Medical Staff Services Market Director

HCA Healthcare•Brentwood, TN

About The Position

The Market Director of Medical Staff Services is responsible for implementing credentialing initiatives and processes and ensuring compliance at assigned facilities. The role requires working knowledge of applicable HCA Healthcare and Parallon Credentialing Processing Center policies, accreditation standards, and regulations associated with medical staff services. The director also supports the integration of HCA Clinical Strategies and HCA systems. The position oversees facility Medical Staff Services operations and serves as a subject matter expert and primary point of contact for medical staff matters. It provides management, support, and guidance to facility and medical staff leadership; builds collaborative relationships; and coordinates governance, meetings, communications, onboarding, education, and compliance activities. The director partners with the CPC, division credentialing team, facility leaders, and other stakeholders to coordinate credentialing and privileging processes, including application review, reappointments, changes in status, committee and board approvals, expiring credentials, and post-approval processes. The role also coordinates accreditation and regulatory surveys, corrective action plans, professional practice evaluations, peer reviews, and required reporting. It manages the facility's National Practitioner Data Bank account and related reports and responses.

Requirements

Bachelor's degree in healthcare management, business, or a related field, or a combination of 10 years of experience and certification.
Certified Professional Medical Services Management (CPMSM) and/or Certified Provider Credentialing Specialist (CPCS), required within two years of hire.
Five years of credentialing experience in an acute care hospital or CVO setting.
Two years of supervisory or management experience.

Responsibilities

Provide management, support, and guidance to facility and medical staff leadership, and foster open communication and collaboration.
Oversee facility Medical Staff Services operations and serve as the facility subject matter expert on medical staff services.
Attend medical staff and facility meetings, respond to provider questions, and maintain regular interaction with medical staff.
Manage correspondence between the facility and medical staff members that is unrelated to credentialing.
Back up the executive assistant for the official emergency call schedule and records for call compensation payments.
Support collection and handling of medical staff dues and fees in accordance with Ethics & Compliance Policy.
Develop, maintain, and distribute medical staff governance documents, including bylaws, rules and regulations, and policies; manage their annual review and ensure current documents are posted on facility websites.
Disseminate facility, division, and corporate policies to medical staff leadership for review and approval.
Manage requests for medical staff observers and APP students in accordance with policy.
Facilitate Medical Staff department and other meetings by developing agendas, maintaining minutes, and coordinating follow-up.
Participate in facility FECC meetings quarterly, Professional Practice Evaluation Committee meetings as needed, and monthly referral panel meetings.
Support the division centralized credentialing model and serve as liaison between facility administration and the division credentialing team.
Partner with the CPC and division credentialing team to obtain missing or incomplete information from providers and delegates.
Analyze available internal data and information on qualifications and competencies for reappointment applications, and use paper-lite procedures to prepare applications for facility review.
Monitor provider status-change requests and route them to the appropriate credentialing reports, committees, and Board of Trustees.
Facilitate review, assessment, and documentation of applications and clinical privilege requests by department or section chairs, the Credentials Committee, and the Medical Executive Committee; forward recommendations to the Board of Trustees and approvals to the division credentialing team.
Verify applicant identity in accordance with policy and manage expiring provider credentials in partnership with the CPC and division credentialing team.
Monitor iResponse records in accordance with the HCA Information Sharing Policy.
Facilitate development and periodic review of eligibility criteria and clinical privileges by specialty.
Facilitate required regulatory reporting of adverse actions against a practitioner's medical staff membership or clinical privileges, as directed by leadership.
Participate in new-provider onboarding and facilitate annual orientation for new medical staff leaders, committee members, and governing body members.
Provide annual education to administrators and department directors on credentialing center operations, Medical Staff Services Department operations, and privileging, including temporary and disaster privileging.
Manage and monitor providers' annual credentialing and privileging education requirements.
Notify CPC, division, and corporate teams of credentialing, privileging, and peer-review surveys; coordinate surveys and respond to citations or deficiencies with corrective action plans.
Partner with facility stakeholders to audit processes and databases and ensure providers are appropriately privileged for services they provide.
Coordinate focused and ongoing professional practice evaluations with the facility quality department, including evaluations at the conclusion of FPPE or provisional status.
Coordinate internal and external peer reviews with facility leadership and summarize FPPE, OPPE, and peer-review results for medical staff leaders as part of reappointment and as otherwise required.
Monitor and process concerns related to medical staff professional conduct and practitioner health in accordance with applicable policies.
Partner with the Ethics & Compliance Officer to ensure medical staff gifts and tokens of appreciation are logged as required.
Submit Reportable Issue reports in coordination with the facility Ethics & Compliance Officer when practitioners provide care without required credentials, while under federal or state sanction, or without current approved clinical privileges.
Routinely monitor applicable Ethics & Compliance policies and procedures.
Manage and maintain the facility's NPDB account as Data Bank Administrator; coordinate required reports, respond to information requests resulting from reports, and coordinate the facility's NPDB attestation at registration renewal.

Benefits

Medical coverage, including prescription drug and behavioral health coverage, telemedicine, and medical transportation.
Dental and vision benefits.
Life and disability coverage.
Flexible spending accounts and supplemental health protection plans.
Auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, and pet insurance.
Counseling services and resources for emotional, physical, and financial wellbeing.
401(k) plan with a 100% match on 3% to 9% of pay, based on years of service.
Employee Stock Purchase Plan with a 10% discount on HCA Healthcare stock.
Fertility and family-building benefits and adoption assistance.
Referral services for child, elder, and pet care, home and auto repair, and event planning.
Consumer discounts.
Retirement readiness, rollover assistance, and preferred banking partnerships.
Education assistance, including tuition, student loan, certification support, and dependent scholarships.
Colleague recognition program.
Time Away From Work Program, including paid time off, paid family leave, disability coverage, and leaves of absence.
Employee Health Assistance Fund offering free employee-only coverage to eligible full-time and part-time colleagues based on income.