Overview:
LifeLong Medical Care has an exciting new opportunity for a Human Resources Specialist in Berkeley. The Human Resources Specialist is the primary contact for LifeLong Medical Care's third-party credentialing partner. This role will act as a liaison between the credentialing vendor, Human Resources, and Operations, and will maintain all internal credentialing and privileging records while adhering to standard credentialing and privileging best practices and government regulations and requirements.
This is a full time, exempt, benefit eligible position.
LifeLong Medical Care is a large, multi-site, Federally Qualified Health Center (FQHC) with a rich history of providing innovative healthcare and social services to a wonderfully diverse patient community. Our patient-centered health home is a dynamic place to work, practice, and grow. We have over 15 primary care health centers and deliver integrated services including psychosocial, referrals, chronic disease management, dental, health education, home visits, and much, much more. LifeLong Medical Care is an equal opportunity employer. We strongly encourage applications from women, people of color, and bilingual and bicultural individuals and members of the lesbian, gay, bisexual, and transgender communities. Applicants shall not be discriminated against because of race, religion, sex, national origin, ethnicity, age, disability, political affiliation, sexual orientation, gender identity, color, marital status, or medical condition.
Benefits
Compensation: $70,000 - $75,000/year. We offer excellent benefits including: medical, dental, vision (including dependent and domestic partner coverage), generous leave benefits including ten paid holidays, Flexible Spending Accounts, 403(b) retirement savings plan.
COVID-19 Vaccine Policy
In accordance with LifeLong Medical Care's commitment to provide and maintain a workplace that is free of known hazards, we have adopted a Mandatory COVID-19 Vaccine Policy to safeguard the health of our employees and their families; our patients and visitors; and the community at large from infectious diseases, that vaccinations may reduce. This policy will comply with all applicable laws and is based on guidance from the Centers for Disease Control and Order of the California State Public Health Officer. Unless a reasonable medical or religious accommodation is approved, all employees must receive COVID-19 vaccinations.
Responsibilities:
Serve as an internal credentialing and privileging subject matter expert while working with Human Resources, Operations, Compliance, and Macman Management Healthcare Services (LifeLong Medical Care's third-party credentialing vendor), to meet LifeLong Medical Care's credentialing needs.
Create and maintain both paper and electronic credentialing files in accordance with credentialing best practices, utilizing third-party credentialing vendor's records and government regulations and requirements, to ensure that our credentialing records are always 'audit-ready.'
Partner with Recruiting Coordinator(s) and Human Resources Generalist(s) to assign credentialing license information and categories to new hires and existing employees.
Collaborate with Recruiting Coordinator(s) to monitor recruitment status of candidates to ensure timely credentialing prior to employment.
Utilize ADP to maintain a current and accurate record of provider data for use in the credentialing, re-credentialing, and appointment process.
Facilitate the collection of privileging forms from new hires and clinical leadership.
Ensure that Human Resources and third-party credentialing vendor onboarding processes are in alignment and that all required documentation is collected.
Run and distribute ADP reports as needed for internal and external partners regarding patient facing staff. Maintain effective working relationships with Operations, Billing, IT, Quality Improvement, Compliance, administrative support staff, and other credentialing agencies and health plans to ensure necessary flow of information to maintain credentialing.
Connect with clinical leadership from the Operations, Behavioral Health, and Dental departments to collect and validate information for patient-facing staff.
Provide required documentation to appropriate clinician managers and committees at the practice sites.
Address any credentialing-related issues or discrepancies promptly and work proactively with Human Resources and third-party credentialing vendor to proactively resolve them in a professional manner.
Escalate complex issues to the appropriate personnel or department for further resolution.
Provide termination notification documents as requested by third-party credentialing vendor.
Maintain current knowledge of Health Resources and Services Administration (HRSA) including Federal Tort Claim Act (FTCA), and all relevant laws and regulations regarding Federally Qualified Health Center (FQHC) credentialing requirements.
Assist with reviewing, updating, and developing credentialing policies, procedures, and processes in coordination with organizational leadership.
Complete HR special projects and perform back up duties for HR team members as needed.
Perform other duties and projects assigned.
Qualifications:
Excellent interpersonal, verbal, and written communication skills with the ability to handle sensitive issues in a confidential, positive, and professional manner.
Display strong customer service orientation.
Strong organizational, administrative, multi-tasking, prioritization, and problem-solving skills.
Work effectively under pressure in a positive professional manner and be flexible and adaptive to change.
Effectively present information to others, including other employees, community partners, and vendors.
Ability to seek direction/approval on essential matters, yet work independently with little supervision, using professional judgment and diplomacy.
Work in a team-oriented environment with a number of professionals with different work styles and support needs.
Conduct oneself in internal and external settings in a way that reflects positively on LifeLong Medical Care as an organization of professional, confident, and sensitive staff.
Ability to see how one's work intersects with that of other departments of LifeLong Medical Care and that of other partner organizations.
Commitment to the provision of primary care services for the underserved with demonstrated ability and sensitivity in working with a variety of people from low-income populations, with diverse educational, lifestyle, ethnic, and cultural origins.
Job Requirements
Bachelor's degree or commensurate work experience.
Minimum 3 years of credentialing experience.
Proficient in Microsoft Office including Outlook, Word, Excel, and PowerPoint.
Outstanding customer service skills approach to problem solving and conflict resolution.
Strong attention to deta.
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