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Credentialing SME – On Base Workforce

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Bupa

19d ago

  • Job
    Full-time
    Senior & Expert Level
  • Government & Politics
    Healthcare
  • Melbourne, +2

AI generated summary

  • You must be a health professional with extensive clinical governance experience, strong analytical skills, and effective stakeholder management. Postgraduate qualifications and a passion for quality improvement are desirable. Security clearance required.
  • You will oversee credentialing governance, provide clinical input, support compliance processes, maintain system integrity, build relationships across teams, and ensure adherence to clinical standards.

Requirements

  • You will be a Health Professional/allied health practitioner with extensive experience in Clinical Governance, Quality and Risk Management experience.
  • Post Graduate qualifications or working towards i.e., Quality Management, Health Administration, Clinical Governance or similar will be highly desirable.
  • Demonstrated ability to build and refine operational processes particularly those relating to quality and safety.
  • Proven ability to develop and implement frameworks, drive outcomes and ultimately delivery programs of work.
  • Strong conceptual, analytical, problem solving and strategic planning/thinking ability.
  • Excellent communication and stakeholder management skills
  • Experience implementing organisational wide quality improvement initiatives and influencing teams in building a high-quality improvement culture.
  • A passion for innovative thinking!
  • Strong interpersonal skills with a demonstrated ability to engage with a range of key stakeholders to work in partnership with service delivery teams to achieve outcomes
  • This is a Security Cleared Position. The occupant must be an Australian Citizen and must be eligible to obtain and uphold a Baseline Security Clearance

Responsibilities

  • Responsible for key governance activities relating to on-base credentialing for both onboarding and ongoing requirements, escalation of clinical credentialing matters and support to Service Delivery teams.
  • Provision of clinical input into all credentialing activities for on-base workforce including daily credential checks and input into waivers/exemptions/endorsements.
  • Play an integral role in the Compliance Response Team in supporting the Compliance Incident Notification process for any clinical requirements.
  • Act as a proactive change leader to ensure the integrity of all credentialing systems is maintained.
  • Establish good working relationships with all business services and other central functions to ensure clinical credentialing and risk awareness and developments are communicated.
  • Ensure business alignment and adherence to industry standards and requirements within the Bupa clinical governance, risk management and compliance framework particularly relating to clinical credentialing.

FAQs

What are the primary responsibilities of the Credentialing SME?

The Credentialing SME is responsible for governance activities related to on-base credentialing, providing clinical input into credentialing activities, supporting the Compliance Response Team, maintaining the integrity of credentialing systems, and ensuring alignment with industry standards.

What qualifications are needed for this role?

Candidates should be a Health Professional or allied health practitioner with extensive experience in Clinical Governance, Quality and Risk Management. Post Graduate qualifications in relevant fields are highly desirable.

Is prior experience in quality improvement initiatives required?

Yes, applicants should have experience implementing organization-wide quality improvement initiatives and a proven ability to build a high-quality improvement culture.

What is the work arrangement for this position?

This position offers a hybrid work arrangement, allowing employees to work both from home and from one of the Melbourne, Sydney, or Brisbane office locations.

Is this position security cleared?

Yes, this is a Security Cleared Position, and the occupant must be an Australian Citizen eligible to obtain and uphold a Baseline Security Clearance.

What perks and benefits does Bupa offer?

Bupa offers a competitive salary, discounts on health and insurance products, a dedicated wellbeing team, and flexible working arrangements.

What is the role of the Credentialing SME in the Compliance Response Team?

The Credentialing SME plays an integral role in supporting the Compliance Incident Notification process for any clinical requirements within the Compliance Response Team.

What qualities are ideal candidates expected to possess?

Ideal candidates should have strong conceptual, analytical, problem-solving, and strategic planning abilities, excellent communication skills, and a passion for innovative thinking.

How does Bupa support professional development?

Bupa encourages employees by providing regular training opportunities on a range of wellbeing topics and supporting work-related learning and development initiatives.

What kind of work culture can I expect at Bupa?

Bupa values diversity and respects individual wellbeing, identity, and personal stories, promoting an inclusive environment where differences are recognized as strengths.

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Bupa

Our purpose is helping people live longer, healthier, happier lives and making a better world.

Science & Healthcare
Industry
10,001+
Employees
1947
Founded Year

Mission & Purpose

upa's purpose is helping people live longer, healthier, happier lives and making a better world. We are an international healthcare company serving over 38 million customers worldwide. With no shareholders, we reinvest profits into providing more and better healthcare for the benefit of current and future customers. We directly employ around 85,000 people, principally in the UK, Australia, Spain, Chile, Poland, New Zealand, Hong Kong SAR, Türkiye, Brazil, Mexico, the US, Middle East and Ireland. We also have associate businesses in Saudi Arabia and India.