Medical Staff Credentialing Director jobs in Anaheim, CA

Medical Staff Credentialing Director is responsible for all aspects of the verification process for medical staff incumbents. Provides regulatory oversight and guidance to the credentialing process. Being a Medical Staff Credentialing Director maintains working knowledge and ensures continuing compliance with state, federal, and institutional standards and guidelines. Develops and implements policies and protocols related to medical staff verifications and ensures that the organization and staff are in accordance with organizational and industry standards. Additionally, Medical Staff Credentialing Director analyzes reports on applications and credential status to identify trends and improve the credentialing process. Presents files to the credentialing committee and may act as a liaison to state medical licensure boards regarding the status of license applications. Requires a bachelor's degree. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to senior management. The Medical Staff Credentialing Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. To be a Medical Staff Credentialing Director typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. (Copyright 2024 Salary.com)

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Medical Staff Service Specialist 3 - Medical Staff Admin - F/T Days
  • UC Irvine Medical Center
  • Anaheim, CA FULL_TIME
  • Medical Staff Service Specialist 3 - Medical Staff Admin - F/T Days - 63144-1A

    Updated: Feb 29, 2024
    Location: Anaheim
    Job Type:
    Department: Medical Staff Admin

    UC Title: MED STF SVC SPEC 3
    Position Number: 41053490
    Reports to: Director
    Working Title: Medical Staff Svc Specialist 3
    Cost Center: Medical Staff Admin (428710)
    Bargaining Unit: No Bargaining Unit
    FLSA: Exempt
    Date Created: 12/27/2023
    Job Code: 005519
    Hours: 40
    Shift: Not Applicable
    FTE: 1


    Position Summary:

    Incumbent is an experienced professional who applies credentialing theory, knowledge, and in-depth understanding of the field to perform a full range of responsibilities within this role. This individual is responsible for assisting in the development, implementation, and monitoring of credentialing processes and procedures required by the Medical Staff bylaws, state and federal laws, hospital accreditation, and NCQA standards. Credentials practitioners, maintains accurate physician data, coordinates Medical and/or University Physicians and Surgeons (UPS) staff meetings, prepares a variety of reports and prepares policies and procedures to meet licensing requirements. Provides suggestions for improvements in department credentialing and licensure and serves as a liaison between the medical staff and all departments to provide overall continuity. Incumbent provides other general administrative support to the department as needed or assigned.


    Total Compensation

    In addition to the salary range listed below, 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 (https://www.hr.uci.edu/partnership/totalrewards/compensation.php) and

    Benefits (https://careersucirvine.ttcportals.com/pages/benefits).


    Salary Range:

    Annual Rate
    Minimum $61,100.00 Midpoint $84,100.00 Maximum $107,100.00

    Required Qualifications:

    Must become CPMSM and/or CPCS certified within 12 months of employment
    Ability to establish and maintain effective working relationships across the Health System
    Ability to maintain a work pace appropriate to the workload
    Must demonstrate customer service skills appropriate to the job
    Excellent written and verbal communication skills in English
    Ability to coordinate and resolve issues in a timely manner
    Proficient in Microsoft Office, Word, PowerPoint, Excel and Outlook
    Knowledge of the Joint Commission and NCQA standards, California Code of Regulations Title 22 and CMS regulations regarding Conditions of Participation
    Bachelor's degree in related area and / or equivalent experience / training
    Thorough knowledge of data management and documentation methods used in medical credentialing
    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
    Minimum of two (2) years relevant credentialing experience
    Ability to use sound judgment in ambiguous situations and effectively manage change
    Ability to complete job responsibilities accurately with limited supervision and oversight
    Strong interpersonal and organizational skills
    Demonstrated understanding of medical terminology
    Must possess the skill, knowledge and ability essential to the successful performance of assigned duties

    Preferred Qualifications:
    Current NAMSS certification as CPCS and/or CPMSM
    Knowledge of University and medical center organizations, policies, procedures and forms


    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:

    • Background Check and Live Scan
    • Legal Right to Work in the United States
    • Vaccination Policies
    • Smoking and Tobacco Policy
    • Drug Free Environment

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

    • California Child Abuse and Neglect Reporting Act
    • E-Verify
    • Pre-Placement Health Evaluation

    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, Irvine is an Equal Opportunity/Affirmative Action Employer advancing inclusive excellence. 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 nondiscrimination 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 [email protected] or at (949) 824-0500, Monday – Friday from 8:30 a.m. – 5:00 p.m.
  • 21 Days Ago

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Director of Staff Development (DSD)
  • Eastland Sub-Acute & Rehabilitation Center
  • San Dimas, CA FULL_TIME
  • We are looking for an experienced Director of Staff Development with an LVN License in the State of California to provide his or her leadership skills, and be responsible for orientation, in-service e...
  • 9 Days Ago

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Director of Staff Development
  • Sun Mar Healthcare
  • Garden, CA FULL_TIME
  • We are a skilled nursing facility and we are looking for dynamic associates to join our clinical team and provide our guests with a care experience that will change their lives! If you would like to p...
  • 1 Month Ago

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Credentialing Coordinator
  • Friends of Family Health Center
  • La Habra, CA FULL_TIME
  • About us: Friends of Family Health Center (FOFHC) is a 501(c)(3) non-profit community health center with locations in La Habra, Tustin, and Ontario California. Our professional staff includes Board Ce...
  • 20 Days Ago

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Credentialing specialist
  • QTC Management, inc
  • San Dimas, CA FULL_TIME
  • This is a remote position, however candidates must reside within commutable distance to our San Dimas Corporate Office. Hourly Range : $ - $ up to % (quarterly) bonus eligibility Do you want a job tha...
  • 1 Day Ago

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Credentialing Specialist
  • PremierOne Plus MSO
  • Buena, CA FULL_TIME
  • PremierOne Plus MSO (POPMSO) is a management service organization serving the needs of providers in a managed care setting. PremierOne Plus MSO provides you with the resources and opportunity to build...
  • 16 Days Ago

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0 Medical Staff Credentialing Director jobs found in Anaheim, CA area

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Medical Director, Risk Adjustment
  • Regal Medical Group
  • Los Angeles, CA
  • The Medical Director of Risk Adjustment is responsible and accountable for the performance of a specific region in terms...
  • 4/26/2024 12:00:00 AM

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Medical Director Program Manager
  • MedPOINT Management
  • Los Angeles, CA
  • Job Description Job Description Summary Reporting to the Senior Medical Director, the Medical Director Program Manager i...
  • 4/26/2024 12:00:00 AM

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Medical Director, Risk Adjustment
  • Regal Medical Group
  • Los Angeles, CA
  • Job Description Job Description Position Summary: The Medical Director of Risk Adjustment is responsible and accountable...
  • 4/25/2024 12:00:00 AM

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Medical Director
  • Wilmington Community Clinic
  • Los Angeles, CA
  • Job Description Job Description Join Wilmington Community Clinic! Have you ever wanted to be a part of something bigger?...
  • 4/24/2024 12:00:00 AM

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Neonatologist - Medical Director
  • Pediatrix Medical Group
  • Long Beach, CA
  • Overview Great Opportunity To Lead a Well-Established, Academic Affiliated Neonatology Practice Responsibilities Seeking...
  • 4/24/2024 12:00:00 AM

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Medical Director & Veterinarian
  • PetVet Care Centers
  • Torrance, CA
  • Harbor Animal Hospital in seeking an Associate Veterinarian & Medical Director to join our beautiful hospital. We strive...
  • 4/24/2024 12:00:00 AM

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Associate Medical Director
  • MedPOINT Management
  • Santa Clarita, CA
  • Job Description Job Description MedPOINT Management (MPM) Department: Utilization Management (UM) Title Associate Medica...
  • 4/23/2024 12:00:00 AM

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Associate Medical Director
  • MedPOINT Management
  • Los Angeles, CA
  • Job Description Job Description MedPOINT Management (MPM) Department: Utilization Management (UM) Title Associate Medica...
  • 4/23/2024 12:00:00 AM

Anaheim (/ˈænəhaɪm/) is a city in Orange County, California, part of the Los Angeles metropolitan area. As of the 2010 United States Census, the city had a population of 336,265, making it the most populous city in Orange County and the 10th-most populous city in California. Anaheim is the second-largest city in Orange County in terms of land area, and is known for being the home of the Disneyland Resort, the Anaheim Convention Center, and two major sports teams: the Anaheim Ducks ice hockey club and the Los Angeles Angels baseball team. Anaheim was founded by fifty German families in 1857 and...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Director jobs
$177,102 to $230,350
Anaheim, California area prices
were up 3.2% from a year ago

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In response to this request for providers in ‘good standing’, a file quality letter will be displayed with the Name, Appointment Date, Reappointment Date, Department, Specialty, and Staff Status.
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Warstler, MBA, CPMSM, FASPR, director, University Hospitals Medical Staff Services and Credentialing; Lisa.
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In healthcare today, we are all challenged to be more efficient, process credentialing files faster, leverage technology to work smarter, stretch our budgetary dollars, and achieve the highest possible results on accreditation audits and surveys—all while improving the patient experience and providing the highest quality of care.
January 17, 2020