Credentialing Specialist - Hybrid - 137214

We are seeking to hire a full-time Credentials Specialist to join our internal credentialing team and shall be accountable for performing the primary source verification, review of clinical privileging criteria, and proctoring process for all initial and reappointment applications. The Credentials Specialist will be responsible for launching, receiving, and processing, all credentialing applications within an electronic portal application for all practitioners seeking medical staff and/or advanced practice professional membership and/or clinical privileges or hospital affiliation with all UC San Diego Health Medical Center locations, affiliation with UCSDH Physician Group or participation with our UCSDH Physician Network. The Credentials Specialist will assure timely submission of applications and primary source verifications of education, training, experience, licensure, claims history, according to the UCSDH Medical Staff bylaws and credentials policies, CMS, TJC, NCQA, AAAHC and any state and federal accrediting standards within specified time periods. Other duties as assigned.

• Minimum seven (7) years of relevant experience, OR a Bachelor's Degree in relevant area and three (3) years of relevant credentialing experience; or equivalent combination of education and experience.

• Experience and proven success in federal and state compliance guidelines in a medical setting.

• Experience in a fully electronic medical credentialing database application database.

• Strong analytical and problem solving skills and the ability to think critically and provide workable solutions.

• Ability to independently set and meet deadlines, multi-task, and effectively manage competing priorities

• Strong communication and interpersonal skills to interact with faculty and staff at all levels in a fast-paced environment under consistent pressure with the ability to work well with others and accept direction.

• Ability to perform all commonly applicable functions in Microsoft Office (Word, Excel, PowerPoint).

• Certified Provider Credentialing Specialist (CPCS) OR preparing to obtain CPCS certification.

• Knowledge of MSOW/Verity HealthStream credentialing software, ARM Application, and associated applications.

• Must maintain certification status if CPCS certified and responsible for CE maintenance.

• Must have access to high-speed internet when working remotely/hybrid.

• Must be able to work various hours and locations based on business needs.

• Employment is subject to a criminal background check and pre-employment physical.

If employed by the University of California, you will be required to comply with our Policy on Vaccination Programs, which may be amended or revised from time to time. Federal, state, or local public health directives may impose additional requirements.

If applicable, life-support certifications (BLS, NRP, ACLS, etc.) must include hands-on practice and in-person skills assessment; online-only certification is not acceptable.

UC San Diego Health is the only academic health system in the San Diego region, providing leading-edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute-designated Comprehensive Cancer Center, Shiley Eye Institute, Sulpizio Cardiovascular Center, the only Burn Center in the county, and and dozens of outpatient clinics. We invite you to join our team!

Applications/Resumes are accepted for current job openings only. For full consideration on any job, applications must be received prior to the initial closing date. If a job has an extended deadline, applications/resumes will be considered during the extension period; however, a job may be filled before the extended date is reached.

To foster the best possible working and learning environment, UC San Diego strives to cultivate a rich and diverse environment, inclusive and supportive of all students, faculty, staff and visitors. For more information, please visit UC San Diego Principles of Community.

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.

For the University of California's Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination

UC San Diego is a smoke and tobacco free environment. Please visit smokefree.ucsd.edu for more information.

UC San Diego Health maintains a marijuana and drug free environment. Employees may be subject to drug screening.