Credentialing Specialist - Remote - 123551

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 Populations 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 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 andaccept direction.

• Certified Provider Credentialing Specialist (CPCS) OR preparing to obtain CPCS certification.

• Knowledge of MSOW credentialing software and associated applications.

• 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.

Job offer is contingent on successful engagement in the UC COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception/deferral).

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 Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity or sexual orientation. For the complete University of California nondiscrimination and affirmative action policy see:

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UC San Diego Health maintains a marijuana and drug free environment. Employees may be subject to drug screening.