Credentialing Analyst
Temporary Employment Program Job Summary Key Responsibilities:
Cultivate and produce efficient and compliant onboarding processes, including:
- Pre-application intake and monitoring
- Application/enrollment submission and data analysis
- Reappointment/revalidation and related competency assessments (FPPE/OPPE)
- Auditing and quality review of credentialing program
- Discrepancies/flagged items requiring additional comment/consideration
- Board Actions, temporary/visiting privileges
Generate health plan enrollment applications, tracking reports, and ensure enrollment into web-based systems for government payors. Serve as a functional expert for Credentials Committee, Committee on Interdisciplinary Practice (CIDP), and/or CVO clients. Collaborate with department chairs regarding scope of practice and new privileges within clinical services/programs. Prepare agendas, minutes, reports, presentations, correspondence, emails, scheduling, and logistics for committees/CVO clients' functional responsibilities and delegated credentialing agreements. Research and resolve disruptions to revenue channels due to medical staff data integrity. Partner with department leaders to ensure alignment with onboarding priorities and optimize patient access to qualified providers. Establish priorities and initiate temporary privileges to resolve and align patient access within organizational work plans/priorities. Initiate procedures and leadership communication to administratively suspend/reinstate provider's status and clinical access to patient services. Draft action plans for leadership approval/recommendation and monitor actions through reinstatement to ensure compliant resolution. Facilitate and lead quality/process improvement projects as assigned, such as:
- Desktop procedures
- New privilege implementation
- Data integrity
- Workflow development
- Training/education
- Storage/archive digital documentation or other initiatives per department goals/initiatives.
The final salary and offer components are subject to additional approvals based on UC policy.
To see the salary range for this position (we recommend that you make a note of the job code and use that to look up): TCS Non-Academic Titles Search (https://tcs.ucop.edu/non-academic-titles)
Please note: An offer will take into consideration the experience of the final candidate AND the current salary level of individuals working at UCSF in a similar role.
For roles covered by a bargaining unit agreement, there will be specific rules about where a new hire would be placed on the range.
To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html Department Description UCSF's Temporary Employment Program (TEP) recruits and hires temporary employees for immediate clerical and technical support services to UCSF Departments and various off-campus locations. UCSF departments deploy temporary employees to work on special projects, fill in for regular employees who are on vacation or leave, or to temporarily fill a vacant position during recruitment. Frequently temporary employees become successful candidates for career and limited appointment positions. Required Qualifications
Knowledge of TJC, NCQA, CMS, DHS, DMHC, ACGME, and other applicable accreditation/regulatory requirements. 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.). Excellent ability to interact with all levels of management, communicate effectively, both verbally and in writing, and function within a team and independently. Ability to perform all commonly applicable functions in Microsoft Office Suite (Word, Excel, PowerPoint) and medical credentialing database application. Data analysis, research, and reporting skills. Exceptional organizational skills and ability to set priorities as well as manage multiple demands effectively. Role model and promote best practices to maintain confidentiality and discretion to preserve HIPAA/Peer review protections as well as attorney-client privilege, as warranted. Knowledge of compliant revenue/billing practices to mitigate fraud/waste/abuse impacts on organization priorities/work plans. Bachelor's degree in a related area and/or equivalent experience/training. Preferred Qualifications
Three years in a healthcare environment with emphasis in medical staff operations, academic medical centers, and/or provider credentialing for third-party payors and health plans preferred. Certified Provider Credentialing Specialist (CPCS) within 18 months of hire from OMAG required to meet performance expectations of the role. Certified Professional Medical Services Management (CPMSM). About UCSF The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. We bring together the world's leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells. 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. Equal Employment Opportunity The University of California San Francisco 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, age, protected veteran or disabled status, or genetic information. Job Code and Payroll Title 005525 MED STF SVC SPEC 2 Job Category Professional (Non-Clinical), Support Services, Temporary Employment Bargaining Unit 99 - Policy-Covered (No Bargaining Unit) Employee Class Temporary Employment Location San Francisco, CA Campus Embarcadero Street (SF) |
University of California - San Francisco Campus and Health
Apr 21, 2025