Credentialing Specialist - Hybrid - 137214

We are seeking to hire a full-time Credentials Specialist to join our internal credentialing team and shall be accountable for performing the primary source verification, review of clinical privileging criteria, and proctoring process for all initial and reappointment applications. The Credentials Specialist will be responsible for launching, receiving, and processing, all credentialing applications within an electronic portal application for all practitioners seeking medical staff and/or advanced practice professional membership and/or clinical privileges or hospital affiliation with all UC San Diego Health Medical Center locations, affiliation with UCSDH Physician Group or participation with our UCSDH Physician Network. The Credentials Specialist will assure timely submission of applications and primary source verifications of education, training, experience, licensure, claims history, according to the UCSDH Medical Staff bylaws and credentials policies, CMS, TJC, NCQA, AAAHC and any state and federal accrediting standards within specified time periods. Other duties as assigned.

• Minimum seven (7) years of relevant experience, OR a Bachelor's Degree in relevant area and three (3) years of relevant credentialing experience; or equivalent combination of education and experience.

• Experience and proven success in federal and state compliance guidelines in a medical setting.

• Experience in a fully electronic medical credentialing database application database.

• Strong analytical and problem solving skills and the ability to think critically and provide workable solutions.

• Ability to independently set and meet deadlines, multi-task, and effectively manage competing priorities

• Strong communication and interpersonal skills to interact with faculty and staff at all levels in a fast-paced environment under consistent pressure with the ability to work well with others and accept direction.

• Ability to perform all commonly applicable functions in Microsoft Office (Word, Excel, PowerPoint).

• Certified Provider Credentialing Specialist (CPCS) OR preparing to obtain CPCS certification.

• Knowledge of MSOW/Verity HealthStream credentialing software, ARM Application, and associated applications.

• Must maintain certification status if CPCS certified and responsible for CE maintenance.

• Must have access to high-speed internet when working remotely/hybrid.

• Must be able to work various hours and locations based on business needs.

• Employment is subject to a criminal background check and pre-employment physical.