical staff in supporting the organization’s mission, vision, and goals.

Director of Medical Staff Office will be responsible for maintaining compliance with applicable regulatory agencies, i.e., Centers for Medicare/Medicaid Services (CMS), The Joint Commission (TJC), California Department of Public Health (CDPH), DHS; federal and state regulations; bylaws, rules and regulations of medical staff and hospitals and policies and procedures related to medical staff. Oversees management of administrative duties including employee hiring, training, development, evaluation, job description development, policy development and new employee orientation. Exhibits responsibility and accountability for departmental services. Serves as a liaison to ensure Medical Staff applications, appointments, privileges, credentialing, and administrative support services for the medical staff, and appropriate health professionals are coordinated in a thorough, accurate and timely manner. Ensure timely and efficient process by coordinating the credentialing and privileging of new physicians through the maintenance of credentialing database system. Ensures Medical Staff Office and credentialing program is in compliance with Medical Staff standards, of The Joint Commission, legal and all regulatory and accrediting agency standards. Interprets, explains and follows all regulatory guidelines, including medical staff bylaws, fair hearing plan, rules and regulations and policies.

Qualifications:

• Current Certified Professional Medical Staff Management (CPMSM) with the National Association Medical Staff Services
• Minimum five years of experience in the capacity of a Director of Medical Staff Office
• Knowledge of State, Federal, and Joint Commission regulations
• Working knowledge of accreditation process and standards, health care and credentialing industry, regulatory and legal requirements and other national standards
• Demonstrates success and experience in medical staff services
• Experience working with governance processes essential
• Significant experience and knowledge in working with other healthcare organizations such as hospitals, managed care, credentialing verification organizations and ambulatory care
• Knowledge of Medical Terminology
• Ability to maintain a high degree of confidentiality and diplomacy
• Effective written and verbal communication skills; able to communicate with various individuals both inside and outside the organization
• Proficient with computer systems including but not limited to Microsoft Office Suite

Applicants may contact us at pamela@prscredentialing.com or 888-587-5524

Medical Staff Liaison (On-Site), UCLA Health, Los Angeles, CA

Posted on February 14th, 2025

Make a difference in people’s lives every day. When you join UCLA Health, you’ll be working at an institution that provides leading-edge care to the people of L.A. and throughout the world. We provide our team members with the environment and support to do amazing work, because each and every one of them plays a vital role in our commitment to care.

Within our high volume, goal-driven environment, you will help elevate the productivity of the Medical Staff Office. You will be primarily responsible for being the point of contact for certain specialties and their providers as gatekeepers of the medical staff process.  You will serve as a liaison between the medical staff and all hospital departments to coordinate and provide overall continuity of medical staff activities. Along with providing due diligence to credentialing applications, you will also be involved with anything operational related to UCLA Health Bylaws and Polices and Procedures.  Your role may also involve the preparation of agendas and related materials for medical staff meetings and peer review activities.  You will also monitor compliance with medical staff bylaws, rules and regulations, and policies and procedures. 
 
Salary Range: $63,800 – $127,000/annually

Note: This position is located in Westwood, CA and does require to be on-site. 

Qualifications
We’re seeking a self-motivated, detail-oriented team player with:
 
•      Related Bachelor’s degree and/or equivalent experience/training
•      Certified Provider Credentialing Specialist (CPCS) preferred
•      One or more years of credentialing experience for a healthcare facility, medical group, or health insurance environment
•      Background with online application module of credentialing software a plus
•      Strong analytical, critical thinking and problem-solving skills
•      Outstanding organizational, prioritizing and multitasking abilities
•      Excellent communication, interpersonal and collaboration skills
•      Ability to work effectively under pressure and with constantly changing deadlines and priorities
•      Ability to apply external regulatory guidelines and internal policies to assess and monitor compliance and effectiveness of processes preferred
•      In-depth knowledge of data management and documentation methods used in medical credentialing a plus

Interested candidates apply online at:
https://www.uclahealthcareers.org/job/21455286/medical-staff-liaison-on-site-westwood-los-angeles-ca/

Medical Staff Specialist, Fresno Surgical Hospital, Fresno, CA

Posted on February 1st, 2025

Fresno Surgical Hospital is an extraordinary hospital created entirely to deliver excellence and quality in surgical care to each patient. Our unique facility and staff provide a hospitality- inspired, healing environment unlike anything experience in a traditional hospital. Our commitment to innovation, shared values and excellence can be reflected in exceptional satisfaction scores from patients, physicians and staff.

Responsible for establishing, contributing to and maintaining continuity in the planning, development and implementation of standards applicable to the medical staff organization, relating to credentialing and quality. Serves as an essential link between senior management and the medical staff to promote and enhance good communications and positive working relationship.

Salary Range: $30.00 - $35.00 (depending on experience)

Hours: Monday – Friday, 8 hours

Minimum Education & Experience

• High school diploma or equivalent.
• Associate's degree from two-year college preferred.
• Two years of experience in healthcare environment.
• Credentialing experience preferred.

License & Certification

• Certified Provider Credentialing Specialist preferred.
• MD-Staff program experience preferred

Required Skills

• Knowledge of Title 22 and Joint Commission standards applicable to Medical Staff Services.
• Knowledge of Medical Staff Bylaws, Rules and Medical Staff Policies and Procedures.
• Ability to communicate effectively in English, both verbally and in writing.
• Ability to demonstrate clear oral and written communication skills.
• Ability to effectively plan and prioritize work.
• Ability to maintain collaborative working relationships to ensure a positive and productive work environment.
• Ability to provide exceptional customer service.
• Excellent organizational skills and ability to multi-task.
• Knowledge and proficiency, working knowledge of Microsoft Office Products (Word/Excel) and database software.
• Skills in researching credentialing databases and Internet searches.

Essential Functions

• Responsible for verification of information contained on applications.
• Assist, as needed, in quality functions, including but not limited to chart review and OPPE/FPPE.
• Maintains compliance with the accrediting and regulatory agencies (i.e., Joint Commission, NCQA, URAC, etc.) in regards to credentialing while developing and maintaining a working knowledge of the statutes and laws.
• Responsible for managing the flow of information between the MSO team, Credentials and MEC Committee members, Medical Staff Leadership and the Chief Medical Officer.
• Responsible for the credentialing, appointment and reappointment processes, obtains necessary data for each applicant and reviews applications and other documents for completeness.
• Responsible for the accuracy and integrity of the credentialing and clinical privileging database system and for ensuring the timeliness of credentialing/re-credentialing verifications. Responds to verification requests from other organizations in a timely manner.
• Maintains an organized, efficient filing system.
• Oversight of confidential credential files on all members of the medical staff.
• Ensures current staff status, current licensure, certifications, current clinical privileges, TB verifications and continuing education courses are up to date.
• Performs administrative duties to assure compliance with the medical staff bylaws and regulations.
• Responsible for coordination and preparation of medical staff functions; prepares for committee meetings, takes minutes, processes and distributes appropriate correspondence.
• Other duties as assigned.

Fresno Surgical Hospital complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date.

Applicants apply here: www.fresnosurgicalhospital.com

Senior Medical Staff Coordinator, Kaiser, Pasadena, CA

Posted on January 29th, 2025

When you join Kaiser Permanente, you’ll be part of an organization dedicated to total health. At every level and in every department, it’s what we stand for. By using your innovation and your creativity, you can play a role in the health of communities across town and around the country by serving 12.5 million of our members. No matter your background, your ideas can help drive a health care pioneer. You can play a role in the future of health.

Senior Medical Staff Coordinator
Pasadena, California
Full-Time, Salary Range: $71800 - $92840 / Year

Under minimal supervision, initiates the appointment/credentialing and reappointment/ recredentialing process, compiling and processing data in compliance with local, regional, state and federal accreditation requirements. Ensures thorough and timely verification of Licensed Independent Practitioners (LIP) and Allied Health Professional Staff (AHP) credentials and privileges according to local and regional medical staff services policies and procedures for practitioners in both the hospital and/or ambulatory settings. Provide medical staff service support services to professional staff by supporting professional staff committee meetings, initiating the proctoring function, tracking of residents/medical students and acting as a resource for physicians, allied health professionals, medical center leadership and patients. Completes specific time-limited project assignments as delegated by Director of Medical Staff Services or Senior Medical Staff Coordinator. Assist in audit of practitioners credentialing and recredentialing files to ensure all required elements are in place and in accordance with Regions policy, regulatory and accrediting agency requirements, prior to committee review and approval.

Essential Responsibilities:

• Audit practitioners credentialing and recredentialing files to ensure all required elements are in place and in accordance with Regional policy, regulatory and accrediting agency requirements, prior to committee review and approval.
• Provide assistance in training of credentialing staff as required or applicable.
• Serves as a resource to the Medical Staff Coordinators on issues regarding credentialing for physicians and allied health professionals.
• Provide reports and status updates to regional medical staff offices or involved parties to ensure compliance.
• Support committees as assigned.
• Ensure consistent documentation and complete verification of practitioner (LIP/AHP) credentials.
• Provide required documentation to Chiefs of Service, Department Administrators, Medical Center Leaders and Committee Chairs/Members, as appropriate.
• Process credentials applications, initial and recredential.
• Process all applications for appointment/credentialing, reappointment/recredentialing via the local and regional medical staff/credentialing policies and procedures.
• Initiate investigation into applicants background, education, and experience through use of on-line systems, written correspondence, telephone inquiries and printed reference guides and reports.
• Process all applications for appointment/credentialing, reappointment/recredentialing via the local and regional medical staff/credentialing policies and procedures.
• Partner with all necessary staff to ensure an integrated, timely, consistent product.
• Collaborate with professional physician recruiters to monitor recruitment status of candidates to ensure timely credentialing prior to employment.
• Maintains computerized database of practitioner data for use in the medical staff service program to assure data for all credentialed and privileged practitioners is consistently accurate and current.
• Implements an efficient and effective communication system for transmission of electronic practitioner data to other users in the medical center for information (i.e., practitioner-specific privilege look-up for patient care units).
• Implements an efficient and effective communication/transmission system of shared data to regional or other local sites to facilitate timely approval for professional staff appointment or approval to participate within Southern California Region.
• Keeps abreast of laws, regulations, local and regional policies/procedures and Professional Staff Bylaws, Rules and Regulations.
• Maintains credentials files of all practitioners within medical center site (including satellite facilities/medical office buildings).
• Supports professional staff committees by preparing agendas, recording minutes, and follow-up.
• Supports the medical staff by being a resource for accreditation, licensing and regulatory compliance related to medical staff services functions.
• Leads and provides support, develops goals and program direction for projects.
• Sets agenda and conducts multi-disciplinary meetings and follows up on action items.
• Establishes team membership and negotiates time commitments.
• Designs and implements plans for data gathering and analysis.
• Partners with other departments to leverage community activities.
• Makes presentations to leadership audiences.

Basic Qualifications:

Experience

• Minimum Five (5) years of experience with credentialing in a hospital or ambulatory setting.

Education

• AA degree or equivalent experience.

Additional Requirements

• Proficient with medical terminology.
• Significant knowledge of Federal and State regulatory requirements and accreditation standards, e.g., TJC, Title XXII, NCQA, NPDB and certifying agencies.
• Strong organization and communication skills, attention to details required.
• Ability to lead and facilitate processes through influence and collaboration.
• Demonstrated problem-solving skills and initiative.
• Service oriented and the ability to work in a team environment required.
• Demonstrated ability to review practitioner credentialing files for accuracy and completion.
• Additional Skills: Proficient with IBM PC, Word, Excel, Access.

Preferred Qualifications:

• Bachelor’s degree preferred.

For immediate consideration, please visit http://kp.org/careers for complete qualifications and job submission details, referencing job number 1278542.

Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.

This position supports Kaiser Permanente’s code of conduct and compliance by adhering to all laws and regulations, accreditation and licensure requirements, and internal policies and procedures.

kp.org/careers

KAISER PERMANENTE

Discover what it’s like to be part of an industry-leading organization driving innovative care and technology. Get social with us and see what people are saying!

Glassdoor and LinkedIn: Kaiser Permanente
Facebook: Kaiser Permanente Thrive
X: @KPCareers
YouTube: Kaiser Permanente Career

Medical Staff Coordinator, Kaiser, Pasadena, CA

Posted on January 29th, 2025

When you join Kaiser Permanente, you’ll be part of an organization dedicated to total health. At every level and in every department, it’s what we stand for. By using your innovation and your creativity, you can play a role in the health of communities across town and around the country by serving 12.5 million of our members. No matter your background, your ideas can help drive a health care pioneer. You can play a role in the future of health.

Medical Staff Coordinator
Pasadena, California
Full-Time, Salary Range: $65,100 - $84,150 /Year 

Under minimal supervision, initiates the appointment/credentialing and reappointment/ recredentialing process, compiling and processing data in compliance with local, regional, state and federal accreditation requirements. Ensures thorough and timely verification of Licensed Independent Practitioners (LIP) and Allied Health Professional Staff (AHP) credentials and privileges according to local and regional medical staff services policies and procedures for practitioners in both the hospital and/or ambulatory settings. Provide medical staff service support services to professional staff by supporting professional staff committee meetings, initiating the proctoring function, tracking of residents/medical students and acting as a resource for physicians, allied health professionals, medical center leadership and patients. Completes specific time-limited project assignments as delegated by Director of Medical Staff Services or Senior Medical Staff Coordinator. This position does not supervise others.

Essential Responsibilities:

• Ensure consistent documentation and complete verification of practitioner (LIP/AHP) credentials.
• Provide required documentation to Chiefs of Service, Department Administrators, Medical Center Leaders and Committee Chairs/Members, as appropriate.
• Process all applications for appointment/credentialing, reappointment/recredentialing via the local and regional medical staff/credentialing policies and procedures.
• Partners with all necessary staff to ensure an integrated, timely, consistent product.
• Collaborates with regional professional recruitment personnel and regional credentialing personnel to ensure timely credentialing prior to employment.
• Maintains computerized database of practitioner data for use in the medical staff service program to assure data for all credentialed and privileged practitioners is consistently accurate and current.
• Implements an efficient and effective communication system for transmission of electronic practitioner data to other users in the medical center for information (i.e., practitioner-specific privilege look-up for patient care units).
• Implements an efficient and effective communication/transmission system of shared data to regional or other local sites to facilitate timely approval for professional staff appointment or approval to participate within Southern California Region.
• Keeps abreast of laws, regulations, local and regional policies/procedures and Professional Staff Bylaws, Rules and Regulations.
• Maintains credentials files of all practitioners within medical center site (including satellite facilities/medical office buildings).
• Supports professional staff committees by preparing agendas, recording minutes, and follow-up.
• Supports the medical staff by being a resource for accreditation, licensing and regulatory compliance related to medical staff services functions.
• Assists Director of Medical Staff Services with all survey/audit processes.

Basic Qualifications:

Education

• AA degree or two (2) years of experience in a directly related field required.
• High School Diploma or General Education Development (GED) required.

Additional Requirements

• Proficient with IBM PC, medical staff database.
• Proficient with medical terminology.
• Significant knowledge of federal and state regulatory requirements and accreditation standards (i.e., TJC, NCQA, DOC, DHS, DMHC, CMS, Title 22).
• Strong organization, communication and written skills, with attention to detail required.
• Demonstrated ability to function independently with minimal direct supervision.
• Must be able to work in a Labor/Management Partnership environment.

Preferred Qualifications:

• CPCS or minimum three (3) years demonstrated knowledge of medical staff service functions related to credentialing/privileging, preferred.
• Bachelor’s Degree preferred.

For immediate consideration, please visit http://kp.org/careers for complete qualifications and job submission details, referencing job number 1278539.

Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.

This position supports Kaiser Permanente’s code of conduct and compliance by adhering to all laws and regulations, accreditation and licensure requirements, and internal policies and procedures.

kp.org/careers

KAISER PERMANENTE

Discover what it’s like to be part of an industry-leading organization driving innovative care and technology. Get social with us and see what people are saying!

Glassdoor and LinkedIn: Kaiser Permanente
Facebook: Kaiser Permanente Thrive
X: @KPCareers
YouTube: Kaiser Permanente Career

Medical Staff Coordinator, UCSF Campus and Health

Posted on January 16th, 2025

JOB DESCRIPTION:

Job Summary

Initiates and cultivates partnerships with department management, medical staff and hospital leadership to ensure compliance and optimal efficiency for appropriate membership, credentialing and privileges for UCSF Health Saint Francis and St. Mary's medical staff. First responder to onboarding and revenue channel disruptions as well as performs auditing functions under 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/work plans. Implements policy and procedures, provides training and orientations to a variety of constituents, and supports efforts to sustain best practices.

Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement. The salary range for this position is $63,700 - $136,100 (Annual Rate)

To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html

The Office of Medical Affairs and Governance provides credentialing services for the UCSF Health System and is also responsible for privileging, governance, and health plan enrollment for the Health System, including the Community Hospitals division (UCSF Health St. Mary's and UCSF Health Saint. Francis Hospitals.

Required Qualifications

* Bachelor's degree in a related area and/or four years of equivalent experience/training.

* Three years relevant work experience in a similar environment (i.e.: audit, credentialing, compliance, healthcare, quality, process improvement).

* Proven ability to apply external regulatory guidelines and internal accounting and administrative policies knowledge and skills to assess and monitor compliance and effectiveness of processes.

* Solid skills to evaluate issues and identify solutions. Demonstrated ability to solve problems and suggest solutions through critical thinking processes.

* Ability to independently set and meet deadlines while multi-tasking and assigning precedence to competing priorities.

* Ability to see multiple assignments through to completion on deadline.

* Skills to work collaboratively coordinate and integrate with others throughout the department, hospital, and campus.

* Ability to communicate through all mediums and with all groups and work under pressure of constantly changing deadlines and priorities.

* Ability to perform all commonly applicable functions in Microsoft Office Suite (Word, Excel, PowerPoint) and medical credentialing database applications.

* Thorough knowledge of data management and documentation methods used in medical credentialing.

* Advanced competency in a paperless computer environment and understanding of provider data integrity standards (credentialing software, MS Office suite, Adobe Professional, document scanning/storage, web-based applications, tools, etc.)

* Role models and promote best practices to maintain confidentiality and discretion to preserve

* HIPAA/Peer review protections as well as attorney-client privilege, as warranted.

* The ability to work in San Francisco when reuqired.

Preferred Qualifications

* Experience working in a community hospital environment.

* Expert knowledge of TJC, NCQA, CMS, DHS, DMHC, ACCME, and other applicable accreditation/regulatory requirements

License/Certification

At least one of these below Certifications must be obtained within 18 months of hire date:

* Certified Provider Credentialing Specialist (CPCS)

* Certified Professional Medical Services Management (CPMSM)

About UCSF At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what's possible for the patients we serve, a promise we share with the professionals who make up our team. Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report, UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents.

Pride Values

UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence � also known as our PRIDE values.

In addition to our PRIDE values, UCSF is committed to equity, both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at diversity.ucsf.edu

Join us to find a rewarding career contributing to improving healthcare worldwide.

To apply for this position, please copy and paste the following link into your browser address bar: https://UCSFMC.contacthr.com/144893029

PAY TYPE: Annual

LOW BASE PAY: Competitive

HIGH BASE PAY: Competitive

PAID RELOCATION: Not Specified

CITY: San Francisco

STATE/PROVINCE: CA

POSTAL CODE: 94102

COUNTRY: United States

JOB FUNCTION: Clerical

Director of Medical Staff Services, UCSF Campus and Health

Posted on January 16th, 2025

JOB DESCRIPTION:

Job Summary Responsible for the credentialing and privileging operations for UCSF Health Saint Francis and St. Mary's Hospital medical staff. Recruits, selects and develops new/existing talent to support the continued credentialing and privileging in a high volume, fast-paced environment. Oversees appropriate application processing of new and existing providers, and ongoing competency review processes for providers who render patient care at UCSF Saint Francis and St. Mary's Hospitals and clinics. Facilitates and oversees monthly approval process and appropriate follow-up of recommendations & approvals through regularly held committee review bodies. Applies functional knowledge and development of medical staff credentialing and privileging standards/policies and operations to advise and collaborate with UCSF Health Saint Francis and St. Mary's leadership in accomplishing strategic initiatives.

The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement. The salary range for this position is $94,400 - $201,800 (Annual Rate). To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html

The Office of Medical Affairs and Governance provides credentialing services for the UCSF Health System and is also responsible for privileging, governance, and health plan enrollment for the Health System, including the Community Hospitals division (UCSF Health St. Mary's and UCSF Health Saint Francis Hospitals).

Required Qualifications

* Bachelor's degree in a related area or four years of equivalent experience/training.

* Four years of relevant work experience in a similar work environment (i.e. Leader, Director, Manager, or Supervisory role)

* Expert knowledge of TJC, NCQA, CMS, DHS, DMHC, ACCME, and other applicable accreditation/regulatory requirements.

* Strong knowledge of external regulations, credentialing best practices, and clinical operations to implement in an acute care setting. Knowledge of Human Resource policies and processes.

* Strong strategic skills to develop long-range plans, and abilities to solve complex, wide-reaching problems when no precedent exists.

* Ability to exercise professional judgment in handling sensitive and confidential issues with discretion. Demonstrated sensitivity to political situations and confidential issues.

* Knowledge of organization structure and change management skills to streamline systems and design processes to improve the efficiency of operations.

* Strong collaboration skills, and ability to build and maintain relationships with physicians, clinical department heads, and senior management.

* Strong management and conflict resolution skills to effectively lead and motivate others. Successful background working with peers, patients, multidisciplinary team members, executives, assigned staff, and representatives of regulatory agencies.

* Skills to consistently interact with all members of the organization in ways that enhance understanding, respect, cooperation, and problem-solving.

* Advanced ability to quickly evaluate complex issues and identify multiple options for resolution.

* Strong knowledge of the approaches and methods of process improvement, including planning, setting priorities, systematic performance assessment, implementation of process improvements based on such assessment, and maintaining achieved improvement.

Preferred Qualifications

* Certified Professional Medical Services Management (CPMSM) certification is preferred and required within 18 months of hire.

* Certified Provider Credentialing Specialist (CPCS) is preferred if a candidate does not hold CPMSM certification

* Experience in working in a medical staff office of a community hospital.

License/Certification
n/a

About UCSF At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what's possible for the patients we serve a promise we share with the professionals who make up our team. Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report, UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents.

Pride Values

UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence, also known as our PRIDE values.

In addition to our PRIDE values, UCSF is committed to equity, both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at diversity.ucsf.edu

Join us to find a rewarding career contributing to improving healthcare worldwide.

To apply for this position, please copy and paste the following link into your browser address bar: https://UCSFMC.contacthr.com/144893028

PAY TYPE: Annual

LOW BASE PAY: Competitive

HIGH BASE PAY: Competitive

PAID RELOCATION: Not Specified

CITY: San Francisco

STATE/PROVINCE: CA

POSTAL CODE: 94102

COUNTRY: United States J

OB FUNCTION: General

Medical Staff Analyst, UCSF Campus and Health

Posted on January 16th, 2025

JOB DESCRIPTION: J

ob Summary

Applies extensive knowledge of credentialing regulations and internal practices in resolving complex licensure cases, performs complex analysis to assess the consistency and application of processes, and proposes improvements to department operations.

The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on several factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement. The salary range for this position is $67,000 - $143,800 (Annual Rate). To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html

The Office of Medical Affairs and Governance provides credentialing services for the UCSF Health System and is also responsible for privileging, governance and health plan enrollment for the Health System, including the Community Hospitals division (UCSF Health St. Mary's and UCSF Health Saint Francis Hospitals).

Required Qualifications

* Bachelor's degree in a related area or four years of equivalent experience/training.

* Four years of relevant work experience in a similar environment (i.e.: audit, credentialing, compliance, healthcare, quality, process improvement).

* Maintains a broad range of external regulatory best practices and accounting and administrative operations. Proven ability to apply knowledge to recommend improvements.

* Advanced critical and analytical thinking regarding complex and long-term projects. Ability to recognize impediments, creatively address new problems, develop alternative plans, and formulate solutions.

* Advanced organizational and project management skills, including the ability to anticipate and plan for complex situations, define objectives, and adjust plans. Ability to see multiple assignments through from inception to completion on schedule.

* Ability to maintain professional demeanor while working under pressure of constantly changing deadlines and priorities; possesses poise, diplomacy, discretion, initiative, resourcefulness, and a service orientation.

* Demonstrated advanced computer skills using Microsoft Office Suite (Word, Excel, PowerPoint) and medical credentialing database application.

* Advanced knowledge of data analysis, research, and reporting, particularly regarding licensure compliance. Thorough knowledge of data management and documentation methods used in medical credentialing.

* Advanced competency in a paperless computer environment and understanding of provider data integrity standards (credentialing software, MS Office suite, Adobe Professional, document scanning/storage, web-based applications and tools, etc.)

* Role models and promote best practices to maintain confidentiality and discretion to preserve

* HIPAA/Peer review protections as well as attorney-client privilege, as warranted.

* Expert knowledge of TJC, NCQA, CMS, DHS, DMHC, ACGME, and other applicable accreditation/regulatory requirements.
 

Preferred Qualifications

Experience in working in a medical staff office of a community hospital.

License/Certification

The incumbent must obtain one of these certifications within 18 months of hire:

* Certified Provider Credentialing Specialist (CPCS)

* Certified Professional Medical Services Management (CPMSM)

About UCSF

At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what's possible for the patients we serve a promise we share with the professionals who make up our team.

Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report, UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents.

Pride Values

UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence, also known as our PRIDE values.

In addition to our PRIDE values, UCSF is committed to equity, both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at diversity.ucsf.edu

Join us to find a rewarding career contributing to improving healthcare worldwide.

To apply for this position, please copy and paste the following link into your browser address bar: https://UCSFMC.contacthr.com/144892987

PAY TYPE: Annual

LOW BASE PAY: Competitive

HIGH BASE PAY: Competitive

PAID RELOCATION: Not Specified

CITY: San Francisco

STATE/PROVINCE: CA

POSTAL CODE: 94102

COUNTRY: United States

JOB FUNCTION: Clerical