Project Manager - Integrated Credentialing - Full Time 8 Hour Days (Exempt) (Non-Union)
Core
Manage multifaceted credentialing programs and projects for Keck Medicine of USC, ensuring compliance with regulatory standards and overseeing system-wide provider database operations.
Role type
Senior Program Manager (Credentialing & Quality Improvement)
Builds
Credentialing policies, procedures, and system-wide provider database processes
Domain
Healthcare administration / Medical Staff Credentialing
Required skills
Project management, regulatory compliance, policy development, data management, stakeholder collaboration, audit coordination, staff supervision, change management
Preferred skills
Experience with health plan credentialing audits, knowledge of TJC/CMS/NCQA standards, database administration
Technologies
MD-Staff, ECHO, IDX Last Word
Responsibilities
Develop and execute project plans and schedules; manage credentialing audits and health plan updates; maintain system-wide provider database and data dictionary; establish and enforce credentialing policies and procedures; coordinate with Medical Staff Services Offices and IT; supervise staff and conduct performance reviews; ensure compliance with regulatory requirements (TJC, CMS, etc.)
Seniority
Senior, hands-on IC with mentorship responsibilities