Program Manager - Integrated Credentialing - Full Time 8 Hour Days (Exempt) (Non-Union)

About the role

The Program Manager is responsible for the fulfillment of organizational programs by coordinating activities to execute quality and improvement programs, providing strategic guidance to teams and stakeholders, and overseeing program operations. This role manages the program with detailed attention to strategy, project delegation, and implementation, and assists in the deployment and effective operational use of support tools.

The Program Manager, Office of Integrated Credentialing manages credentialing programs and projects across Keck Medicine of USC, providing system-wide primary source verification for hospitals, USC clients, and Medical Staff practitioners including initial applications, reinstatements, and reappointments. The role provides leadership and oversight over projects in the functional domain, serves as a mentor, and manages multifaceted, multidisciplinary credentialing programs ensuring scope delivery per deadlines, budget, and quality industry standards.

Collaborates with Medical Staff Services Offices, business entities, and Health System functions to develop effective credentialing policies, procedures, and processes and implements them within OIC. Ensures compliance with regulatory requirements (TJC, DNV, NCQA, AAAHC, Title 22, CMS, OIG, MBC, NPDB). Develops project plans, builds schedules, manages meetings, communicates progress, enforces quality management, identifies and manages issues and changes, and documents all project phases.

Scope includes responsibility for the Keck Medicine of USC system-wide provider database: establishing a system-wide data dictionary, user training within OIC and Medical Staff Services Offices, sharing appropriate database information with Health System departments and systems, and interfacing with IT for software upgrades and maintenance. Establishes productivity standards. Manages medical staff office activities of USC Care Medical Group including delegated credentialing oversight, coordination of delegated activities, proctoring, and peer review. Serves as committee support.

Responsibilities

• Creates and executes project plans and revises appropriately to meet changing requirements and needs.
• Plans and schedules project timelines and milestones using appropriate tools.
• Ensures project documents are current, complete, appropriately managed, and stored.
• Helps prepare institution for site visits, audits, and surveys and coordinates internal review process.
• Manages and coordinates USC Care health plan credentialing audits, routine health plan updates, medical group privileging, and peer review activities.
• Demonstrates excellent interpersonal skills for effective collaboration across all levels of the Health System.
• Monitors for changes in standards and adjusts practices accordingly.
• Audits credentials files for accuracy, quality, and completeness prior to submission to clients/Integrated Credentials Committee.
• Maintains expiring document system; alerts practitioners to expirations affecting Medical Staff membership or privileges well in advance; ensures provider follow-through, requesting assistance from Medical Staff Offices if needed; alerts facilities in advance to rectify records and maintain compliance.
• Maintains credentialing delegated status with health plans.
• Manages day-to-day operational and tactical activities of projects.
• Develops and delivers progress reports, proposals, requirements documentation, and presentations.
• Diagnoses task/procedural change issues and helps resolve problems.
• Proactively manages changes in project scope, identifies potential crises or issues, and devises contingency plans.
• Maintains data dictionary for the Keck Medicine of USC provider database.
• Establishes and implements audit criteria for key fields and data, including those exported as key data elements in other systems (e.g., IDX Last Word).
• Participates and coordinates with corporate staff in identification and routine collection of data and standard/ad hoc reporting for organizational planning and strategic purposes.
• As “master user,” ensures users in OIC, medical staff offices, and other appropriate users of ECHO are trained on using the centralized provider database for MD-Staff functions including running standard and ad hoc reports.
• Develops proficiencies in advanced applications (e.g., ad hoc reports) of MD-Staff to meet corporate data reporting needs.
• Maximizes use of MD-Staff within budget constraints to streamline OIC functions and communication with Medical Staff Services Offices.
• Ensures OIC staff timely and accurate entry of all data and associated quality (except facility-specific information); maintains database security and confidentiality with access limited to authorized persons.
• Develops cohesive, collaborative relationships with the Manager of OIC, Medical Staff Services Directors/Managers, OIC staff, and other system colleagues.
• Develops and writes policies and procedures related to the credentialing process for facility and Board approval; maintains a Policy and Procedure Manual for OIC, credentialing, and USC Care medical staff office processes.
• May coordinate other credentialing processes as identified by facility Medical Staff Services Offices or other OIC customers.
• Formally evaluates staff; writes and/or conducts annual performance reviews; promotes customer and team-focused solutions; conducts coaching/counseling/corrective action with documentation; gathers and evaluates facts; identifies and resolves problems; interprets, communicates, and applies policies, procedures, and practices confidentially; maintains staff productivity standards.
• Communicates difficult and sensitive information tactfully; effectively communicates relevant project information to leadership.
• Participates effectively in site, organization, and/or system-wide improvement projects.
• Develops department-specific customer service survey.
• Acts as committee support backup.
• Performs other duties as assigned or requested.

Qualifications

• Required: Bachelor's degree in healthcare administration or related field (combined experience/education may substitute).
• Preferred: Master's degree in a related field.
• Required: 3 years experience with Medical Staff services/credentialing.
• Preferred: Health plan audit experience.
• Preferred: Health System/CVO experience.
• Preferred: Diligence experience.
• Required: Ability to develop and integrate organizational programs.
• Required: Confidentiality in managing sensitive issues and information.
• Required: Proven ability to lead organizational change initiatives.
• Required: Advanced skills in building effective working relationships.
• Required: Strong influencing and negotiation skills.
• Required: Exceptional skills in leading and motivating others, managing conflict, and creating a climate of collaboration and trust.
• Required: Ability to work effectively across all levels of the organization.
• Required: Excellent analytical and conceptual thinking skills.
• Required: Thorough understanding of process improvement methodologies, continuous quality improvement, and fiscal management.
• Required: Ability to facilitate working sessions with large, cross-functional, multidisciplinary teams.
• Required: Ability to present to and manage communication with quality and hospital executive leadership.
• Preferred: Working knowledge of MD-Staff credentialing solution.
• Preferred: Familiarity with lean process improvement techniques (e.g., Six Sigma).
• Preferred: Proficiency with MS Office (Word, Excel, Outlook, PowerPoint, Access).
• Required: Fire Life Safety Training (LA City) — if no card upon hire, must obtain within 30 days and maintain by renewal before expiration (required within LA City only).
• Required: Certified Professional in Medical Services Management (NAMSS) — CPMSM or CPCS certification required; if not current, must obtain within one year of hire.

Pay

The annual base salary range for this position is $99,507.00 - $164,559.00. When extending an offer, the University of Southern California considers factors such as scope and responsibilities, candidate’s work experience, education/training, key skills, internal peer equity, federal/state/local laws, contractual stipulations, grant funding, external market, and organizational considerations.

Job ID: REQ20178154 | Posted: 07/22/2026