Director, Medical Staff Services/Credentialing

Job Description Summary

We are seeking a strategic, CPMSM - certified leader to oversee Medical Staff Services within South Shore Health. This is not a transactional credentialing role - it is a high-impact leadership position partnering directly with the CMO to ensure regulatory integrity. The Director serves as a subject matter expert in medical staff affairs, while leading a high-performing Medical Staff Office team. Mainly onsite, hybrid option. The Director, Medical Staff Affairs, provides direction and oversight of the Medical Staff and Allied Health Staff of the organization. Areas of responsibility are under strict regulatory guidelines and requirements which require consistent monitoring for compliance and minimization of risk. Requires coordination of activities with other departments throughout the organization. Routinely interfaces with Medical Staff leadership, physicians, legal counsel, organization and hospital administration, hospital IS, regulatory agencies and internal and external healthcare entities. High degree of personal interaction with customers. Ensures continued growth and development. Establish timelines for each process working with internal staff. Monitors progress, communicates changes, and ensures timeliness and adherence to budget guidelines. Manages project team activities. Responsible for continuous and ongoing research to maintain current and or develop innovative processes through software and internet tools to assure continuous growth of the department. Provides oversite for the credentials operations consisting of the approval of over 1400 medical staff members in compliance with state, federal, Joint Commission and Organizational requirements, adhering to the organization's policies and applicable laws. Develops Medical Staff Policies working with Medical and Administrative Leadership. Develops, coordinates and carries out the orientation for approximately 200 physicians and APCs per year in compliance with organizational and Joint Commission requirements. Interview, hires, and trains employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Work closely with Medical Staff leadership in establishing processes; managing Medical Staff Issues in collaboration with both MS and administrative leadership, and legal counsel to determine best practice and guide the medical staff through the appropriate bylaws process for both clinical and behavioral issues of the medical staff. Participate in Bylaws committee, Credentials Committee and Medical Executive Committee. Responsible for maintaining compliance of all processes related to the credentialing and education of the system’s practitioners in the processes named above.

Job Description

Job Responsibilities:

• Provide strategic leadership to Medical Staff Services, Provider Onboarding, CME, Medical Library, GME

• Oversees departmental operations for Medical Staff Services Malpractice, HR Recruitment, Provider Onboarding, CME, Medical Library, GME

• Provides oversight and direct/indirect supervision of personnel for Medical Staff Services, Provider Onboarding, CME, Medical Library, GME and other medical staff functions for employed & contingent workers.

• In collaboration with Medical Staff Services, Provider Enrollment, Malpractice, HR Recruitment, Provider Onboarding, CME, Medical Library, GME identifies, represents, and seeks solutions to the positions and concerns of the Medical Staff; facilitates processes that promote the physician's medical processes and hospital administration through problem identification and resolution.

• Partners with other SSH departments to ensure principles of process improvement are utilized within the Medical Staff organization.

• Works collaboratively with other SSH departments related to design & implementation of software and various integration projects

• Coaches & Mentors staff

• Identifies roles and responsibilities within Medical Staff Services, Provider Onboarding, CME, Medical Library, GME, document job descriptions in collaboration with HR

• Directs personnel actions including recruiting, new hire actions, interviewing and selection of new staff, salary determinations, training, and personnel evaluations.

• Develops work goals and objectives for the department in accordance and alignment with company goals; provides leadership, measures, feedback, and motivation for staff achievement of departmental goals.

• Directs teams to ensure seamless transfers/hand-offs between the Medical Staff Affairs departments for delivery of services to all providers.

• Provides feedback to Executive Staff as it relates to observed issues with staff, customer concerns, volume of work.

• Oversees the data integrity, workflows, reports and functionality of credentialing and provider enrollment software applications

• Establishes standards for turnaround time and monitors performance relative to those standards

• Works with MSSD to ensure credentialing and provider enrollment database are accurate and available for other systems to utilize as their source of truth

• Collaborate with site operations to ensure effective onboarding of new providers with goal of creating best-in-market retention rates after successful hires

• Develops and ensures metrics, goals, and projects are documented, executed, tracked and accomplished

• Works with all departments facilitating standardization of SSH processes related to provider onboarding; performance improvement/workflow efficiencies

• Establishes standards for turnaround time and monitors performance relative to those standards

• Develops/oversees the department budgets in conjunction with organization goals and objectives for SSH Medical Staff Services, Library, CME, as well as oversite of the Medical Staff Fund and its uses.

• Serves on System Committees as requested/needed

Job Requirements:

Minimum Education - Preferred
Minimum Bachelor’s Degree or equivalent work experience

Minimum Work Experience
Healthcare Operations experience and work with providers on all levels

Leadership and organizational management

Required Certifications:

Certified by the National Association of Medical Staff Services as CPSMSM or CPCS working toward CPMSM

Required additional Knowledge and Abilities:

• Leader in re-engineering complex health care workflow and systems

• Operational project ownership

• Leadership, team building, strong interpersonal skills, team oriented, cross-functional team expertise

• IS/Analytical skills

• Public & community relations