Medical Staff Quality Specialist

Hybrid-Mostly remote but required to come on site as needed (i.e. staff meetings accreditation surveys peer review meetings etc) **

Preference is local candidates but may consider non-local if needed

What specific experience background and/or qualifications are you looking for in candidates for this position

Job Qualifications:

Bachelors degree required
3 years of relevant healthcare/clinical experience
Experience in managing FPPE OPPE and professionalism cases for medical staff offices
Please verify any certificates and/or licenses required for the position if applicable: N/A but clinical experience preferred.

Job Description/Summary:

Reporting to the Director of Medical Staff Administration the Medical Staff Quality Specialist provides data and analytical support to UCSF Benioff Childrens Hospital Oakland and to the Organized Medical Staff for OPPE and peer review processes including support of Peer Review and Professionalism investigations. Is responsible for the design implementation and management of reporting and databases and for new and ongoing projects related to medical staff evaluation and credentialing.

Essential Functions:
1. Collaborates with the Director of Medical Staff Administration in analyzing individual and group OPPE and peer review data.
2. Completes assigned projects related to medical staff data collection analysis and reporting.
3. Writes reports from peer review database upon request and on a recurring basis.
4. Maintains the integrity of data ensuring timely relevant accurate and consistent information use.
5. Summarizes and reports OPPE and peer review data.
6. Assists in improving the quality of data and information as appropriate; including audit of data collection processes.
7. Participates in medical staff committees and teams to help track quality outcomes and measures.
8. Maintains knowledge of Joint Commission and regulatory standards related to medical staff credentialing privileging and ongoing evaluation and professionalism.
9. Promotes and adheres to the customer service philosophy and standards of UCSF Benioff Childrens Hospital Oakland by interacting and communicating with colleagues in a way that promotes a harmonious and cooperative working environment. Displays courteous behavior to customers and coworkers. Establishes and maintains a cooperative relationship with patients staff and others.


Additional Responsibilities:
Maintains and improves knowledge of Medical Staff regulatory requirements.
Participates in Institutional Quality Event Reviews
Others duties as assigned

Supervisory/Management Responsibilities: None

Communications Required: Effective oral and written communication. Ability to organize meetings set agendas and take minutes.

Decision-Making Required: Ability to work independently using clear decision-making processes.

Problem-Solving Required: Ability to think critically and apply complex concepts; ability to discern when decision is out of job scope and require input from supervisor and/or Medical Staff Leadership.

Financial Responsibilities: None

Knowledge Skills and Abilities: Demonstrates:
Ability to coordinate projects develop planning documents meet with project leaders and develop reports.
Substantial experience with data and trend analysis statistical reporting application design and development.
Ability to understand and analyze complex data sets.
Knowledge of project management techniques.
Excellent written and interpersonal communication skills; ability to educate team members staff from varying departments physicians and nurses.
Ability and willingness to adapt to changing priorities and aggressive project deadlines.
Proficiency in presentation and communication skills.
Ability to work with Medical Staff Leadership in management of complex peer review.
Maintains confidentiality of OPPE and peer review processes.

Technical Knowledge:
Microsoft Office Suite (Word Excel PowerPoint Outlook)
Strong technical skills in the areas of database management.

Minimum Education: Bachelors degree required.

Minimum Experience: 3 years of relevant experience in a health care setting