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1 Vacancy
Key Responsibilities:
Cultivate and produce efficient and compliant onboarding processes including:
Generate health plan enrollment applications tracking reports and ensure enrollment into webbased systems for government payors.
Serve as a functional expert for Credentials Committee Committee on Interdisciplinary Practice (CIDP) and/or CVO clients.
Collaborate with department chairs regarding scope of practice and new privileges within clinical services/programs.
Prepare agendas minutes reports presentations correspondence emails scheduling and logistics for committees/CVO clients functional responsibilities and delegated credentialing agreements.
Research and resolve disruptions to revenue channels due to medical staff data integrity.
Partner with department leaders to ensure alignment with onboarding priorities and optimize patient access to qualified providers.
Establish priorities and initiate temporary privileges to resolve and align patient access within organizational work plans/priorities.
Initiate procedures and leadership communication to administratively suspend/reinstate providers status and clinical access to patient services.
Draft action plans for leadership approval/recommendation and monitor actions through reinstatement to ensure compliant resolution.
Facilitate and lead quality/process improvement projects as assigned such as:
The final salary and offer components are subject to additional approvals based on UC policy.
To see the salary range for this position (we recommend that you make a note of the job code and use that to look up): TCS NonAcademic Titles Search note: An offer will take into consideration the experience of the final candidate AND the current salary level of individuals working at UCSF in a similar role.
For roles covered by a bargaining unit agreement there will be specific rules about where a new hire would be placed on the range.
To learn more about the benefits of working at UCSF including total compensation please visit: of TJC NCQA CMS DHS DMHC ACGME and other applicable accreditation/regulatory requirements.
Competency in a paperless computer environment and understanding of provider data integrity standards (credentialing software MS Office suite Adobe Professional document scanning/storage webbased applications and tools etc..
Excellent ability to interact with all levels of management communicate effectively both verbally and in writing and function within a team and independently.
Ability to perform all commonly applicable functions in Microsoft Office Suite (Word Excel PowerPoint) and medical credentialing database application.
Data analysis research and reporting skills.
Exceptional organizational skills and ability to set priorities as well as manage multiple demands effectively.
Role model and promote best practices to maintain confidentiality and discretion to preserve HIPAA/Peer review protections as well as attorneyclient privilege as warranted.
Knowledge of compliant revenue/billing practices to mitigate fraud/waste/abuse impacts on organization priorities/work plans.
Bachelors degree in a related area and/or equivalent experience/training.
Three years in a healthcare environment with emphasis in medical staff operations academic medical centers and/or provider credentialing for thirdparty payors and health plans preferred.
Certified Provider Credentialing Specialist (CPCS) within 18 months of hire from OMAG required to meet performance expectations of the role.
Certified Professional Medical Services Management (CPMSM).
Full Time