UCSF Office of Medical Affairs and Governance

Our office provides credentialing services for the UCSF Health System, primarily comprising of UCSF faculty from the School of Medicine and the School of Dentistry and affiliated community partner groups in the clinically integrated physician network. We also enroll providers with our contracted health plans and are instrumental in the health system’s billing and revenue operations. Our office also provides expert guidance and consultation to UCSF leadership on medical staff governance and physician peer review.

Responsible for nearly 4000 providers who are members of or practice at UCSF Medical Center at Parnassus Heights, UCSF Benioff Children’s Hospital at Mission Bay, UCSF Bakar Cancer Hospital, UCSF Moore Women’s Hospital, UCSF Langley Porter Hospital and Clinics, UCSF Faculty Practice, UCSF Clinically-Integrated Network, and UCSF Benioff Children’s Physician Foundation. 

Our integrated operations, Payer Enrollment Affairs (health plan enrollment, revalidations, denial work queue management), are embedded with credentialing, privileging, and medical staff regulatory governance.

In coordination with the UCSF Office of Legal Affairs, the Office of Medical Affairs and Governance is responsible for all medical staff peer review investigations.

We are instrumental in the development of the UCSF clinically-integrated physician network and continued partnership with UCSF’s Business Strategy, Affiliation Integration, and Population Health and Accountable Care.

The Office of Medical Affairs and Governance reports to the UCSF Health System’s Executive Vice President of Physician Services and the elected UCSF Medical Staff president.  Its responsibilities and functions report monthly to the UCSF governing body chaired by the Chancellor.