Senior Credentialing Specialist

2 weeks 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 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.
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.
  • 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.
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.
Working at UCI

The University of California, Irvine is an Equal Opportunity/Affirmative Action Employer. We are committed to attracting and retaining a diverse workforce, and we strive to create a work environment that is inclusive, equitable, and welcoming. If you are passionate about working in a dynamic and collaborative environment, we encourage you to apply for this exciting opportunity.



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