Market Director Medical Staff Services

Saint Joseph Hospital - Lexington•Lexington, KY

6d•$48 - $72

About The Position

The Market Director, Medical Staff Services oversees and coordinates Medical Staff Services for various entities, ensuring qualified and experienced medical staff are appointed with defined clinical responsibilities and privileges in accordance with professional standards and regulatory requirements. The director streamlines operations, improves workflows, supports organizational objectives, and serves on medical staff committees at local, divisional, and national levels. The role oversees provider information systems, provider enrollment, credentialing database administration, and regional regulatory compliance. It works closely with senior leadership, providers, committees, and cross-functional teams to maintain current policies and procedures, facilitate standardization and integration, and support system-wide initiatives and strategic objectives. The position also assesses departmental needs and performance, develops and directs improvement plans and projects, and coordinates cost-effective sharing of resources among Medical Staff Offices across CHI Saint Joseph Health locations.

Requirements

Bachelor's degree in a discipline related to the duties of the position.
At least six years of related work experience demonstrating the required knowledge and skills.
At least three years of Manager/Director experience.
Certified Provider Credentialing Specialist certification, upon hire.
Professional Medical Services Manager credential, upon hire.
Significant knowledge of Medical Staff Office operations, including credentialing, privileging, ongoing evaluations, peer review, contract management, provider systems access, medical staff policies and procedures, team building, and HR-related functions.
Knowledge of procedures and systems for maintaining compliance with regulatory standards and conditions of participation.
Leadership, workflow improvement, regulatory compliance, and collaboration skills.

Nice To Haves

Master's degree in a discipline related to the duties of the position, upon hire.

Responsibilities

Identify opportunities to streamline operations and implement workflows, processes, and procedural changes to improve efficiency, eliminate duplicated work, and meet operational and fiscal objectives.
Serve on local, divisional, and national Medical Staff Committees and Councils as needed, supporting new systems and initiatives and integration efforts.
Oversee maintenance of physician information systems, including education, training, experience, licensure, and related reporting.
Collaborate with senior executive leadership, hospital and medical staff committees, providers, provider groups, and cross-functional teams to build support for initiatives and changes.
Ensure department policies and procedures remain accurate and current in accordance with evidence-based practices, regulatory standards, and conditions of participation.
Facilitate standardization, integration, and operational continuity in collaboration with CHI Saint Joseph Health leadership.
Manage timely and accurate provider systems enrollment for employed and contracted practitioners, including initial enrollment, re-enrollment, revalidation, termination, and record changes or updates.
Ensure regional compliance with internal and external legal and regulatory requirements and maintain effective controls to prevent improprieties.
Monitor changing regulatory requirements, professional standards, industry practices, and organizational initiatives; assess their impact and determine appropriate responses.
Participate in developing and executing system-wide medical staff initiatives and programs, assessing regional practices, and resolving issues affecting strategic objectives.
Anticipate future needs and develop or direct plans and programs supporting business objectives; optimize information technology, recommend business plans, gain support for recommendations, and direct project management efforts.
Assess departmental strengths, weaknesses, systems, programs, and priorities; recommend and direct performance and process improvement initiatives and evaluate project viability.
Administer credentialing database software, maintain data integrity, manage system tables and access permissions, reconcile credentialing and enrollment data with other systems, troubleshoot errors, and facilitate resolution and training.
Organize resource sharing among Medical Staff Offices at CHI Saint Joseph Health locations to support cost-effective operations.