Director, Medical Staff Administration - Fountain Valley / Placentia Linda - FT Days

About the Organization

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 system, 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, an 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.

About the Role

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 ensures 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. The Director provides direct oversight to medical staff services coworkers, including selection, orientation, training, performance management, and professional development. 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 with limited oversight.

Responsibilities

• Oversee operational leadership and administrative functions of medical staff services, including credentialing, privileging, peer review, and governance support.
• Ensure compliance with regulatory and accreditation standards (e.g., The Joint Commission, NCQA, Title 22, state, and federal requirements).
• Develop and implement medical staff policies and procedures.
• Lead quality assurance and performance improvement initiatives.
• Manage, train, and develop medical staff services coworkers, including performance management and professional development.
• Collaborate with Chief Medical Officer, physician leadership, legal counsel, compliance, and administrative leadership on governance, credentialing integrity, and risk management.
• Exercise discretion in handling sensitive information, including employee/student records, health/patient records, financial data, and strategic plans.
• Safeguard sensitive information and ensure compliance with data protection and privacy policies.

Requirements

• Minimum of 5 years of experience in credentialing medical staff.
• Minimum of 1 year of experience in a management leadership role.
• Minimum of 5 years of progressive management responsibility.
• 3-5 years of project management experience.
• CPCS and/or CPMSM certification.
• Demonstrated understanding of medical terminology.
• Strong knowledge of Joint Commission (JCAHO), NCQA, and Title 22 regulations.
• Proficiency in MS Office products.

Skills

• Strong verbal and written communication skills in English.
• Strong analytical and problem-solving skills with strategic planning ability.
• 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.

Preferred Qualifications

• Knowledge of University policies and procedures.
• Dual certification in CPMSM, CPCS, or CPHQ.
• Bachelor’s degree.

Benefits

We offer a wealth of benefits to make working at UCI even more rewarding, including:

• Medical insurance.
• Sick and vacation time.
• Retirement savings plans.
• Access to a number of discounts and perks.

For more details, visit the UCI HR benefits page.

Conditions of Employment

• Background check and Live Scan fingerprinting.
• Employment misconduct disclosure requirement (final candidate must disclose any administrative or judicial decisions involving misconduct within the last seven years).
• Proof of legal right to work in the United States.
• Compliance with UCI vaccination policies, smoking/tobacco policy, and drug-free environment requirements.
• Exercise utmost discretion in handling sensitive information, including secure handling of physical and digital records.
• Additional conditions may apply based on business unit or job-specific requirements (e.g., California Child Abuse and Neglect Reporting Act, E-Verify, pre-placement health evaluation).