Medical Staff Services Supervisor 2 - Medical Staff Admin - FT Days HYBRID - University of California, Irvine

UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America’s Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County’s only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.

To learn more about UCI Health, visit www.ucihealth.org.

Position Summary:

The Principal Credentialing Specialist is responsible for acting as the lead Credentialing Specialist and assists in the development, implementation and monitoring of the credentialing process required by State and Federal laws, hospital accreditation and NCQA standards. Specific duties include, but are not limited to: acting on behalf of the Director in his/her absence, managing the work flow of other Credentialing Specialists, preparing for and follow up on outstanding issue for the Credentialing Committee, reviewing all files for accuracy and completeness, performing credentialing analysis, reviewing physician data management, and preparing policies and procedures to meet licensing standards. Additionally, will act as the delegate for all Managed Care Audits, reviewing files and presenting files during all audits. Prepares a variety of documents using a number of databases, graphics, spreadsheets, and word processing software applications. Provides general office support services (e.g. filing, telephones, word processing, etc.) as required or directed.

Total Compensation

We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits.

Required Qualifications:

• Strong analytical and problem solving skills and the ability to plan strategically
• Strong Knowledge of Joint Commission JCAHO, NCQA, and Title 22 regulations
• Required to be the subject matter expert in the job function
• Must possess the skill, knowledge, and ability essential to the successful performance of assigned duties
• Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
• Must demonstrate customer service skills appropriate to the job
• Must be able to exercise considerable latitude in determining objectives and approach to work
• Must be able to exercise considerable independence in developing problem-solving methodologies
• Must be able to consult with all levels of management
• Excellent written and verbal communication skills in English
• Excellent working knowledge of MS Office products
• Demonstrated understanding of medical terminology
• CPCS and/or CPMSM Certified
• Bachelor Degree in related field or equivalent education and experience
• Ability to persuade or influence people to take appropriate action
• Ability to maintain a work pace appropriate to the workload
• Ability to establish and maintain effective working relationships across the Health System
• Ability to coordinate and resolve issues in a timely manner
• Ability to apply sound judgment in ambiguous situations and effectively manage change
• 5-8 years’ experience in credentialing medical staff

Preferred Qualifications:

• Knowledge of University and medical center organizational structure, policies, procedures, and forms
• Dual Certification in any of the following areas: CPMSM, CPCS, CPHQ

Conditions of Employment:

The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:

• Background Check and Live Scan
• Legal Right to Work in the United States
• Vaccination Policies
• Smoking and Tobacco Policy
• Drug Free Environment

The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.

• California Child Abuse and Neglect Reporting Act
• E-Verify
• Pre-Placement Health Evaluation

Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/new-hire/conditions-of-employment.php

Closing Statement:

The University of California, Irvine is an Equal Opportunity/Affirmative Action 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 categories covered by the UC nondiscrimination policy.

We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.

UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at eec@uci.edu or at (949) 824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m.