Director – Medical Staff Administration

Who We Are

UCI Health is one of California's largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, UCI Health has grown into a 1,461-bed health system that includes UCI Health - Orange, UCI Health - Irvine, four Community Network hospitals and a growing network of ambulatory care centers across Orange and Los Angeles counties.

As Orange County’s only academic health systems, UCI Health is home to the only National Cancer Institute-designated comprehensive cancer center based in the county, the region’s only American College of Surgeons-verified Level I adult and Level II pediatric trauma center, American College of Emergency Physicians Gold Level 1 Geriatric Emergency Department and a nationally recognized regional burn center verified by the American Burn Association. Powered by UC Irvine, UCI Health serves 5.6 million people across Orange County, western Riverside County and southeast Los Angeles County through excellence in patient care, research and medical education.

Your Role on the Team

Position Summary:

The Director, Medical Staff is responsible for the operational leadership, administrative oversight, and coordination of all medical staff functions within the assigned facility or facilities, including credentialing, privileging, peer review, and medical staff governance support. The incumbent is accountable for ensuring the accurate, efficient, and compliant administration of all medical staff processes in alignment with regulatory, accreditation, and organizational standards, including The Joint Commission, California Medical Staff Services Association, and applicable state and federal requirements. This role maintains responsibility for the development and implementation of medical staff policies and procedures, quality assurance and performance improvement initiatives, and ongoing evaluation of medical staff operations to ensure compliance and best practices within the assigned facility or facilities. The Director provides direct oversight to medical staff services coworkers across all assigned functional areas and is responsible for the selection, orientation, training, performance management, and professional development of all assigned coworkers. This position collaborates with the Chief Medical Officer, physician leadership, legal counsel, compliance, and administrative leadership to support medical staff governance, credentialing integrity, and organizational risk management. The Director reports to the VP, System Director, or Regional Director, exercising wide latitude of authority in managing facility-level medical staff operations and the execution of established departmental objectives with limited oversight.

What It Takes to be Successful

Required Qualifications:

Working knowledge of MS Office products

Strong verbal and written communication skills

Strong analytical and problem solving skills and the ability to plan strategically

Strong Knowledge of Joint Commission JCAHO, NCQA, and Title 22 regulations

Must possess the skill, knowledge and ability essential to the successful performance of assigned duties

Must demonstrate customer service skills appropriate to the job

Minimum of 5 years experience in credentialing medical staff

Minimum of 1 year experience in an management leadership role

Minimum 5 years’ experience of progressive management responsibility

Excellent written and verbal communication skills in English

Demonstrated understanding of medical terminology

CPCS and/or CPMSM Certified

Ability to persuade or influence people to take appropriate action

Ability to maintain a work pace appropriate to the workload

Ability to establish and maintain effective working relationships across the Health System

Ability to coordinate and resolve issues in a timely manner

Ability to apply sound judgment in ambiguous situations and effectively manage change

3-5 years of project management experience

Preferred Qualifications:

Knowledge of University policies and procedures

Dual Certification in any of the following areas: CPMSM, CPCS, CPHQ

Bachelor's degree

Total Rewards

We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits.

Conditions of Employment:

The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:

• Background Check and Live Scan
• Employment Misconduct*
• Legal Right to Work in the United States
• Vaccination Policies
• Smoking and Tobacco Policy
• Drug Free Environment

Exercise the utmost discretion in managing sensitive information learned in the course of performing their duties. Sensitive information includes but is not limited to employee and student records, health and patient records, financial data, strategic plans, proprietary information, and any other sensitive or non-public information learned during the course and scope of employment. Understands that sensitive information should be shared on a limited basis and actively takes steps to limit access to sensitive information to individuals who have legitimate business need to know. Ensure that sensitive information is properly safeguarded. Follow all organizational policies and laws on data protection and privacy. This includes secure handling of physical and digital records and proper usage of IT systems to prevent data leaks. The unauthorized or improper disclosure of confidential work-related information obtained from any source on any work-related matter is a violation of these expectations.

*Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.

The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.

• California Child Abuse and Neglect Reporting Act
• E-Verify
• Pre-Placement Health Evaluation

Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/new-hire/conditions-of-employment.php

Closing Statement:

The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC Anti-Discrimination Policy.

We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.

UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at [email protected] or at (949) 824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m.

Consideration for Work Authorization Sponsorship

Must be able to provide proof of work authorization