Manager of Medical Staff Governance & Credentialing

The Manager of Medical Staff Governance & Credentialing is a key leader responsible for driving the integrity, efficiency, and compliance of credentialing and medical staff governance operations at UC Davis Health. Reporting to the Chief Medical Officer and Director of Medical Staff Governance, this role ensures seamless credentialing and privileging processes while strengthening governance practices across the organization.

This position leads high-performing teams of Medical Staff Program Analysts and Medical Staff Services Specialists, oversees daily operations, and partners closely with clinical and executive leadership. The Manager directs the Credentialing & Privileging Committee, ensures compliance with Title 22, The Joint Commission (TJC), CMS, and NCQA standards, and plays a critical role in survey readiness and regulatory response.

As a subject matter expert, this leader navigates complex credentialing and governance challenges, drives continuous process improvement, and advances operational excellence to support high-quality, patient-centered care.

Apply By Date: June 1, 2026, at 11:59 PM

Minimum Qualifications - For full consideration, applicants are encouraged to upload a license and/or certification if required for the position.

• 5+ years of progressive experience in medical staff services, credentialing, or healthcare administration
• 2+ years of leadership or supervisory experience
• Experience with regulatory and accreditation standards (e.g., TJC, CMS, NCQA, Title 22)
• Knowledge of credentialing and privileging processes in a hospital or health system setting
• Expert knowledge of regulatory and accreditation standards, including The Joint Commission (TJC), CMS Conditions of Participation, Title 22, California Business and Professions Code, California Health and Safety Code, Medical Board of California regulations, California Nurse Practice Act, and NCQA standards
• Advanced writing and communication skills with the ability to develop clear, concise, and accurate documentation for internal and external audiences
• Strong analytical judgment, political acumen, and decision-making skills in a high-stakes healthcare environment
• Advanced proficiency in Microsoft Office Suite (Excel, Word, PowerPoint, Outlook)
• Advanced data analysis and interpretation skills, including the ability to present findings in clear, actionable formats
• Proven ability to build and maintain effective working relationships with leadership and key stakeholders.
• Ability to perform statistical analysis and apply performance improvement methodologies
• Expertise in credentialing systems and processes, including primary source verification (e.g., NPDB) and credentialing platforms such as CredentialStream

Preferred Qualifications

• Certified Provider Credentialing Specialist (CPCS)
• Certified Professional Medical Services Management (CPMSM)
• Bachelor's degree in healthcare administration, business administration, or a related field (or equivalent experience)
• Experience supporting accreditation surveys and regulatory audits
• Experience in teaching, training, and public speaking
• Leadership experience within an academic healthcare or complex health system environment

Key Responsibilities

• 70% - Credentialing Unit Manager
• 30% - Medical Staff Governance Manager

Department Overview

The Medical Staff Governance & Credentialing Department supports the organization's clinical excellence by ensuring that all medical staff are appropriately credentialed, privileged, and compliant with regulatory and accreditation standards. The department facilitates governance structures, committee operations, and policy adherence to maintain high-quality patient care and institutional integrity.

POSITION INFORMATION

• Salary or Pay Range: $7,891.67- $14,775.00
• Salary Frequency: Monthly
• Salary Grade: 24
• UC Job Title: MED STF SVC MGR 1
• UC Job Code: 005766
• Number of Positions: 1
• Appointment Type: Career
• Percentage of Time: 100% Full-time
• Shift (Work Schedule): (8AM -5 PM) M-F
• Location: North Addition Office Building, Sacramento, CA
• Union Representation: Non-Represented (PPSM)
• Benefits Eligible: Yes
• This position is hybrid (mix of on-site and remote work)

Benefits

Outstanding benefits and perks are among the many rewards of working for the University of California. UC Davis offers a full range of benefits, resources, and programs to help you bring your best self to work, as well as to help you and your family achieve your health, wellness, financial, and career goals. Learn more about the benefits below and eligibility rules by visiting either our handy Benefits Summary for UC Davis Health Employees or Benefits Summary for UC Davis Employees and our Benefits Page.
If you are represented by a union, benefits are negotiated between the University of California (UC) and your union and finalized in a contract. Read your bargaining unit's employment contract, stay abreast of current negotiations, and learn about collective bargaining at UC: https://ucnet.universityofcalifornia.edu/labor/bargaining-units/index.html.

• High-quality and low-cost medical plans to choose from to fit your family's needs
• UC pays for Dental and Vision insurance premiums for you and your family
• Extensive leave benefits including Pregnancy and Parental Leave, Family & Medical Leave
• Paid Holidays annually as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
• Paid Time Off/Vacation/Sick Time as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
• Continuing Education (CE) allowance and Education Reimbursement Program as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
• Access to free professional development courses and learning opportunities for personal and professional growth
• WorkLife and Wellness programs and resources
• On-site Employee Assistance Program, including access to free mental health services
• Supplemental insurance offered, including additional life, short/long term disability, pet insurance and legal coverage
• Public Service Loan Forgiveness (PSFL) Qualified Employer & Student Loan Repayment Assistance Program for qualified roles
• Retirement benefit options for eligible roles, including Pension and other Retirement Saving Plans. More information on our retirement benefits can be found here

Physical Demands

• Standing - Occasional Up to 3 Hours
• Walking - Occasional Up to 3 Hours
• Sitting - Frequent 3 to 6 Hours
• Lifting/Carrying 0-25 Lbs - Occasional Up to 3 Hours
• Pushing/Pulling 0-25 Lbs - Occasional Up to 3 Hours
• Bending/Stooping - Occasional Up to 3 Hours
• Squatting/Kneeling - Occasional Up to 3 Hours
• Twisting - Occasional Up to 3 Hours
• Reaching overhead - Occasional Up to 3 Hours
• Keyboard use/repetitive motion - Frequent 3 to 6 Hours

Mental Demands

• Sustained attention and concentration - Frequent 3 to 6 Hours
• Complex problem solving/reasoning - Occasional Up to 3 Hours
• Ability to organize & prioritize - Frequent 3 to 6 Hours
• Communication skills - Frequent 3 to 6 Hours
• Numerical skills - Occasional Up to 3 Hours
• Constant Interaction - Frequent 3 to 6 Hours
• Customer/Patient Contact - Frequent 3 to 6 Hours
• Multiple Concurrent Tasks - Frequent 3 to 6 Hours

Work Environment

• UC Davis is a smoke and tobacco free campus effective January 1, 2014. Smoking, the use of smokeless tobacco products, and the use of unregulated nicotine products (e-cigarettes) will be strictly prohibited on any UC Davis owned or leased property, indoors and outdoors, including parking lots and residential space.

Special Requirements - Please contact your recruiter with questions regarding which activities apply by position

• This is a critical position, as defined by UC Policy and local procedures, and as such, employment is contingent upon clearing a criminal background check(s) and may include drug screening, medical evaluation, clearance, and functional capacity assessment
• This position is designated as a mandated reporter under CANRA and UC policy, and employment is contingent on compliance with applicable policies, procedures, and training requirements

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.

A Culture of Opportunity and Belonging

At UC Davis, we're committed to solving life's most urgent challenges and building a healthier, more resilient world. We believe in growing through every challenge, continually striving to improve, and welcoming new perspectives that strengthen our community. We recognize that a vibrant and innovative organization values both individual strengths and shared purpose. The best ideas often emerge when people with different experiences come together.
As you consider joining UC Davis, we invite you to explore our Principles of Community, our Clinical Strategic Plan, and our strategic vision for research and education. We believe you belong here. The University of California, Davis, 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, or protected veteran status.
To view the University of California's Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination.
Because we want you to feel seen and valued, our recruitment process at UC Davis supports openness and authenticity. Research shows that some individuals hesitate to apply unless they meet every qualification. You may be an excellent fit for this role-or the next one. We encourage you to apply even if your experience doesn't match every listed requirement. #YouBelongHere #CA-ZM
To learn more about our background check program, please visit: https://hr.ucdavis.edu/departments/recruitment/ucd/selection/background-checks.