Sr Credentialing Data Service Specialist - Medical Staff Admin - F / T Days

Who We Are

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.

Your Role on the Team

Position Summary :

Incumbent is an advanced technical professional who functions with minimal supervision applying extensive knowledge and expertise as the person with overall system-wide responsibility for the credentialing data base (MD currently Staff). The Senior Credentialing Data Systems Specialist ensures the credentialing data system is optimized and standardized for all hospitals and the centralized credentials verification organization (CVO) and will problem solve, formulate strategies in unique and complex situations, create and administer policies, processes, and resources designed to ensure the accuracy and integrity of provider and credentialing data. The Senior Credentialing Data Systems Specialist serves as an essential link and resource between senior management, the medical staff offices (MSO) and CVO related to training, access, data entry, reporting, analysis, etc., of the data maintained in the credentialing data systems.

What It Takes to be Successful

Required Qualifications :

• Must possess the skill, knowledge and abilities essential to the successful performance of assigned duties
• Must demonstrate customer service skills appropriate to the job
• Minimum of five (5) years in the overall field with expertise in specific areas, including credentialing, privileging, formulating strategies, and administering policies and processes
• Knowledge of FPPE / proctoring processes and procedures
• Excellent verbal and written English communication skills
• Discretion and judgment in the handling of confidential and / or sensitive information
• Demonstrated skill and ability to independently set and meet deadlines, multi-task, and effectively manage competing priorities
• Demonstrated advanced skill and proficiency in MS Office Suite (Outlook, Word, Excel, PowerPoint, SharePoint)
• Demonstrated advanced knowledge in data analysis, research and reporting, particularly with respect to confidentiality and compliance
• Demonstrated ability to apply sound judgment and formulate strategies in ambiguous situations and effectively manage change
• Demonstrated ability to apply knowledge and recommend viable solutions for complex situations
• Current NAMSS certification as CPCS and / or CPMSM or achievement of certification within a year
• Certification of becoming certified by the vendor in the use of the software (MDStaff)
• Bachelor's degree in related area and / or equivalent experience / training
• Advanced knowledge of Joint Commission, CMS Conditions of Participations, and NCQA and Title 22 accreditation standards and regulations
• Advanced knowledge and expertise in medical staff credentialing and privileging processes and procedures
• Advanced analytical, critical thinking, organizational, and project management skills
• Ability to maintain professional demeanor and poise while working under pressure, meeting deadlines, and managing changing priorities
• Ability to maintain a work pace appropriate to the workload
• Ability to complete job responsibilities with a high degree of accuracy under minimum supervision

Preferred Qualifications :

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 .

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 :

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

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 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 categories covered by the UC Anti-Discrimination 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.

Consideration for Work Authorization Sponsorship

Must be able to provide proof of work authorization