PROGRAM OPERATIONS SPECIALIST - CREDENTIALING - University of Washington

Req #: 241416 Department: SCHOOL OF MEDICINE Job Location Detail: Hybrid Eligible Posting Date: 12/05/2024 Closing Info: Open Until Filled Salary: $5,583 - $6,833 per month Shift: First Shift Notes: As a UW employee, you will enjoy generous benefits and work/life programs. For a complete description of our benefits for this position, please visit our website, click here. (https://hr.uw.edu/benefits/wp-content/uploads/sites/3/2018/02/benefits-professional-staff-librarians-academic-staff-20230701\_a11y.pdf) As a UW employee, you have a unique opportunity to change lives on our campuses, in our state and around the world. UW employees offer their boundless energy, creative problem-solving skills and dedication to build stronger minds and a healthier world. UW faculty and staff also enjoy outstanding benefits, professional growth opportunities and unique resources in an environment noted for diversity, intellectual excitement, artistic pursuits and natural beauty. **The Office of Medical Staff Appointments (OMSA) at the School of Medicine has an outstanding opportunity for a Program Operations Specialist - Credentialing.We are recruiting to fill seven (7) positions with this job posting.** The Program Operations Specialist - Credentialing (Program Operations Specialist) will oversee the operational and personnel activities of OMSA. The individual in this position ensures that OMSA has a stable operating platform from which to deliver effective and efficient services of credentialing and privileging activities for the current medical staff members and new applicants. The Program Operations Specialist job performance is evaluated in terms of independence, leadership, appropriateness and effectiveness of communications, timeliness and accuracy of work, knowledge of clinical credentialing regulations and policies, and overall progress of OMSA goals. **DUTIES AND RESPONSIBILITIES** Medical Staff Credentialing and Clinical Privileging Operations (60%): + Independently analyze and manage credentialing processes for UW Medicine. + Manage all new eLearning special and additional privileges as requested by provider. Work with eLearning team to analyze and complete special credentialing for Central Venous Catheter, Moderate Sedation, Fluoroscopy, Robotic Surgery, and other privileges that require eLearning. + Maintain and analyze clinical privilege forms with the annual review of clinical department chairs and service chiefs. As clinical operations grow and regulations change, it is the responsibility of the Program Operations Specialist to ensure the privileging forms are consistent with the needs of the UW Medicine. + This position will be the primary point of contact to ensure credentialing forms are routed through the UW Medicine health system for appropriate clinical approval based upon specialty. This requires the Program Operations Specialist to have a high level of confidentiality, clear communication and understanding of the complex health system. This work will be done in coordination with service chiefs and department chairs. + Oversee and manage the process of Short-Term Temporary Privileges for visiting providers. Analyze providers current credentials to ensure UW Medicine credentialing is appropriate and consistent across the system. + Manage Exempt Privileges for providers credentialed for 5 days or less. + Identify and assess proctoring cases to document competency for additional privileges. Collaborate with providers, patient care services, billing or other clinical operations to collect and ensure proctoring has been completed per clinical policy. + Primary point of contact for Proxy Credentialing for Telemedicine across the WWAMI region. Implement and analyze shared agreements between UW Medicine and other entities. + Oversee Fast Track applications for emergency privileges, ensuring each provider is credentialed prior to clinic start date. + Be primary point of contact to medical directors across UW Medicine system, to process Disaster Privileges as needed. + Provide oversight and quality assurance to the core processes of Initial and Reappointments applications within OMSA.Accreditation and Regulatory Compliance (20%): + Act as primary point of contact for Payors, Health Plans and OMSA during regulatory audits. + Point of contact for other regulatory accreditation surveys such as the Joint Commission (TJC) and Accreditation Association for Ambulatory Health Care (AAAHC). + Review files selected for compliance to meet audit and regulatory survey requirements. + Respond to documents/records requests in accordance with the regulation. + As an expert, attend regulatory survey meetings to respond to survey questions. + Serve as primary point of contact for adverse events reports to NPDB and DOH, as requested by Risk Management and Medical Centers. Program Operations Specialist will be expected to communicate directly with providers and senior leadership regarding these reports.Administration Responsibilities (10%): + Lead departmental process improvement projects. Measure and report all cost savings and increase efficiency in departmental processes. + Lead and participate in work groups to evaluate and implement continuous improvement and application of lean methodology for rapid improvement. + Manage and increase teamwork across all improvement efforts, training and building team skills where appropriate for successful implementation of Lean. + Maintenance of a complete and accurate record of UW Medicine facilities review and process by collecting and compiling committee tables, discussions and actions. + Work with leadership to create and distribute regular communications or e-blasts to clinical departments.Other Duties as Assigned (10%): + Support with budgetary and resource planning needs. **MINIMUM REQUIREMENTS** + Bachelor's degree in relevant field and at least two years of credentialing experience. _Equivalent education/experience will substitute for all minimum qualifications except when there are legal requirements, such as a license/certification/registration._ **ADDITIONAL REQUIREMENTS** + Certification in NAMSS CPCS or CPMSM or certify within two years of hire. + Ability to prioritize competing demands to successfully meet deadlines. + Excellent verbal and written communication skills. + Excellent attention to detail with strong interpersonal skills. + Exercise independent judgment of competing priorities. + Strong organizational skills. **Application Process:** The application process may include completion of a variety of online assessments to obtain additional information that will be used in the evaluation process. These assessments may include Work Authorization, Cover Letter and/or others. Any assessments that you need to complete will appear on your screen as soon as you select "Apply to this position". Once you begin an assessment, it must be completed at that time; if you do not complete the assessment, you will be prompted to do so the next time you access your "My Jobs" page. If you select to take it later, it will appear on your "My Jobs" page to take when you are access ready. Please note that your application will not be reviewed, and you will not be considered for this position until all required assessments have been completed. University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.