Director Medical Staff Administration

OhioHealth•Atlanta, GA

About The Position

The Director of Medical Staff Operations reports to the Vice President of Medical Staff Operations and works through highly matrixed relationships across the enterprise and care sites, including VPCAs. The role oversees and improves medical staff services and physician contracting across multiple regional entities, supporting credentialing, privileging, and related activities in compliance with regulatory standards and with a focus on continuous improvement. The Director provides leadership and strategic direction to align teams, optimize shared priorities, reduce duplicated resources, and support effective communication and informed decision-making in accordance with organizational strategy. The position serves as a key liaison between hospital and medical staff leadership and supports provider engagement, quality, and operational excellence for Medical Staff and Allied Health Professionals (AHP). Travel to regional facilities is required as indicated. The Director leads regional strategies to standardize and optimize medical staff/AHP services; provides guidance to medical staff leaders and credentialing and contracting professionals; and oversees operational, financial, governance, compliance, team-development, physician-relations, and process-improvement activities. The role directs credentialing and privileging oversight, supports medical staff committees and governance documents, maintains accreditation and licensing survey readiness, and partners with legal and compliance teams on risk mitigation. It also supervises personnel, supports physician leadership contracting and job-description creation, oversees orientation and onboarding for medical staff members and leaders, and leads efforts to improve workflows, data management, reporting, and technology integration. The work environment is usually quiet. The role is classified as OSHA Blood Borne Pathogen Exposure Category II: no routine exposure to blood, body fluids, or tissues, though employment may require unplanned Category I tasks. The position is scheduled for 40 hours per week on the day shift.

Requirements

Bachelor's degree (required).
CPCS – Certified Provider Credentialing Specialist, National Association of Medical Staff Services.
Knowledge of healthcare administration and operations, including workflows in acute care, ambulatory care, and other clinical settings.
Familiarity with medical staff structures and the roles, responsibilities, and organization of medical staff and AHP organizations.
Knowledge of integrated healthcare systems and multi-site coordination.
Deep knowledge of credentialing and privileging, including verification of physician/AHP qualifications, reappointment, and scope of practice.
Knowledge of medical staff office software systems.
Ability to interpret and help revise medical staff bylaws, rules, and regulations.
Knowledge of accreditation standards, including TJC, ODH, and CMS, and of federal and state regulations.
Understanding of risk management and how credentialing and documentation affect legal exposure.
Regional coordination experience managing operations across multiple sites and ensuring consistent processes and standards.
Project management skills for system-wide initiatives, audits, or transitions to new credentialing systems.
Ability to engage and support medical staff leaders and address concerns diplomatically.
Knowledge and application of growth and development principles.
Effective communication, collaboration, and coordination strategies.
Ability to travel to regional facilities as indicated.
Ability to use hands to finger, handle, or feel and to talk or hear regularly; sit frequently; and occasionally stand, walk, reach, and lift or move up to 25 pounds.
Vision abilities including close vision, distance vision, color vision, depth perception, and ability to adjust focus.

Responsibilities

Develop and execute regional strategies to standardize and optimize medical staff and AHP services across facilities.
Provide leadership and guidance to medical staff leaders and credentialing and contracting professionals at each facility.
Liaise between hospital administration and medical staff/AHP to support alignment with organizational goals.
Lead initiatives to optimize operations, increase customer satisfaction, and foster regional collaboration.
Serve as a regional contact for complex credentialing, privileging, regulatory, and medical staff operations issues.
Oversee financial management activities and management of resources to achieve business growth and strategic goals.
Ensure credentialing, recredentialing, and privileging processes comply with regulatory standards.
Monitor performance metrics for the quality and efficiency of credentialing across entities.
Support medical staff governance, including coordination of Credential Committees, Medical Executive Committees, and medical staff meetings.
Ensure compliance with medical staff bylaws, rules, and regulations, and facilitate updates to governance documents.
Maintain readiness for accreditation and licensing surveys related to medical staff functions.
Lead regional audits and assessments of regulatory and accreditation compliance; partner with legal and compliance departments on risk mitigation.
Direct, coach, and evaluate medical staff services and contracting personnel.
Collaborate across departments to improve data management, workflows, and reporting, while maintaining relationships with medical staff leadership, department leaders, and external partners.
Promote professional development, cross-training, and succession planning; implement standard operating procedures and best practices.
Promote an environment of diversity and inclusion.
Work with the Vice President of Medical Clinical Affairs, hospital administration, and the Office of General Counsel on medical staff leadership contracts, and participate in physician job-description creation.
Oversee orientation and onboarding for new medical staff members and new medical staff officers, committee members, department chairs, section chairs, and/or division chiefs.
Foster productive relationships between hospital leadership and medical staff; address concerns and conflicts and support physician/AHP engagement.
Promote transparency and open communication across physician/AHP leadership.
Lead or support efficiency projects, including implementation of credentialing software or digital tools.
Analyze workflows and data to identify opportunities to improve service delivery, and stay current on industry trends and innovations in medical staff operations.