Senior Credentialing Specialist

6 days ago


Irvine, California, United States University Of California Irvine Full time
Job Summary

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 accuracy and completeness of credentialing and privileging processes for our medical staff.

Key Responsibilities
  • Review and analyze credentialing and privileging applications to ensure compliance with organizational policies and accrediting standards.
  • Collaborate with clinical department chairs to develop and revise clinical privilege criteria.
  • Supervise and mentor credentialing specialists, providing guidance and support as needed.
  • Represent the department on the Credentialing Committee, presenting credentialing files and providing effective resolution and follow-up to identified issues.
  • Provide meeting management support to the Credentials Committee, including scheduling meetings, preparing agendas, and taking and transcribing meeting minutes.
Requirements
  • 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.
  • Excellent verbal and written communication skills.
  • Ability to maintain a work pace appropriate to the workload and complete job responsibilities with a high degree of accuracy under minimal supervision.
Preferred Qualifications
  • 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.
What We Offer

We offer a competitive salary and benefits package, as well as opportunities for professional growth and development. If you are a motivated and detail-oriented individual with a passion for healthcare credentialing, we encourage you to apply for this exciting opportunity.



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