Manager of Credentialing - Medical Staff Services - Full Time

Orlando Health • Melbourne, FL

4d

About The Position

The Medical Staff Services Credentialing Manager oversees the development, implementation, and integrity of initial credentialing and reappointment activities in accordance with regulatory and accreditation standards, Orlando Health bylaws, policies and procedures, and rules and regulations. The role manages team-member functions and accountability and effectively implements administrative and operational activities for the Medical Staff and its leadership.

The manager implements credentialing and privileging processes for physicians and allied health practitioners, supports Medical Staff governance and committee activities, and ensures the credentialing database workflow system is used effectively. The role also leads the Medical Staff Services credentialing team, addresses staffing and development needs, and supports budgeting. The position collaborates with organizational departments, Medical Staff leadership, and legal counsel, and represents Orlando Health in relevant professional and community organizations.

Requirements

• Bachelor's degree in Healthcare Administration and Management or a related field, or eight years of experience in Medical Staff Services credentialing and operations in lieu of a bachelor's degree.
• Five years of experience interacting with hospital administration, Medical Staff leadership, Medical Staff physicians, and credentialing activities, and/or two years of directly related medical staff support experience.
• Significant experience using workflow systems and developing reports.
• Experience with change management and streamlining workflow processes.
• CPCS or CPMSM certification required within two years of hire.

Responsibilities

• Implement administrative and operational activities of the Medical Staff and its leadership, and operationalize discussions, recommendations, and actions of the Medical Executive Committee and Credentials Committee.
• Promote attention to detail and excellent customer service among the Medical Staff Services team when working with Medical Staff leaders and members, applicants, hospital administration, and internal and external customers.
• Implement credentialing and privileging processes and procedures for physicians and allied health practitioners, including establishing qualifying criteria for initial appointment.
• Formulate and revise application materials and conduct professional profiling for reappointment.
• Assist the direct leader, legal counsel, and Medical Staff leadership with amendments to governance documents to ensure compliance with applicable regulatory, statutory, legal, accreditation, and organizational requirements.
• Assist with physician investigations involving behavioral matters or clinical competency; notify practitioners of adverse actions and administer Fair Hearing and Appeal processes as required.
• Lead orientation and training, system upgrades and updates, and reporting to downstream systems from the credentialing database workflow system.
• Create, implement, and reconcile clinical privileges with internal clinical service areas.
• Plan, organize, lead, and direct credentialing team activities; address staffing needs; hire, train, evaluate, coach, and manage team members; and establish development goals and objectives.
• Assist the direct leader with preparing, tracking, and managing the fiscal budget and restricted account.
• Ensure effective use of the credentialing database workflow system.
• Educate team members on organizational objectives and how the team contributes to them.
• Manage personnel functions, including hiring, work assignments, coaching plans, and disciplinary actions.
• Maintain regular and punctual attendance and comply with Orlando Health policies and procedures.
• Exercise independent judgment on behalf of the Chief of Staff and Credentials Committee Chairman.
• Coordinate and work effectively with Health Information Management, Regulatory, Infection Control, Quality Teams, and other departments affecting the Medical Staff.
• Participate in regional and national associations related to medical staff organization, credentialing, privileging, and medical staff services; represent Orlando Health through community interaction and related organizations.
• Keep skills, knowledge, and certification current; research changes in medical staff privileging and propose improvements to credentialing and privileging activities.
• Participate in professional organizations, including FAMSS, for networking purposes.

Benefits

• Competitive pay.
• Shift differentials for qualifying positions working evenings, nights, or weekends.
• Benefits beginning on day one, including student loan repayment, tuition reimbursement, free college education programs, retirement savings, paid paternity leave, fertility benefits, backup elder and childcare, pet insurance, PTO, and holidays.

What This Job Offers

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