Medical Staff Specialist - Credentialing

Trinity Health • Ann Arbor, MI

4d • Hybrid

About The Position

This position is responsible for ensuring a provider-centric experience for medical staff practitioners applying to and on staff at multiple hospitals across the Trinity Health Michigan region. From onboarding and throughout the practitioner’s lifecycle with THMI, this role is integral to an efficient, coordinated, and consistent experience with medical staff processes to ensure high quality patient care, hospital compliance with regulatory requirements, increased provider satisfaction and engagement, and promote the efficient use of resources in a highly matrixed environment. This role ensures effective Medical Staff programming for practitioners in assigned specialty areas across multiple Trinity Health Michigan hospitals. Programs including onboarding, credentialing, privileging, competency assessment, peer review, ongoing education, and database management/reporting. This position serves as a liaison for administrative leaders, and other organizational and external stakeholders, including recruitment, marketing, and the TH Center for Practitioner Information (CPI), to ensure alignment with target start dates in accordance with regulatory and hospital requirements to meet patient access needs. This role also ensures the integrity of information and downstream data entry touchpoints through audits to ensure the accuracy and completeness of credentialing, privileging and database information relied upon by medical staff leaders, committees, and the governing body in the decision-making process, as well as the accuracy of information informing the patient-facing website.

Requirements

• Associate’s degree in healthcare administration, business administration or similar degree OR equivalent.
• A minimum of two years of healthcare environment or healthcare administrative/office experience and general knowledge of the health care industry including hospital settings and physician practices with a working knowledge of federal, state and TJC accreditation standards and general medical terminology.
• Proficiency with MS Outlook, Word, and Excel.
• Excellent interpersonal, verbal, and written communication skills necessary to facilitate communication, collaboration, and interaction, including the ability to correspond effectively in writing, as well as verbally convey information clearly, and listen actively, with all levels of hospital personnel, medical staff and external agencies and organizations regarding MSS functions.
• Exceptional organizational skills, attention to detail, thoroughness, and critical thinking skills.
• Analytical ability to identify opportunities for improvement and problem resolution within assigned specialty areas.
• Ability to manage changing priorities and work with frequent interruptions, exercise independent thinking and judgment, and to work without direct, day-to-day supervision.
• Strong customer-service ability and desire to provide quality service to others.
• Ability to work autonomously and within a team, and to function in matrixed environment.

Nice To Haves

• Medical staff services, hospital credentialing and privileging, and peer review experience.
• Certified Professional Medical Staff Management (CPMSM) or Certified Professional Credentialing Specialist (CPCS).
• Proficiency with credentialing software.
• In-depth knowledge of regulatory standards, credentialing processes, and healthcare administration.

Responsibilities

• Serves as primary point of contact for assigned specialties to ensure provider and stakeholder satisfaction across multiple hospitals, ensuring consistency and quality in service delivery.
• Ensures coordination and alignment of medical staff services processes and procedures across the region, promoting a cohesive and collaborative environment.
• Assists providers and stakeholders in navigating organizational requirements, addressing concerns, and facilitating effective communication to promptly resolve issues.
• Maintains a customer-focused attitude, good rapport, and cooperative relationships.
• Approaches conflict in a constructive manner.
• Helps to identify problems, offer solutions, and participate in their resolution.
• Develops strong relationships with medical staff and administrators across THMI, understanding needs, preferences, and goals to ensure satisfaction and trust.
• Works closely with department leaders to ensure needs are met and expectations are aligned.
• Interprets and conveys medical staff requirements clearly to internal teams and external stakeholders with updates and information as needed.
• Provides training and support to medical staff and medical staff leaders within assigned specialty areas on credentialing and privileging processes, regulatory requirements, and hospital policies.
• Orients new medical staff leaders to MSS processes and applications.
• Serve as a liaison between medical staff, hospital administration, and external regulatory bodies.
• Manages all elements of assigned medical staff specialty areas, including the onboarding of new applicants to the medical staff, analyzing information to determine eligibility and demonstrated competence, required follow-up to ensure rapid completion of applications to meet target dates for completion while exercising sound discretion and professional judgement in decision making.
• Monitors CPI progress and alignment of medical staff process to ensure timely progress and compliance with target dates of completion.
• Manages the reappointment, request for change and resignation processes.
• Ensures compliance with FPPE requirements and timelines for completion.
• Meets processing time thresholds consistently and with minimal error.
• Ensures compliance with all relevant regulatory and accreditation standards, including Joint Commission, CMS, and state-specific requirements.
• Manages the credentialing and privileging processes for medical staff, ensuring all necessary qualifications and standards for compliance with regulatory, statutory and hospital requirements are met.
• Assists in the direction and maintenance of a comprehensive and specialized credentialing program to assure continued accreditation by The Joint Commission (TJC) and other regulatory organizations, including assistance with accreditation surveys.
• Serves as a resource to interpret, explain, and follow all regulatory guidelines, including medical staff bylaws, rules and regulations and polices.
• Maintains a working knowledge of applicable Federal, State and local laws/regulation, and organizational policies and procedures in order to ensure adherence.
• Monitors delineation of privilege forms to ensure they reflect current standards in training, competency requirements, and standard of care, as well as the identification of necessary changes and opportunities for alignment.
• Assists with the development and maintenance of privilege request forms, policies and procedures.
• Performs ongoing Data Analysis, auditing and maintenance of the Medical Staff database and supporting documentation to ensure data and information integrity to support internal practices and the data integrity of the patient-facing marketing website.
• Participates in quality improvement initiatives and supports the implementation of best practices in Medical Staff Services across the THMI region.
• Assists in Medical Staff Services workflow management, identifying outdated processes and wasted resources, tracks errors and complaints to assist with process improvement activities.

Benefits

• Competitive compensation
• DAILYPAY
• Benefits effective Day One! No waiting periods.
• Full benefits package including Medical, Dental, Vision, PTO, Life Insurance, Short and Long-term Disability
• Retirement savings plan with employer match and contributions
• Opportunity for growth and advancement throughout Trinity Health
• Tuition Reimbursement

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree