Credentialing Specialist - Remote

Payroll Title:

MED STF SVC SPEC 3

Department:

MEDICAL STAFF ADMINISTRATION

Hiring Pay Scale

$65,000 - $82,000 / Year

Worksite:

Remote

Appointment Type:

Career

Appointment Percent:

100%

Union:

Uncovered

Total Openings:

Work Schedule:

Days, 8 Hours, Monday-Friday

#123551 Credentialing Specialist - Remote

Filing Deadline: Mon 6/19/2023

UC San Diego values equity, diversity, and inclusion. If you are interested in being part of our team, possess the needed licensure and certifications, and feel that you have most of the qualifications and/or transferable skills for a job opening, we strongly encourage you to apply.

For the safety and well-being of the entire university community, the University of California requires, with few exceptions, that all students, faculty and staff be vaccinated against the COVID-19 virus and influenza before they will be allowed on campus or in a facility or office. For more information visit: Flu Vaccine Mandate / COVID Vaccine Policy

UCSD Layoff from Career Appointment: Apply by 6/8/2023 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.

Special Selection Applicants: Apply by 6/19/2023. Eligible Special Selection clients should contact their Disability Counselor for assistance.

DESCRIPTION

We are seeking to hire a Credentials Specialist to be part of our internal Credentials Verification Operations (CVO) team and shall be accountable for performing the primary source verification process for all initial and reappointment applications. The Credentials Specialist will be responsible for sending, receiving, and processing, all credentialing applications for practitioners seeking medical staff and/or advanced practice professional membership and/or clinical privileges with UC San Diego Health, affiliation with UCSDH Physician Group, Clinically Integrated Network, or Populations Health Services Organization and Managed Care Network. The Credentials Specialist will be responsible for performing primary source verification of education, training, experience, licensure, claims history, according to TJC, NCQA, CMS, AAAHC, state and federal accrediting standards. The Credentials Specialist will assure timely submission of applications and primary source verifications within specified time periods. Other duties as assigned.

MINIMUM QUALIFICATIONS

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.
Ability to perform all commonly applicable functions in Microsoft Office Suite (Word, Excel, PowerPoint) and medical credentialing database application.
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 andaccept direction.

PREFERRED QUALIFICATIONS

Certified Provider Credentialing Specialist (CPCS) OR preparing to obtain CPCS certification.
Knowledge of MSOW credentialing software and associated applications.

SPECIAL CONDITIONS

Must have access to high-speed internet when working remotely.
Must maintain certification status if CPCS certified.
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.

Pay Transparency Act

Annual Full Pay Range: $43,900 - $91,900 (will be prorated if the appointment percentage is less than 100%)

Hourly Equivalent: $21.02 - $44.01

Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable).

Job offer is contingent on successful engagement in the UC COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception/deferral).

If applicable, life-support certifications (BLS, NRP, ACLS, etc.) must include hands-on practice and in-person skills assessment; online-only certification is not acceptable.

UC San Diego Health is the only academic health system in the San Diego region, providing leading-edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute-designated Comprehensive Cancer Center, Shiley Eye Institute, Sulpizio Cardiovascular Center, the only Burn Center in the county, and and dozens of outpatient clinics. We invite you to join our team!

Applications/Resumes are accepted for current job openings only. For full consideration on any job, applications must be received prior to the initial closing date. If a job has an extended deadline, applications/resumes will be considered during the extension period; however, a job may be filled before the extended date is reached.

To foster the best possible working and learning environment, UC San Diego strives to cultivate a rich and diverse environment, inclusive and supportive of all students, faculty, staff and visitors. For more information, please visit UC San Diego Principles of Community.

UC San Diego Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity or sexual orientation. For the complete University of California nondiscrimination and affirmative action policy see: http://www-hr.ucsd.edu/saa/nondiscr.html

UC San Diego is a smoke and tobacco free environment. Please visit smokefree.ucsd.edu for more information.

UC San Diego Health maintains a marijuana and drug free environment. Employees may be subject to drug screening.