Find & Apply For Quality Inspector / Technician Jobs in Hilo, Hawaii

Job Description Join Hilo Benioff Medical Center and be part of a team that proudly cares for our friends, family, and neighbors across East Hawaiʻi. The Credentialing Specialist IV serves as a subject-matter expert in healthcare provider credentialing and privileging for the East Hawaiʻi Region. This position independently manages complex credentialing and re-credentialing activities, ensures compliance with regulatory and accreditation requirements, supports Medical Staff leadership, and provides technical guidance to credentialing staff.

Key Responsibilities:

Manage initial credentialing and re-credentialing processes for healthcare providers, including complex and high-risk credentialing files, temporary privileges, privilege modifications, and urgent requests. Conduct comprehensive reviews and analysis of provider qualifications, education, training, experience, competency, and other credentialing requirements; prepare credentialing materials for committee and governing board review. Ensure credentialing and privileging processes comply with The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS), National Committee for Quality Assurance (NCQA), applicable state laws, Medical Staff Bylaws, and other regulatory requirements. Conduct audits of credentialing files, primary source verification, databases, and related documentation; monitor

OPPE/FPPE

activities and support quality and performance improvement initiatives. Serve as the National Practitioner Data Bank (NPDB) administrator and support regulatory surveys, delegated credentialing audits, and other compliance activities. Provide technical leadership, training, mentoring, and guidance to credentialing staff while identifying opportunities to improve credentialing workflows, database utilization, reporting, and overall operational efficiency.

Required Qualifications:

Education:

Bachelor's degree from an accredited four-year college or university required. Equivalent progressively responsible administrative, professional, technical, or analytical experience may be substituted for education on a year-for-year basis, where applicable.

Experience:

At least 2½ years of professional experience working with credentialing standards and processes in a medical administration setting, hospital, clinic, or medical credentialing agency. Experience must demonstrate the ability to understand and apply credentialing regulations, Medical Staff Bylaws, and regulatory agency requirements. Familiarity with credentialing software is preferred.

Certification:

Certified Provider Credentialing Specialist (CPCS) certification through the National Association Medical Staff Services (NAMSS) is required at the time of appointment.

Licensure:

No professional licensure required. Company Description As the Big Island's leading providers of inpatient and outpatient care, the East Hawaii Region of Hawai`i Health Systems Corporation (HHSC), consisting of Hilo Benioff Medical Center, Honoka'a Hospital, Ka′u Hospital, Yukio Okutsu State Veterans Home, East Hawaii Medical Group and East Hawaii Health Pharmacy, delivers a full range of services and programs. Our three hospitals include 290 beds and more than 1,900 employees. Our medical staff is comprised of 250 physicians, physician assistants and Advanced Practice Registered Nurses, representing 33 specialties. East Hawaii Health is our network of clinics offering primary and specialty care. Hilo Benioff Medical Center functions as a Level III Trauma Center, which includes the second busiest emergency room in the state, providing 24-hour care and serving more than 50,000 patients annually. Honoka'a Hospital and Ka′u Hospital are designated as Critical Access Hospitals. To learn more about the East Hawaii Region, please watch our Video Yearbook or visit www.hbmc.org , www.honokaahospital.org or www.kauhospital.org . Benefits 13 paid holidays each year (104 hours); 14 (112 hours) during election years

• 21 paid vacation days (168 hours) per year
• 21 paid sick days (168 hours) per year
• Medical, dental, vision, and prescription plans Employee Assistance Program Participation in the State of Hawaii's retirement system Potential eligibility for various student loan repayment & scholarship programs Rates listed for paid holidays, vacation and sick days are for 1.

0 Full Time Equivalent (FTE) positions assigned to 8 hour shifts. Accruals for these benefits are otherwise prorated based on FTE. Pre-Employment Health Requirements Offers of employment will be contingent on successfully passing a pre-employment examination, which includes a drug screen and other regulatory medical requirements such as, but not limited to, a tuberculosis (TB) screen. The cost for drug screening and blood draw for QuantiFERON and Titers, shall be borne by the Hawaii Health Systems Corporation. Pre-Employment Assessments for External Candidates As part of the recruiting process for this position, external applicants (job applicants NOT employed by HHSC's East Hawaii Region) are required to complete pre-employment assessments shortly after application submission. If you are not an employee of the East Hawaii Region of HHSC, you will receive an email containing assessment instructions. We ask that you complete the assessments within two days of receipt of the request. Equal Opportunity Employer The East Hawaii Region of Hawaii Health Systems Corporation is a drug free workplace and an Equal Opportunity Employer. Shift Details Must be available to work shifts, weekends and holidays as necessary based on hospital operations. Services are provided 24/7.