The Program Manager, Office of Integrated Credentialing manages credentialing programs and projects across Keck Medicine of USC which provides system-wide primary source verification information to hospitals for USC clients Medical Staff practitioners including initial applications, reinstatements, and reappointments. The Program Manager provides leadership and oversight over projects in his or her functional domain and serves as a mentor. The Program Manager is responsible for managing multifaceted and multidisciplinary credentialing programs and projects ensuring scope is delivered according to deadlines, budget, and quality industry standards. The Program Manager collaborates with the Medical Staff Services Offices, business entities, and Health System functions of Keck Medicine of USC to develop effective credentialing policies, procedures and processes and implements applicable policies and processes within OIC. Ensures compliance with regulatory requirements related to credentialing (such as TJC, DNV, NCQA, AAAHC, Title 22, CMS, OIG, MBC and NPDB). The Program Manager develops project plans, builds project schedules, manages project meetings, communicates progress and status, enforces quality management, and identifies, responds, and manages issues, and changes and manages all applicable quality improvement project activities and ensures all project phases are documented appropriately. The Program Manager scope includes responsibility for the Keck Medicine of USC system-wide provider database including establishment of a system-wide data dictionary, user training within OIC and throughout the Keck Medicine of USC system (i.e. Medical Staff Services Offices) as appropriate, for sharing of appropriate database information with Health System departments and systems, and interfacing with IT for software upgrades and maintenance. Responsible for establishing productivity standards. The Program Manager is responsible for medical staff office activities of USC Care Medical Group that include delegated credentialing oversight and coordination of delegated activities, to include proctoring and peer review. Serves as backup to committee support.
Minimum Education: • High School Diploma or equivalent required • Bachelor’s degree in healthcare administration or related field required. • Combined Experience/Education may substitute for Education requirement Minimum Experience/Knowledge: • 5 years’ experience with Medical Staff services/credentialing. • Health plan audit experience preferred. • Health System/CVO experience preferred. • Diligence experience preferred. • Ability to develop and integrate organizational programs • Confidentiality in managing sensitive issues and information • Proven ability to lead organizational change initiatives • Advanced skills in building effective working relationships • Strong influencing and negotiation skills • Exceptional skills in leading and motivating others, managing conflict and creating a climate of collaboration and trust • Ability to work effectively across all levels of the organization • Excellent analytical and conceptual thinking skills • Thorough understanding of process improvement methodologies, continuous quality improvement and fiscal management • Ability to facilitate working sessions with large, cross-functional, multidisciplinary teams • Ability to present to and manage communication with quality and hospital executive leadership Preferred Qualifications: • Working knowledge of MD-Staff credentialing solution • Familiar with lean process improvement techniques: business (Six Sigma,) • Proficiency with MS Office (Including Word, Excel, Outlook, PowerPoint, Access) Required License/Certification: • Certified “Certified Professional Medical Services Management” (CPMSM) by the National Association Medical Staff Services (NAMSS) or NAMSS “Certified Provider Credentialing Specialist” (CPCS) required. If no current certification, must obtain within one (1) year of hire. • Fire and Safety Certification. If employee does not have card upon hire one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)