Posted on March 18th, 2019
The Credentialing & Quality Analyst works independently under the general supervision of the Manager, Credentialing, Quality & Compliance. The position is responsible for coordinating various aspects of the credentialing, re-credentialing and privileging processes for the Student Health Center (SHC) Clinical and dental providers who provide patient care at the SHC. The incumbent is responsible for analyzing and maintaining current data for each provider in a credential file and credentialing database in accordance with UCOP, UC Irvine, and AAAHC accrediting agency protocols & guidelines, and is responsible for ensuring timely renewal of licenses and certifications.
The position provides high level administrative and analytical support to the Manager, Credentialing, Quality & Compliance. The incumbent is responsible for supporting the functions of the Quality Management & Improvement Program, including tasks related to provider peer review, quality improvement, risk management, patient satisfaction, accreditation, and compliance. The incumbent manages complex administrative clinical calendars, analyzes complex data sets and prepares and/or revises a wide variety of materials. The incumbent attends various clinical and administrative committees and meetings and assures follow-up, as needed. The incumbent is required to analyze large amounts of sensitive and confidential data. Will act on behalf of the department manager in manager's absence and may also represent the department at various meetings and committees as appropriate or designated.
Salary: Hourly $23.58 - $32.06
Total Hours: 8-5, M-F
Although this position's schedule is M-F and during traditional work hours, weekends or non-traditional work hours may be required for special projects or busy times of the year, or when strict deadlines must be met. In the case of extended hours, this position may be required to work those hours.
BA/BS with (3) years of experience or an equivalent combination of education and/or experience.
Minimum 2 years of experience managing physician/provider credentialing in a medical group, hospital, or insurance plan environment.
Knowledge of current state, federal, and AAHC accreditation requirements for credentialing of clinical staff.
Knowledge of processing National Practitioner Data Bank and Healthcare Integrity and Protection Data Bank for physician compliance.
Demonstrated knowledge of all Microsoft applications, including Outlook, Excel, Word, Access, and PowerPoint.
Superior and effective interpersonal and communication skills.
Ability to compose, edit, and proofread correspondence and reports.|
Ability to organize and prioritize workload to meet deadlines and to manage multiple priorities.
Demonstrated ability to work in a dynamic environment of rapidly changing priorities and frequent interruptions.
Ability to establish and maintain effective working relationships with all levels of campus administration.
Demonstrated ability to handle confidential matters/information with tact and discretion.
Superior organization skills.
About the University of California, Irvine: Founded in 1965, UCI is the youngest member of the prestigious Association of American Universities. The campus has produced three Nobel laureates and is known for its academic achievement, premier research, innovation and anteater mascot. Led by Chancellor Howard Gillman, UCI has more than 30,000 students and offers 192 degree programs. It’s located in one of the world’s safest and most economically vibrant communities and is Orange County’s second-largest employer, contributing $5 billion annually to the local economy. For more on UCI, visit www.uci.edu.
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.