Medical Staff Services Department Specialist (2106) - Dept. of Public Health - (153460)

Company Description

The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its workforce. All employees at the Department of Public Health work to advance equity, inclusion, and diversity with a specific lens and focus on race, ethnicity, gender, sex, sexuality, disability, and immigration status. 

• Application Opening – Friday, May 2, 2025 
• Application Deadline – Application filing will close on or after Friday, May 23, 2025
• Salary: $81,874 - $99,528 Annually
• Appointment Type: Permanent Civil Service
• Recruitment ID: PBT-2106-153460

The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. SFDPH strives to achieve its mission through the work of two main Divisions - the San Francisco Health Network and Population Health. The San Francisco Health Network is the City’s only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers.

The eligible list resulting from this recruitment may be utilized to fill future and current vacancies in this class at other locations within the DPH for the duration of the eligible list.

Job Description

Under general supervision of the Director of the Medical Staff Services Department (MSSD) Office of Compliance & Privacy Affairs (OCPA), Behavioral Health Services Compliance Office (CHSCO) Compliance Officer, the Medical Staff Services Department Specialist performs the following essential job functions:

• Receives and processes initial and updated requests for credentialing/verification from provider staff and coordinates the request with related IT staff.
• Uses software systems and paper forms to create initial and updated application packets for Medical/Affiliated Staff and subsequently, processes the completed applications; verifies education, training, experience, clinical competence, licensure and professional liability history and peer review; creates and maintains documentation into confidential credentials folder; answers routine questions relating to the application/documentation process; assists with the monitoring of clinical privileges for the Medical/Affiliated Staff.
• Uses software, database and spreadsheet software to generate, summarize and report provider enrollment/credentialing/verification information for monitoring and reporting purposes.
• Assists in the development of staff training materials, standard work protocols, and policies and procedures that serve to ensure consistency in the review, analysis and reporting of provider enrollment and credentialing information.
• Provides consultation, communication and guidance to provider staff and administrators on management of provider enrollment and credentialing/verification processes.
• Reads and analyzes guidance by external regulatory agencies or internal policy changes to identify impacts to Compliance.
• Maintains awareness and knowledge of current standards and policies related to: credentialing, verification and provider enrollment processes for Medicaid, Medicare and other federal insurance programs

The 2106 Medical Staff Services Department Specialist also performs other related duties as required.

Qualifications

Minimum Qualifications - Required

• EXPERIENCE: One (1) year of verifiable experience in a Medical Staff Services Department or similar department

Note: Medical Staff Services Department or similar department must be responsible for medical staff credentialing, payer credentialing, health plan enrollment, medical staff governance, or other related functions.

AND

• LICENSE AND CERTIFICATION: Possession of a current certificate or eligibility to be a candidate for the Certified Provider Credentialing Specialist Certificate (CPCS) or Certified Medical Staff Coordinator Certificate (CPMSM) examinations sponsored by the National Association of Medical Staff Services (please attach to your application)

The above minimum qualifications reflect special conditions associated with the position(s) to be filled. They may differ from the standard minimum qualifications associated with this classification.

Applicants must meet the minimum qualification requirement by the final filing date unless otherwise noted.

One-year full-time of employment is