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Leads, plans, organizes and is responsible for the day to day operations of the Medical Staff Services Department so that all aspects of the Organized Medical Staff are supported, including credentialing activities, professional relations, meeting management, and peer review activities. Additionally, compliance is maintained, with accrediting and regulatory agencies as related to the Medical Staff, including (but not limited to) Joint Commission, DNV, HFAP, CMS, OSHA, and State and Federal Law and other standards and regulations.
Job Responsibility:
Implements, coordinates, monitors, and maintains effective credentialing processes for the process of appointment, reappointment and credentialing for the designated medical staff organizations
Serves as resource person on credentialing/privileging, bylaws, policies governing medical practice, and other related matters to the medical staff
Assists in the development and implementation of medical staff policies and procedures as needed and updates as appropriate relating to credentialing
Provides support regarding issues involving Medical Staff Professionalism including wellness, corrective action and fair hearing processes
Provides accurate and timely reports to the medical staff, governing council and system governing board regarding all aspects of the credentialing and privileging process including any related reports
Develops and implements departmental workflows, policies and procedures, standards of practice, manuals, forms, etc., as needed and updates as appropriate
Manages operations of the Medical Staff Services Department and provides oversight and direction to staff
Performs human resources responsibilities for staff which includes coaching on performance, completes performance reviews and overall staff morale
Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization's business
Requirements:
Credentialing Specialist, Certified Provider (CPCS) issued by the National Association Medical Staff Services (NAMSS), or Medical Services Management, Certified Professional (CPMSM) issued by the National Association Medical Staff Services (NAMSS)
Bachelor's Degree in Health Care Administration or related field
Typically requires 3 years of experience in medical staff services, credentialing, physician relations, regulatory, with experience as a lead or senior level staff
Excellent interpersonal and communication skills including both verbal and written
Ability to use of variety of software and credentialing database
Demonstrated time management and task delegation skills
Ability to work as a team member in a fast paced environment with multiple tasks requiring completion within short timeframes
Position requires high degree of judgment and ability to think independently
What we offer:
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance