Medical Staff Credentialing Manager jobs in Anaheim, CA

Medical Staff Credentialing Manager manages staff that process credentialing and recredentialing applications for health care providers. Oversees department operations to ensure compliance with all regulatory standards. Being a Medical Staff Credentialing Manager implements policies and procedures to ensure that applications are properly verified and accurately uploaded into an online credentialing database system. Analyzes reports on applications and credentialing status to identify trends and improve the credentialing process. Additionally, Medical Staff Credentialing Manager prepares files for 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 a director. The Medical Staff Credentialing Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Medical Staff Credentialing Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (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.
  • 17 Days 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...
  • 16 Days 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...
  • 12 Days 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...
  • 12 Days Ago

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Medical Staff Coordinator
  • Providence
  • Fullerton, CA OTHER
  • Description Works in collaboration with the assigned Medical Staff Department to conduct the business of the Medical Staff in conjunction with the operations of the Medical Center. Scope will include ...
  • 4 Days Ago

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Staff Manager
  • Western & Southern Life
  • CERRITOS, CA OTHER
  • Overview Provide guidance and direction to Financial Representatives and responsible for leading production results, customer acquisition and agent retention. Ensure the "Agency System" is executed ef...
  • 9 Days Ago

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

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Executive Director, Executive Director (ED) of Educational Non-Profit
  • National Healthcare & Housing Advisors
  • Santa Ana, CA
  • NHHA is seeking a passionate Director, ED! National Healthcare & Housing Advisors, The Leon Institute, is breaking barri...
  • 4/22/2024 12:00:00 AM

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Systems Security Analyst / Cybersecurity Engineer / Mostly Remote
  • Global Engineering & Technology Inc.
  • Irvine, CA
  • This position requires a current DOE Q or DoD Top Secret security clearance. THIS IS A HYBRID-REMOTE POSITION. In its ma...
  • 4/22/2024 12:00:00 AM

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Chief Operating Officer
  • UHC Solutions
  • Tustin, CA
  • Position Summary: Under the direction of the Chief Executive Officer (CEO), the Chief Operating Officer (COO) is respons...
  • 4/21/2024 12:00:00 AM

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Manager of Laboratory
  • College Hospital of Costa Mesa
  • Costa Mesa, CA
  • Job Description Job Description Psychiatric hospital in Orange County is looking to hire a Full-Time, Day Shift Manager ...
  • 4/19/2024 12:00:00 AM

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Production Engineer
  • Identiv
  • Santa Ana, CA
  • Company Description Identiv stands as a global leader in digital security and identification within the Internet of Thin...
  • 4/19/2024 12:00:00 AM

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Director, Delivery Management
  • EPAM Systems Inc
  • Irvine, CA
  • Are you an experienced leader in the realm of project management with a reputation for delivering exceptional results on...
  • 4/19/2024 12:00:00 AM

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Systems Security Analyst / Cybersecurity Engineer / Mostly Remote
  • Global Engineering & Technology, Inc.
  • Irvine, CA
  • This position requires a current DOE Q or DoD Top Secret security clearance. THIS IS A HYBRID-REMOTE POSITION. In its ma...
  • 4/19/2024 12:00:00 AM

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Systems Security Analyst / Cybersecurity Engineer / Mostly Remote
  • Global Engineering & Technology, Inc.
  • Irvine, CA
  • This position requires a current DOE Q or DoD Top Secret security clearance. THIS IS A HYBRID-REMOTE POSITION. In its ma...
  • 4/19/2024 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 Manager jobs
$106,747 to $137,654
Anaheim, California area prices
were up 3.2% from a year ago

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