Program Operations Specialist - Credentialing - School of Medicine, Office of Medical Staff Affairs

Program Operations Specialist
- Credentialing

The School of Medicine Office of Medical Staff Affairs has an outstanding opportunity for a Program Operations Specialist
- Credentialing to join their team.

Reporting to the Credentialing Manager, the Program Operations Specialist – Credentialing (Specialist) is responsible for overseeing the operational and personnel activities of the Office of Medical Staff Affairs (OMSA). The Specialist ensures that OMSA has a stable operating platform from which to deliver effective and efficient credentialing and privileging activities for current medical staff members and new applicants.

This role requires independence, leadership, communication skills, accurate and timely work, knowledge of clinical credentialing regulations and policies, and strong work ethic.

Medical Staff Credentialing and Clinical Privileging Operations – 60%

• Independently analyze and manage credentialing processes for UW Medicine.
• Manage all new eLearning special and additional privileges as requested by provider. Work with eLearning team to analyze and complete special credentialing for Central Venous Catheter, Moderate Sedation, Fluoroscopy, Robotic Surgery, and other privileges that require eLearning.
• Maintain and analyze clinical privilege forms with the annual review of clinical department chairs and service chiefs. As clinical operations grow and regulations change, it is the responsibility of the Program Operations Specialist to ensure the privileging forms are consistent with the needs of the UW Medicine.
• This position will be the primary point of contact to ensure credentialing forms are routed through the UW Medicine health system for appropriate clinical approval based upon specialty. This requires the Program Operations Specialist to have a high level of confidentiality, clear communication and understanding of the complex health system. This work will be done in coordination with service chiefs and department chairs.

Accreditation and Regulatory Compliance – 20%

• Act as primary point of contact for Payors, Health Plans and OMSA during regulatory audits.
• Point of contact for other regulatory accreditation surveys such as the Joint Commission (TJC) and Accreditation Association for Ambulatory Health Care (AAAHC).
• Review files selected for compliance to meet audit and regulatory survey requirements.
• Respond to documents/records requests in accordance with the regulation.

Administration Responsibilities – 10%

• Lead departmental process improvement projects. Measure and report all cost savings and increase efficiency in departmental processes.
• Lead and participate in work groups to evaluate and implement continuous improvement and application of lean methodology for rapid improvement.
• Manage and increase teamwork across all improvement efforts, training and building team skills where appropriate for successful implementation of Lean.

Other Duties as Assigned – 10%

• Support Budgetary and resource planning needs.

To be considered for this opportunity your application must demonstrate you meet both the minimum qualifications and additional qualifications listed below. Equivalent education and/or experience may substitute for minimum qualifications except when there are legal requirements, such as a license, certification, and/or registration.

Minimum Qualifications

• Bachelor's degree in a relevant field and at least two years of credentialing experience.

Applicants who do not meet these qualifications will not be forwarded to the Hiring Manager.

Additional Qualifications

• Certification in NAMSS SPCS or CPMSM or get certification within two years of hire.
• Familiarity with post-award grant and contract processes for both federal and non-federal funding sources.
• Demonstrated ability to manage multiple priorities, meet deadlines, and maintain strong attention to detail in a complex environment.

• Ability to prioritize competing demands to successfully meet deadlines.
• Excellent verbal and written communication skills.
• Excellent attention to detail with strong interpersonal skills.
• Exercise independent judgment of competing priorities.
• Strong…