#133045 Credentialing Specialist - Remote
Filing Deadline: Wed 11/13/2024
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.
UCSD Layoff from Career Appointment: Apply by 11/4/2024 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.
Special Selection Applicants: Apply by 11/6/2024. 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 Population 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 and accept 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: $63,800 - $111,600 (will be prorated if the appointment percentage is less than 100%)
Hourly Equivalent: $30.56 - $53.45
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).
If employed by the University of California, you will be required to comply with our Policy on Vaccination Programs, which may be amended or revised from time to time. Federal, state, or local public health directives may impose additional requirements.
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 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, disability, age or protected veteran status.
For the University of California’s Affirmative Action Policy please visit:
For the University of California’s Anti-Discrimination Policy, please visit:
UC San Diego is a smoke and tobacco free environment. Please visit
UC San Diego Health maintains a marijuana and drug free environment. Employees may be subject to drug screening.
