MED STF SVC SPEC 3

Office of Medical Affairs & Governances

Full Time

86884BR

Job Summary

Involves the development, implementation and monitoring of effective and efficient systems to facilitate all aspects of medical staff services and credentialing. Provides for the processing of applications and verification of physician licensing and certifications. May also involve the preparation of agendas and related materials for medical staff meetings and peer review activities. May serve as the liaison between the medical staff and all hospital departments to coordinate and provide overall continuity of medical staff activities. Monitors compliance with medical staff bylaws, rules, regulations, policies and procedures.

Initiates and cultivates partnerships with department management, medical staff and hospital leadership to ensure compliance and optimal efficiency for appropriate membership, credentialing and privileges for UCSF Health Saint Francis and St. Mary's medical staff. First responder to onboarding and revenue channel disruptions as well as performs auditing functions pursuant to facility bylaws, rules and regulations; credentialing policy and procedures; and other applicable accreditation/payor standards (e.g. NCQA, TJC, DHS, DMHC, CMS, delegated credentialing agreements, etc.). Facilitates and supports committees and continuous performance improvement efforts to achieve department and organization goals/workplans. Implements policy and procedures, provides training and orientations to a variety of constituents and supports efforts to sustain best practices.

Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement.

The salary range for this position is $74,500 - $111,700 (Annual Rate).

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

• Proven ability to apply external regulatory guidelines and internal accounting and administrative policies knowledge and skills to assess and monitor compliance and effectiveness of processes.
• Solid skills to evaluate issues and identify solutions. Demonstrated ability to solve problems and suggest solutions through critical thinking processes.
• Ability to independently set and meet deadlines while multi-tasking and assigning precedence to competing priorities. Ability to see multiple assignments through to completion on deadline.
• Skills to work collaboratively coordinate and integrate with others throughout the department, hospital and campus. Ability to communicate through all mediums and with all groups and work under pressure of constantly changing deadlines and priorities.
• Ability to perform all commonly applicable functions in Microsoft Office Suite (Word, Excel, PowerPoint) and medical credentialing database application.
• Thorough knowledge of data management and documentation methods used in medical credentialing.
• Minimum of three years relevant work experience in a similar environment (i.e.: audit, credentialing, compliance, healthcare, quality, process improvement).
• 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 promotes best practices to maintain confidentiality and discretion to preserve
• HIPAA/Peer review protections as well as attorney-client privilege, as warranted.

Preferred Qualifications

At least one of the below 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.

Organization

Health

Job Code and Payroll Title

005519 MED STF SVC SPEC 3

Job Category

Administrative Support

Bargaining Unit

99 - Policy-Covered (No Bargaining Unit)

Employee Class

Career

Percentage

100%

Location

San Francisco, CA

Campus

St. Francis

Work Style

Fully On-Site

Shift

Days

Shift Length

8 Hours