Director Medical Staff Services

UAB St. Vincent's•Birmingham, AL

23d•Onsite

About The Position

UAB St. Vincent’s, a proud part of UAB Medicine, is a trusted provider of health care, serving Alabama for more than 125 years. With five hospitals and numerous clinics, we're a health care community deeply rooted in compassion, service, and respect for all, guided by the rich legacy of the St. Vincent’s name. We're committed to extending kindness and personalized care to patients, their families, and each other. We address the physical, psychological, social, and spiritual needs of our patients. We believe in the power of teamwork and unity, and foster a collaborative spirit among our more than 4,800 employees. As one of Alabama’s best hospitals as recognized by U.S. News & World Report, improving the health and lives of those we serve is at the heart of our mission. Join us in continuing our legacy of service and healing in central Alabama, where we can make a lasting impact together.

Requirements

Bachelor’s degree in Business, Healthcare or related field required
Minimum of 5 years in Payer Enrollment/Credentialing, Quality Improvement, Healthcare upper Management or Medical Staff Affairs required.
Will consider equivalent years of experience in lieu of education.

Nice To Haves

Certified Professional Medical Services Management (CPMSM) by the National Association Medical Staff Services (NAMSS) preferred.
Master’s degree preferred.
Certified Professional Medical Services Management (CPMSM) by the National Association Medical Staff Services (NAMSS) preferred.

Responsibilities

Plans, formulates and executes system-level medical staff service strategic plans, policies and procedures to the Medical Executive Committees (MEC) for approval. Ensures that all recommendations align with UAB St. Vincent’s strategic objectives.
Directs and supports selection of expert staff in assigned areas; conducts ongoing assessments and assumes responsibility for professional growth and development of staff to include workforce planning for areas of responsibilities.
Assumes compliance with regulatory requirements, payer credentialing standards and quality management, including supervision of continuous quality improvement efforts related to medical staff and credentials verification office operations. Works closely with Physician Leadership and Administration to ensure Medical Staff follows all Medical Staff Bylaws; ensures bylaws and associated policies comply with The Joint Commission, CMS, payer credentialing standards and other regulatory requirements.
Plans, develops, implements and evaluates all approved programs, projects and major initiatives: staff credentialing/recredentialing and appointment/reappointment process.
Works with the Chief Medical Officer (CMO) to provide assistance in the continuous optimization and management of the ongoing professional practice evaluation (OPPE)/focused professional practice evaluation (FPPE) process as defined by the CMO and Governing Body.
Serves as an expert resource to UAB St. Vincent’s medical staff leaders: assists as needed to expedite problem identification/resolution, provision of project specific updates, other assistance as requested by the MECs, Credentials Committees, Chief Medical Officer.
Ensures active communication with all external and internal stakeholders to establish strong, collaborative relationships that are consistent with organizational goals and strategic needs.
Directs the fiscal planning, budget, and audits, and employee management. Prepares and monitors monthly and annual budget to ensure appropriate performance against objectives; anticipates and plans for opportunities for new services and programs and reduction of expenses in department. Establishes and measures organizational performance against goals and objectives. Ensures results are defined and measurable as well as focused on growth and improving outcomes.
Provides oversight of the credentialing database.
Performs other duties as assigned.