Senior Credentialing Analyst

Title: Senior Credentialing Analyst

Location: Los Angeles, CA,  United States

Onsite or Remote 

Flexible Hybrid

Work Schedule 

Monday - Friday, 8:00am - 5:00pm PST

Salary Range: $65800 - 130800 Annually

Employment Type 

2 - Staff: Career

Duration 

Indefinite

Job # 

29445

Job Description:

Primary Duties and Responsibilities

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Take on a key role within a world-class health organization. Help ensure the consistent delivery of exceptional patient care. Take your professional expertise to the next level. UCan do all this and more at UCLA Health.

In this key role, you will oversee and facilitate credentialing onboarding/off boarding, commercial and government enrollment for David Geffen School of Medicine practitioners. This will include core proctoring and new appointment/reappointment applications for UCLA Health and 90+ community hospitals. You will:

• Facilitate and monitor online application requests to ensure timely processing
• Work independently and collaboratively on high level initiatives in developing standardized workflows/SOPs with UCLA Health stakeholders
• Work on credentialing database integrity, onboarding/offboarding, credentialing, privileging and Commercial and Government Enrollment Process
• Monitor expiring medical licenses, DEA, radiography/fluoroscopy licenses, immunization requirements, and training module compliance
• Work in credentialing software production environment trial medical staff applications, reports, advice on customizable features, point out areas of improvement to guarantee an effective credentialing pathway for all users
• Provide metrics as a critical line of data integrity
• Analyze hospital provisional standards
• Handle complex and sensitive credentialing issues
• Establish/maintain strong relationships with UCLA Health stakeholders, faculty, staff and community hospitals
• Facilitate malpractice certificate requests/renewals
• Run and review monthly summary reports and credentialing database
• Maintain credentialing software and application tracking spreadsheet
• Facilitate reporting requirements and solutions
• Configure, report, optimize and support functions for current credentialing database
• Provide technical online application support

Salary Range: $65,800 - $130,800/Annually

Job Qualifications

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We’re seeking an independent, detail-oriented professional with:

• Master’s degree in related area and/or 3-5 years equivalent experience or training in credentialing
• Advanced data analytics skill set, advanced Excel
• Experience in physician and advanced health care credentialing
• Ability to apply regulatory guidelines and accounting/administrative policies to assess and monitor process effectiveness and compliance
• Strong issue identification and problem-solving skills
• Ability to collaborate effectively with others and work under pressure of constant changing deadlines and priorities
• Computer proficiency with Microsoft Office (Word, Excel, PowerPoint) and medical credentialing database applications MD-Staff
• Knowledge of Microsoft Visio and Access is advantageous
• In-depth knowledge of data management and documentation methods used in medical credentialing
• High level of ethics, integrity and diplomacy
• Excellent communication, organizational, prioritizing and multi-tasking abilities
• Exceptional critical thinking and analytical skills

As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.