Director, Medical Staff

Lifepoint Health • Wilson, NC

6d

About The Position

The Director, Medical Staff oversees medical staff credentialing, privileging, committee governance, and bylaws administration to ensure compliance with healthcare regulations and accreditation standards. The role provides strategic leadership to departmental staff and collaborates with hospital executives and physician leaders to maintain effective medical staff operations, support quality and patient safety, and advance organizational objectives.

The Director leads credentialing and privileging processes for physicians and advanced practice providers; administers medical staff bylaws, rules, regulations, and policies; and coordinates medical staff committee operations. The role oversees practitioner performance evaluation processes, regulatory compliance and accreditation readiness, and the accuracy, security, and confidentiality of medical staff records. It also directs departmental operations, performance improvement, staffing and training, credentialing technology, budgets, and resources, while coordinating with hospital and system stakeholders.

Wilson Medical Center is a 294-bed facility serving Wilson County and surrounding communities. The position is full-time, day shift.

Requirements

• Demonstrated experience in medical staff services, credentialing, privileging, and medical staff administration within a hospital or healthcare system.
• Comprehensive understanding of healthcare regulations, accreditation standards, CMS Conditions of Participation, HIPAA, and medical staff compliance requirements.
• Strong knowledge of medical staff bylaws, rules and regulations, committee structures, appointment processes, and privileging requirements.
• Proven ability to lead, develop, and evaluate staff, manage departmental operations, establish priorities, and drive performance improvement.
• Excellent interpersonal and communication skills, with the ability to collaborate effectively with physicians, medical staff leaders, hospital executives, and cross-functional departments.
• Strong problem-solving, project management, and organizational skills, including the ability to manage complex workflows, maintain accurate documentation, monitor performance metrics, and oversee multiple priorities.
• Bachelor’s degree in a related field preferred; equivalent applicable work experience may be considered in lieu of education.

Nice To Haves

• Bachelor’s degree in a related field.

Responsibilities

• Direct credentialing, appointment, reappointment, recredentialing, and privileging processes for physicians and advanced practice providers, ensuring timely processing, thorough verification, and compliance with established standards.
• Oversee the administration, interpretation, maintenance, and revision of medical staff bylaws, rules and regulations, and related policies in collaboration with medical staff leadership and hospital administration.
• Coordinate and oversee medical staff committee operations, including Medical Executive Committee agendas, meeting documentation, minutes, action tracking, and governance processes.
• Oversee Focused Professional Practice Evaluation (FPPE) and Ongoing Professional Practice Evaluation (OPPE) processes with medical staff leadership to support competency assessment, documentation, and quality of care.
• Ensure compliance with CMS Conditions of Participation, accreditation standards, state and federal regulations, and organizational policies; maintain survey readiness and coordinate audits, corrective actions, and regulatory documentation.
• Ensure the accuracy, integrity, security, and confidentiality of credentialing files, privileging records, committee documentation, peer review materials, and other sensitive information.
• Direct daily departmental operations; establish performance metrics; monitor credentialing turnaround times and quality; lead process improvement; oversee credentialing technology; and manage staffing, training, performance evaluations, and professional development.
• Partner with hospital executives, medical staff leaders, clinical departments, compliance, and legal counsel to standardize processes across facilities, resolve complex issues, manage departmental budgets and resources, and advance organizational objectives.

Benefits

• Multiple levels of medical, dental, and vision coverage for full-time and part-time employees.
• Life, accident, critical illness, and hospital indemnity insurance.
• Short- and long-term disability coverage.
• Paid family leave and paid time off.
• Higher education and certification tuition assistance.
• Loan assistance.
• 401(k) retirement package with company match.
• Wellness programs, including free gym memberships, virtual care appointments, mental health services, and discount programs.
• Ongoing learning and career advancement opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Director