UW Medicine

ProgramOperationsSpecialistCredentialing

$61–61k Seattle, Washington, United States FULL TIME
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Mid+ candidates.

The Brief

“Program Operations Specialist – Credentialing at UW Medicine. Skills: process management, cross-functional coordination, vendor/stakeholder management, operational metrics, resource planning, continuous improvement. Independently analyze and manage credentialing processes for UW Medicine. Manage all new eLearning special and additional privileges”

What You'll Achieve.

overall progress of OMSA goals; Measure and report all cost savings and increase efficiency in departmental processes

Industry & Context.

Problems you'll solve

creative problem-solving skills

What They're Looking For.

Must Have

Bachelor's degree in relevant field, at least two years of credentialing experience, Certification in NAMSS CPCS or CPMSM or certify within two years of hire

Nice to Have

Ability to prioritize competing demands to successfully meet deadlines, Excellent verbal and written communication skills, Excellent attention to detail with interpersonal skills, Exercise independent judgment of competing priorities, organizational skills

What You'll Do.

Independently analyze and manage credentialing processes for UW Medicine

Manage all new eLearning special and additional privileges

Maintain and analyze clinical privilege forms with the annual review of clinical department chairs and service chiefs

Ensure credentialing forms are routed through the UW Medicine health system for appropriate clinical approval

Oversee and manage the process of Short-Term Temporary Privileges for visiting providers

Manage Exempt Privileges for providers credentialed for 5 days or less

Identify and assess proctoring cases to document competency for additional privileges

Primary point of contact for Proxy Credentialing for Telemedicine across the WWAMI region

Oversee Fast Track applications for emergency privileges

Be primary point of contact to medical directors across UW Medicine system

to process Disaster Privileges as needed

Provide oversight and quality assurance to the core processes of Initial and Reappointments applications within OMSA

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

Attend regulatory survey meetings to respond to survey questions

Serve as primary point of contact for adverse events reports to NPDB and DOH

Lead departmental process improvement projects

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

Maintenance of a complete and accurate record of UW Medicine facilities review and process by collecting and compiling committee tables

discussions and actions

Work with leadership to create and distribute regular communications or e-blasts to clinical departments

Support with budgetary and resource planning needs

How You'll Work.

Team & Collaboration

Work with eLearning team to analyze and complete special credentialing; This work will be done in coordination with service chiefs and department chairs; Collaborate with providers, patient care services, billing or other clinical operations to collect and ensure proctoring has been completed per clinical policy; Implement and analyze shared agreements between UW Medicine and other entities; Communicate directly with providers and senior leadership regarding adverse events reports; Manage and increase teamwork across all improvement efforts; Work with leadership to create and distribute regular communications or e-blasts to clinical departments

Communication Scope

appropriateness and effectiveness of communications; clear communication; Excellent verbal and written communication skills

Process & Methodology

Lead departmental process improvement projects, Lead and participate in work groups to evaluate and implement continuous improvement

Full Job Description

**Job Description** As a UW employee, you have a unique opportunity to change lives on our campuses, in our state and around the world. UW employees offer their boundless energy, creative problem-solving skills and dedication to build stronger minds and a healthier world. UW faculty and staff also enjoy outstanding benefits, professional growth opportunities and unique resources in an environment noted for diversity, intellectual excitement, artistic pursuits and natural beauty. **The Office of Medical Staff Appointments (OMSA) at the School of Medicine has an outstanding opportunity for a Program Operations Specialist - Credentialing.** The Program Operations Specialist – Credentialing (Program Operations Specialist) will oversee the operational and personnel activities of OMSA. The individual in this position ensures that OMSA has a stable operating platform from which to deliver effective and efficient services of credentialing and privileging activities for the current medical staff members and new applicants. The Program Operations Specialist job performance is evaluated in terms of independence, leadership, appropriateness and effectiveness of communications, timeliness and accuracy of work, knowledge of clinical credentialing regulations and policies, and overall progress of OMSA goals. **DUTIES AND RESPONSIBILITIES _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

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