
Description
General Summary of Position
The Senior Director of Provider Credentialing is a key leadership role within MedStar Health, responsible for overseeing the credentialing and privileging processes for all healthcare providers. This position ensures that all providers meet the necessary standards and regulatory requirements to deliver safe and effective patient care. The Senior Director works closely with various stakeholders, including medical staff, administration, and external regulatory bodies, to maintain a high level of compliance and operational efficiency. Additionally, this position oversees all accreditation activities for the National Committee for Quality Assurance (NCQA), Joint Commission (JCAHO), and Department of Health-related visits.
Primary Duties and Responsibilities
Minimum Qualifications
Education
- Bachelor's degree In healthcare, hospital administration or related field required and
- Master's degree In healthcare, hospital administration or related field preferred
- One year of relevant education may be substituted for one year of required work experience.
Experience
- 10+ years Progressive experience managing and leading medical staff functions for a large academic medical center or health system including direct oversight of medical staff credentialing. required
- 10+ years Demonstrated experience in credentialing, privileging, physician performance/peer review process and working with physician leaders. required
- 10+ years Strong experience in regulatory compliance as it relates to the organized medical staff. required
- One year of relevant professional-level work experience may be substituted for one year of required education.
Licenses and Certifications
- CPMSM - Certified Professional Medical Services Management Upon Hire required and
- NAMSS-National Association of Medical Staff Services Upon Hire required and
- Certified Credentialing Provider Specialist Upon Hire required
Knowledge, Skills, and Abilities
- Excellent verbal and written communication skills. Proficient computer skills and working knowledge of business tools such as Microsoft office or like products. Demonstrated knowledge of the business of healthcare. Demonstrated knowledge of federal and state regulations and standards for the provision of professional education of healthcare providers. Exemplary and timely customer service approach in communicating with internal and external stakeholders. Skilled problem solver, with ability to quickly adapt to changing priorities, workloads, and timelines. Excellent organizational and prioritization skills; rigorous attention to detail. Ability to manage multiple projects and adhere to strict deadlines independently and/or on a team. Dedicated to continuous improvement and quality assurance processes. Self-directed, self-motivated team player, critical thinker; experienced at effectively participating as part of a team.
This position has a hiring range of $114,004 - $219,960
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