Medical Staff Specialist - Credentialing

Trinity Health•Livonia, MI

1d•Hybrid

About The Position

The Medical Staff Specialist is responsible for providing a provider-centric experience for medical staff practitioners applying to and serving at multiple hospitals across the Trinity Health Michigan region. The role supports practitioners from onboarding throughout their time with the organization, helping ensure efficient, coordinated, and consistent medical staff processes that support high-quality patient care, regulatory compliance, provider satisfaction and engagement, and effective resource use in a highly matrixed environment. The position manages medical staff programming for practitioners in assigned specialty areas, including onboarding, credentialing, privileging, competency assessment, peer review, ongoing education, and database management and reporting. It serves as a liaison to administrative leaders and organizational and external stakeholders to coordinate target start dates with regulatory and hospital requirements and patient access needs. The role also audits credentialing, privileging, database, and related information to ensure accuracy and completeness for medical staff leaders, committees, governing bodies, and patient-facing websites.

Requirements

Associate’s degree in healthcare administration, business administration, or a similar field, or equivalent.
At least two years of experience in a healthcare environment or healthcare administrative/office setting.
General knowledge of the healthcare industry, including hospital settings and physician practices.
Working knowledge of federal and state requirements, The Joint Commission (TJC) accreditation standards, and general medical terminology.
Proficiency with Microsoft Outlook, Word, and Excel.
Excellent interpersonal, verbal, and written communication skills, including the ability to communicate clearly, listen actively, and interact with hospital personnel, medical staff, external agencies, and organizations.
Strong organizational skills, attention to detail, thoroughness, and critical-thinking skills.
Analytical ability to identify opportunities for improvement and resolve problems within assigned specialty areas.
Ability to manage changing priorities and frequent interruptions, exercise independent judgment, and work without direct day-to-day supervision.
Strong customer-service skills and a desire to provide quality service.
Ability to work autonomously and as part of a team in a matrixed environment.

Nice To Haves

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

Responsibilities

Serve as the primary point of contact for assigned specialties, supporting provider and stakeholder satisfaction across multiple hospitals and consistent service delivery.
Coordinate and align medical staff services processes and procedures across the region.
Help providers and stakeholders navigate organizational requirements, address concerns, resolve issues, and maintain effective communication and cooperative relationships.
Build relationships with medical staff and administrators and work with department leaders to understand and meet needs and expectations.
Communicate medical staff requirements and updates to internal teams and external stakeholders.
Train and support medical staff and leaders on credentialing and privileging processes, regulatory requirements, and hospital policies; orient new medical staff leaders to processes and applications.
Act as a liaison among medical staff, hospital administration, and external regulatory bodies.
Manage onboarding for new applicants in assigned specialty areas, analyze eligibility and competence information, and follow up to support timely application completion and target dates.
Monitor Center for Practitioner Information (CPI) progress and alignment with medical staff processes and completion targets.
Manage reappointment, change request, and resignation processes.
Ensure compliance with Focused Professional Practice Evaluation (FPPE) requirements and timelines and meet processing thresholds with minimal errors.
Ensure compliance with applicable regulatory and accreditation standards, including Joint Commission, CMS, and state-specific requirements.
Manage credentialing and privileging to ensure qualifications and standards satisfy regulatory, statutory, and hospital requirements.
Assist with maintaining a comprehensive credentialing program and continued accreditation, including support for accreditation surveys.
Interpret and explain regulatory guidelines, medical staff bylaws, rules, regulations, policies, laws, and organizational procedures.
Monitor delineation of privilege forms for alignment with current training, competency, and standard-of-care requirements; identify necessary changes and opportunities for alignment.
Assist in developing and maintaining privilege request forms, policies, and procedures.
Analyze data, audit and maintain the Medical Staff database and supporting documentation, and protect information integrity, including information used on the patient-facing marketing website.
Participate in quality improvement initiatives and support best practices in Medical Staff Services across the region.
Support Medical Staff Services workflow management by identifying outdated processes and wasted resources and tracking errors and complaints for process improvement.