Manager of Credentialing - Medical Staff Services - Full Time

Orlando Health • Sebastian, 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 position manages team functions and accountability and implements administrative and operational activities for the Medical Staff and its leadership, including operationalizing the results of Medical Executive Committee and Credentials Committee discussions, recommendations, and actions.

The manager implements credentialing and privileging processes for physicians and allied health practitioners; supports medical staff governance and investigations; and ensures that credentialing systems and workflows are used effectively. The role also leads the credentialing team, manages personnel and budget-related functions, and works with organizational departments and medical staff leaders to support compliant, effective Medical Staff Services operations.

Requirements

• Bachelor's degree in Healthcare Administration and Management or a related field, or eight years of Medical Staff Services credentialing and operations experience in lieu of the 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, including operationalizing Medical Executive Committee and Credentials Committee discussions, recommendations, and actions.
• Promote attention to detail and excellent customer service across the Medical Staff Services team.
• 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 Medical Staff governance documents to support compliance with applicable regulatory, statutory, legal, and accreditation requirements and organizational governance documents.
• Assist with physician behavioral and clinical competency investigations, notify practitioners of adverse action, 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 goals and objectives for departmental human-resource development.
• 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 their role in achieving them.
• Manage personnel functions, including hiring, work assignments, coaching plans, and disciplinary actions for Medical Staff Office personnel.
• Maintain regular and punctual attendance consistent with applicable policies and laws, 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 with Health Information Management, Regulatory, Infection Control, Quality Teams, and other departments that affect 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; conduct literature reviews and research on changes in medical staff privileging and propose improvements to credentialing and privileging activities.
• Actively participate in professional organizations, including FAMSS, for networking purposes.

Benefits

• Competitive pay.
• Qualifying positions may receive evening, night, and weekend shift differentials.
• Benefits available starting 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