Medical Staff Quality Specialist

Summary:

• Work Mode: Hybrid - Mostly remote but required to come on site as needed (i.e., staff meetings, accreditation surveys, peer review meetings, etc.)
• Location: Primary location is 747 52nd Street, Oakland, CA, 94609; secondary location is 1800 Client Street, San Francisco, CA, 94158
• Schedule: Monday-Friday, Flexible daytime shift (8-hour shift with flexibility of working between 7:00 AM-7:00 PM, unless overtime is required)

Responsibilities:

• Collaborate with the Director of Medical Staff Administration in analyzing individual and group OPPE and peer review data.
• Complete assigned projects related to medical staff data collection, analysis, and reporting.
• Write reports from peer review database upon request and on a recurring basis.
• Maintain the integrity of data ensuring timely, relevant, accurate, and consistent information use.
• Summarize and report OPPE and peer review data.
• Assist in improving the quality of data and information as appropriate, including audit of data collection processes.
• Participate in medical staff committees and teams to help track quality outcomes and measures.
• Maintain knowledge of Joint Commission and regulatory standards related to medical staff credentialing, privileging, and ongoing evaluation, and professionalism.
• Promote and adhere to the customer service philosophy and standards by interacting and communicating with colleagues in a way that promotes a harmonious and cooperative working environment.
• Maintain and improve knowledge of Medical Staff regulatory requirements.
• Participate in Institutional Quality Event Reviews.
• Other duties as assigned.

Requirements:

• Bachelor's degree required.
• Minimum 3 years of relevant healthcare/clinical experience.
• Experience in managing FPPE, OPPE, and professionalism cases for medical staff offices.
• Effective oral and written communication skills.
• Ability to organize meetings, set agendas, and take minutes.
• Ability to work independently using clear decision-making processes.
• Ability to think critically and apply complex concepts.
• Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook).
• Strong technical skills in database management.

Preferred Skills:

• Substantial experience with data and trend analysis, statistical reporting, application design, and development.
• Knowledge of project management techniques.
• Excellent written and interpersonal communication skills; ability to educate team members, staff from varying departments, physicians, and nurses.
• Ability and willingness to adapt to changing priorities and aggressive project deadlines.
• Ability to work with Medical Staff Leadership in management of complex peer review.
• Maintains confidentiality of OPPE and peer review processes.