Featured Job Medical Staff Analyst
Office of Medical Affairs & Governance
Job Summary Leads the credentialing and privileging process, oversees FPPE/OPPE, provides guidance on policies and procedures related to appointments and credentialing actions, and must understand and adhere to medical staff bylaws, state/federal regulatory requirements, as well as accreditation requirements. Leads quality process improvement initiatives, responsible for medical staff committee oversight and management, including agendas/minutes, and pre-committee preparation. Monitors the accuracy of the credentialing database. Monitors Proctoring. Functions as the lead to medical credentialing professionals, providing direction/guidance and answering questions.
Compensation: 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. The annual salary range for this position is $72,000 - $154,00, with a min. target entry point of $100,000+, depending on experience. To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html
Department Description 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.
Note: This position requires one to work on site a min. of four days a week in San Francisco.
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.
Equal Employment Opportunity The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law.
Job Code and Payroll Title 005518 MED STF SVC SPEC 4
Job Category Administrative Support, Government & Public Affairs, Support Services
Bargaining Unit 99 - Policy-Covered (No Bargaining Unit)
Location San Francisco, CA
Additional Shift Details M-F
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