UPMC Susquehanna is looking for a full-time Credentialing Specialist. The Credentialing Specialist facilitates the physician and allied health credentialing, privileging and monitoring process, including application management and primary source verification. They also ensures the accuracy and integrity of the credentialing and clinical privileging database system.
Coordinates privileges process including preparation and presentation of requested privileges with validated qualifications to the Medical Staff Credentials Committee.
Provides office support for the department and the medical staff.
Ensures the accuracy and integrity of the credentialing and clinical privileging database system.
Establishes and ensures effective monitoring process of new physicians as prescribed by the departmental bylaws.
Establishes and tracks data related to Medical Staff recruitment and resignations.
Makes appropriate arrangements for meeting rooms and food services.
Knows and follows all organizational/departmental policies/procedures.
Actively practices behaviors associated with SH Service Excellence expectations. Smiles at and greets everyone enthusiastically, and treats everyone with respect, dignity and care.
Assumes responsibility for personal development and education.
Provides support for the reappointment process.
Commits to high quality, safe work; encourages others to have similar standards. Identifies processes/systems that could lead to inefficient practices, unsafe conditions, errors or adverse events. Avoids shortcuts to ensure quality and safety measures are not circumvented. Encourages patient and family involvement in processes involving patient safety. Understands that patient safety is everyone's responsibility. Assumes responsibility for personal education and performance related to patient safety; reports unsafe conditions or events immediately; speaks up in a non confrontational and educational manner when seeing a safety breech; develops or participates in a project or action plan to reduce risk or mitigate harm for patients, as appropriate.
Prepares agendas, attends assigned meetings and authors minutes.
Participates in developing strategies to improve on the attainment, development and consistency of the credentialing process.
Leads the Medical Staff Leadership towards the successful completion of all credentialing including primary source verification and other application data validation.
Associates Degree in a related field, or the equivalent combination of education and experience, required.
Three years of progressively responsible administrative support experience required.
Strong computer skills and proficient working knowledge of Microsoft Office preferred.
Three years of credentialing experience preferred.
Licensure, Certifications, and Clearances:
Internal Number: 915524060
A world-renowned health care provider and insurer, Pittsburgh-based UPMC is inventing new models of accountable, cost-effective, patient-centered care. It provides more than $900 million a year in benefits to its communities, including more care to the region’s most vulnerable citizens than any other health care institution.
As Pennsylvania’s largest nongovernmental employer, with more than 87,000 employees, UPMC is comprised of:
More than 40 hospitals
More than 700 doctors' offices and outpatient sites
An international division
An enterprises division
A passion for innovation lies at the heart of UPMC’s success. UPMC’s unique strategy of combining clinical and research excellence with business-like discipline translates into high-quality patient care for both western Pennsylvanians and the global community.