Test Manager-Practice Operations

IU Health•Indianapolis, IN

10d

About The Position

Supports IU Health’s patient safety and quality goals by managing medical staff credentialing, privileging, and peer review operations. The role establishes and maintains compliant, efficient processes in accordance with Medical Staff Bylaws, organizational policies, accreditation standards, and federal and state requirements. The Test Manager oversees regulatory and accreditation compliance, including surveys, audits, and reviews; manages departmental workflows and performance; and analyzes credentialing, privileging, and peer review data to improve operational effectiveness. The position also develops staff capability through orientation, education, and training, and collaborates with internal stakeholders to support consistent processes. The role conducts and maintains clinical competency evaluations and peer review, including reviews of practitioner performance, sanctions, complaints, and adverse information. Working with physician leaders, the manager supports fair and consistent application of Medical Staff Bylaws and standards, provides guidance to physician committees and administrative leadership, and manages the maintenance and revision of the Bylaws. The position also collaborates with physician leaders to develop and maintain a facility-specific, criteria-based clinical privileging system.

Requirements

Bachelor’s degree required.
5–7 years of relevant experience required.
Certification in Professional Medical Services Management (CPMSM) required, or must be obtained within 2 years of eligibility.

Nice To Haves

Master’s degree preferred.

Responsibilities

Lead and manage medical staff credentialing, privileging, and peer review operations.
Establish, implement, and maintain compliant and efficient processes.
Interpret accreditation and regulatory requirements, monitor compliance, and guide corrective actions.
Oversee regulatory and accreditation surveys, audits, and reviews.
Manage departmental workflows and monitor performance.
Analyze credentialing, privileging, and peer review data to support operational effectiveness and continuous improvement.
Provide staff orientation, education, and training to support ongoing competence.
Collaborate with internal stakeholders to promote consistent, integrated credentialing and privileging processes.
Conduct, participate in, and maintain clinical competency evaluations and peer review processes.
Review practitioner performance, sanctions, complaints, and adverse information.
Work with physician leaders to ensure fair and consistent application of Medical Staff Bylaws and standards.
Guide physician committees and administrative leadership.
Manage maintenance, review, and revision of Medical Staff Bylaws.
Collaborate with physician leaders to develop and maintain a facility-specific, criteria-based clinical privileging system.