Senior Credentialing Specialist
6 days ago
We are seeking a highly skilled Senior Credentialing Specialist to join our team at the University of California, Irvine. As a key member of our Medical Staff Administration Department, you will play a critical role in ensuring the credentialing and privileging processes for our medical staff are accurate, efficient, and compliant with regulatory standards.
Key Responsibilities- Review and analyze credentialing and privileging applications to ensure compliance with organizational policies and accrediting standards.
- Verify education, training, clinical experience, peer references, current licensure, and malpractice history through primary sources.
- Develop and revise clinical privilege criteria in collaboration with clinical department chairs.
- Provide meeting management support to the Credentials Committee, including scheduling meetings, preparing agendas, and taking minutes.
- Act as a mentor to other credentialing specialists and provide support and assistance within the department as needed.
- Represent the department on assigned committees and projects, and provide general administrative support as required.
- Bachelor's degree in a related field and/or equivalent experience/training.
- Current NAMSS certification as CPCS and/or CPMSM.
- Advanced knowledge of Joint Commission, CMS Conditions of Participation, and NCQA and Title 22 accreditation standards and regulations.
- Minimum of five years of experience in the field, with expertise in credentialing, privileging, and medical staff governance.
- Excellent verbal and written communication skills, with the ability to maintain a work pace appropriate to the workload.
- Dual NAMSS certification as CPMSM and CPCS.
- Experience with MD-Staff Credentialing Database Software.
- Knowledge of university and medical center organizations, policies, procedures, and forms.
The University of California, Irvine is an equal opportunity employer and is committed to attracting and retaining a diverse workforce. We offer a comprehensive benefits package and a competitive salary.
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