Program Operations Specialist - Credentialing

Program Operations Specialist – Credentialing The Program Operations Specialist – Credentialing will oversee the operational and personnel activities of OMSA, ensuring a stable platform for delivering credentialing and privileging services to current and new medical staff. 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 requested by providers; work with the eLearning team to analyze and complete special credentialing for Central Venous Catheter, Moderate Sedation, Fluoroscopy, Robotic Surgery, and other privileges requiring eLearning. Maintain and analyze clinical privilege forms with annual reviews of clinical department chairs and service chiefs; ensure forms align with UW Medicine needs. Serve as primary point of contact for routing credentialing forms through UW Medicine health system for appropriate clinical approval based on specialty, maintaining confidentiality and clear communication. Oversee and manage Short‑Term Temporary Privileges for visiting providers, analyzing credentials to ensure appropriate and consistent UW Medicine credentialing. Manage Exempt Privileges for providers credentialed for five days or less. Identify and assess proctoring cases to document competency for additional privileges; collaborate with providers, patient care services, billing, or other clinical operations to ensure proctoring completion per policy. Primary point of contact for Proxy Credentialing for Telemedicine across the WWAMI region; implement and analyze shared agreements between UW Medicine and other entities. Oversee Fast Track applications for emergency privileges, ensuring each provider is credentialed before clinic start date. Be primary point of contact to medical directors across UW Medicine system for processing Disaster Privileges as needed. Provide oversight and quality assurance to core processes of Initial and Reappointments applications within OMSA. Accreditation and Regulatory Compliance (20%) Act as primary point of contact for payors, health plans, and OMSA during regulatory audits. Point of contact for 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 regulation. Attend regulatory survey meetings to respond to survey questions as an expert. Serve as primary point of contact for adverse events reports to NPDB and DOH, communicating directly with providers and senior leadership as requested by Risk Management and Medical Centers. Administration Responsibilities (10%) Lead departmental process improvement projects; measure and report cost savings and increased efficiency. Lead and participate in work groups to evaluate and implement continuous improvement and 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. Maintain 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. Other Duties as Assigned (10%) Support with budgetary and resource planning needs.

MINIMUM QUALIFICATIONS

Bachelor’s degree in a relevant field and at least two years of credentialing experience. Certification in NAMSS CPCS or CPMSM, or certification within two years of hire. Additional Qualifications Ability to prioritize competing demands and meet deadlines. Excellent verbal and written communication skills. Excellent attention to detail with strong interpersonal skills. Exercise independent judgment of competing priorities. Strong organizational skills. Compensation, Benefits and Position Details Pay Range Minimum: $61,368.00 annual Pay Range Maximum: $92,064.00 annual Other Compensation: – For information about benefits for this position, visit Shift: First Shift (United States of America) Temporary or Regular? This is a regular position FTE (Full‑Time Equivalent): 100.00% Union/Bargaining Unit: Not Applicable Commitment to Equal Opportunity The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81. Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law. University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information. #J-18808-Ljbffr University of Washington