Manager, Medical Staff Services

Beth Israel Lahey Health•Cambridge, MA

8d•$85,000 - $130,000

About The Position

The Medical Staff Services Manager provides leadership and oversight of hospital-based Medical Staff Services, including credentialing and privileging, Medical Staff governance, regulatory readiness, professional practice evaluation, personnel management, and operational performance. The role partners with the BILH Credentials Verification Office (CVO), hospital and physician leadership, and other stakeholders to support consistent, compliant, and efficient provider credentialing and Medical Staff operations across BILH. The manager leads the Medical Staff Services Department team and oversees provider credentialing, recredentialing, privileging, provider records and data, committee operations, FPPE and OPPE processes, policies and procedures, and regulatory compliance. The role also supports departmental budgeting, productivity, staff development, quality improvement, and customer service. The manager reports to and collaborates closely with the Executive Director of System Provider Credentialing and Medical Staff Services, and maintains a dotted-line reporting relationship to the hospital Chief Medical Officer and Chief Executive Officer.

Requirements

Associate degree required.
3–5 years of related work experience required.
1–3 years of supervisory or management experience required.
Advanced skills with Microsoft applications, which may include Outlook, Word, Excel, PowerPoint, or Access, and other web-based applications.
Ability to produce complex documents, perform analysis, and maintain databases.

Nice To Haves

Bachelor's degree preferred.
Experience in a health care setting.

Responsibilities

Lead and oversee the Medical Staff Services Department team, daily operations, policy application, staff development, and performance monitoring.
Collaborate with the system CVO, hospital leadership, and Legal Counsel to support provider applications and timely appointment, reappointment, privileging, and management of credentialing expirables in compliance with applicable standards and policies.
Oversee timely and accurate credentialing, recredentialing, and privileging of providers affiliated with the hospital.
Coordinate timely submission of data and documentation for insurance-plan delegation audits, as applicable.
Ensure the accuracy, completeness, and integrity of provider data entered into the credentialing database.
Oversee maintenance and organization of electronic provider records in accordance with regulatory and organizational standards.
Partner with system and physician leadership to develop or revise clinical privilege forms.
Conduct team and staff meetings to communicate updates, address concerns, and support cohesion and performance.
Recruit, train, mentor, and evaluate staff and foster ongoing professional development.
Participate in departmental budget development and monitoring, including variance reporting and resource planning.
Monitor departmental productivity and develop strategies to improve operational effectiveness and efficiency.
Develop policies and procedures and oversee review, revision, and enforcement of existing policies.
Coordinate assigned Medical Staff committee meetings, including the Credentials Committee, Medical Executive Committee, and Medical Staff Appointment Committee of the Board; prepare agendas, minutes, and reports and follow up on actions.
Oversee implementation, coordination, and management of FPPE and OPPE processes.
Maintain current knowledge of and ensure compliance with regulatory and accreditation standards, laws, Medical Staff Bylaws, and hospital policies.
Promote excellence, professionalism, and customer service, and represent the organization positively in external engagements.
Maintain adherence to BILH confidentiality, behavioral, departmental, and customer service requirements.
Participate in departmental or interdepartmental quality improvement activities and complete mandatory education.
Perform other duties as assigned or needed to support departmental and organizational goals.