Director Credentialing
About The Position
How you move is why we’re here. ® Now more than ever. Get back to what you need and love to do. The possibilities are endless... Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize the abundant opportunities for growth and success. If this describes you then let’s talk! HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report. As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment. Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise.
Requirements
- 5-7 YEARS OF EXPERIENCE REQUIRED Healthcare/Medical - Healthcare Administration
- EDUCATION REQUIRED A Bachelor's degree (e. g., BA, BS, BSN, BSW). or 5-7 years experience in lieu of degree
- Proven supervisory ability
- Knowledge of healthcare
- Good oral and written communication skills
- Strong problem solving skills
- Excellent organizational skills
Nice To Haves
- EDUCATION PREFERRED Masters.
- CERTIFICATIONS/LICENSURE PREFERRED CPCS Certification (preferred).
Responsibilities
- Oversees others. Supervises Coordinators
- Manages credentialing processes at main campus and regional sites.
- Oversees all aspects of credentialing of HSS Medical Staff, Allied Health Professional Staff and Graduate Medical Education Staff, for initial and reappointments, as required by TJC, NYS DOH, NCQA, ACGME and HSS Medical Board as applicable.
- Manages operations. Oversees operations of the credentialing office and assumes departmental leadership, as needed.
- Meets with Faculty to review new Program requests and Delineation of Privileges.
- Helps staff grow in areas such as primary-source verification, payer enrollment, or data integrity.
- Sets measurable KPIs for turnaround times, accuracy, productivity, and compliance
- Manages capacity during peak volumes, reappointments, and onboarding cycles.
- Acts as liaison between graduate medical trainees, external GME Offices and Departmental offices, and HSS Medical Staff Office, Legal Affairs Department and OHS to assure completed applications.
- Ensures that the Department maintains a database on credentialing information along with a hard copy of each trainee file.
- Generates relevant database reports, including but not limited to; monthly report of appointments for the Credential Committee, Medical Board and Board of Trustees.
- Maintains accurate and timely malpractice histories by coordinating information obtained from physicians, NPDB, malpractice insurance carriers and affiliated healthcare facilities, within the guidelines of NYS law 2805K.
- Guides staff through internal/external audits and provides coaching based on findings.
- Participates in Education Institute projects and activities.
- Communicates in an organized, illustrative and courteous manner, both verbally and in writing, with physicians and coworkers.
- Perform other duties and special projects as assigned
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What This Job Offers
Job Type
Full-time
Career Level
Director
