Job Summary
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 according 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/work plans. Implements policy and procedures, provides training and orientations to a variety of constituents, and supports efforts to sustain best practices.

Please Note: For all external new hires who have not worked for a UC in the last 12 months, we are offering a sign-on bonus. The bonus is payable after 30 days of continuous employment. In addition, for all individuals who wish to relocate, we are offering a relocation bonus.

Your placement within the salary range is dependent on several 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 $63,700 - $136,100 and the target entry point is $85,000+ depending on experience. To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.htmlbenefits/index.html

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

• Bachelor's degree in a related area or four years of equivalent experience/training.
• Three years of relevant work experience in a similar environment (i.e.: audit, credentialing, compliance, healthcare, quality, process improvement).
• 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.
• 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

• Experience working in a community hospital environment.
• Expert knowledge of TJC, NCQA, CMS, DHS, DMHC, ACGME, and other applicable accreditation/regulatory requirements.

License/Certification
At least one of these below Certifications must be obtained within 18 months of hire date:

• 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.

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