[Certified Professional Medical Services Management (CPMSM) - National Association Medical Staff Services; Certified Provider Credentialing Specialist (CPCS) - National Association Medical Staff Services; H.S. Diploma or Equivalent; Associate's Degree

Hours:

Shift Start Time:

8:30 AM

Shift End Time:

5 PM

AWS Hours Requirement:

8/40 - 8 Hour Shift

Additional Shift Information:

Weekend Requirements:

No Weekends

On-Call Required:

No

Hourly Pay Range (Minimum - Midpoint - Maximum):

$30.164 - $37.705 - $45.246

The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.

What You Will Do
Utilizing independent critical thinking and problem-solving skills, responsible for administering, coordinating and maintaining Medical Staff services related to credentialing, re-credentialing, provider on- and off-boarding, and clinical department and committee operations and projects. Ensures accurate interpretation and compliance with appropriate accreditation and regulatory agencies, while developing and maintaining a working knowledge of the statues and laws related to assigned Medical Staff processes. Responsible for maintaining the accuracy and the integrity of department records, databases and systems. Proactively communicates with providers, internal stakeholders, and colleagues to ensure a high-level of customer service is provided.
Required Qualifications

• H.S. Diploma or Equivalent
• 3 Years progressively responsible experience in healthcare environment (experience to include, but is not limited to: meeting coordination and transcribing minutes, communicating with varying levels of personnel both verbally and in writing, and working in a confidential environment).

Preferred Qualifications

• Associate's Degree
• Coursework in healthcare administration
• 1 Year experience related to credentialing or medical staff operations.
• Experience with Physician databases.
• Certified Professional Medical Services Management (CPMSM) - National Association Medical Staff Services -PREFERRED
• Certified Provider Credentialing Specialist (CPCS) - National Association Medical Staff Services -PREFERRED

Essential Functions

• Act as a coordinator
  Coordinates and supports Medical Staff committee meetings and departments.
  Compiles accurate agendas, including coordination with committee chairs and members and appropriate hospital staff.
  Accurately documents and submits committee and department activity, including meeting minutes, reports, pending action actions, and correspondence according to committee guidelines and timelines.
  Serves as a technical advisor to related committee department chairs, provides information required at committee meetings, and updates committee members on their responsibilities with associated requirements.
• Compliance
  Maintains and applies knowledge of Medical Staff Bylaws, JCAHO, CMA and Title 22 and other regulatory/legal requirements.
  Apprises and updates department, committee chairs, and other Medical Staff stakeholders of key updates and their responsibilities in accordance with these requirements.
  Ensures compliance with regulatory and department requirements in all work product and recommendations.
  Maintains annual review records of policies, procedures, privilege forms, departmental rules and regulations, etc.
• Credentialing
  Initiates, coordinates, monitors, and completes tasks to facilitate full life cycle medical staff services related to provide on- and off-boarding.
  Initiates timely review and completion of all associated tasks to ensure eligibility and a complete provider file for credentialing and privileging, including background investigation, primary source verification of all components, follow up of quality and/or peer reviews, and proctor/monitor the process.
  Proactively monitors reporting tools, validate discrepancies, ensures follow-up and completion of requisite tasks to ensure all credentialing or re-credentialing tasks are completed on-time.
  Initiates and responds to requests from internal and external customers and stakeholders and works collaboratively across the team.
  Organizes workflow based on department priorities and proactively communicates and problem solves to a smooth, timely and service-oriented credentialing experience.
  Maintains database to assure information is accurate and current.
• Process improvement
  Participates in the annual review process; compiles and analyzes qualitative and quantitative data to identify trends and recommends solutions to management.
  Identifies gaps/pain points in department processes and operations through critical thinking and by soliciting recommendations from department chairs and committee members and recommends solutions to management.

Knowledge, Skills, and Abilities

• Basic knowledge of medical terminology is required.
• Knowledge of Medical Staff Bylaws, JCAHO, CMA and Title 22 is preferred.

Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class