St. Vincent’s Health System
Director Medical Staff Services
St. Vincent’s Health System, Birmingham, Alabama, United States, 35275
Overview
To direct and oversee all aspects of the daily operations for medical staff and credentialing verification and office services throughout UAB St. Vincent’s. To provide direction, coordination and consultation for all administrative operations and activities related to credentialing, privileging, quality monitoring, peer review, FPPE / OPPE, and integration of services and programs in a manner that ensures strategic alignment across the health system. To maintain governance documents and related processes and to adhere to the requirements of regulatory/accrediting agencies and payer credentialing standards related to the medical staff.
Responsibilities
Directs and oversees all aspects of the daily operations for medical staff and credentialing verification and office services throughout UAB St. Vincent’s.
Provides direction, coordination and consultation for all administrative operations and activities related to credentialing, privileging, quality monitoring, peer review, FPPE / OPPE, and integration of services and programs in a manner that ensures strategic alignment across the health system.
Maintains governance documents and related processes and adheres to the requirements of regulatory/accrediting agencies and payer credentialing standards related to the medical staff.
Plans, formulates and executes system-level medical staff service strategic plans, policies and procedures to the Medical Executive Committees (MEC) for approval. Ensures that all recommendations align with UAB St. Vincent’s strategic objectives.
Directs and supports selection of expert staff in assigned areas; conducts ongoing assessments and assumes responsibility for professional growth and development of staff to include workforce planning for areas of responsibilities.
Assumes compliance with regulatory requirements, payer credentialing standards and quality management, including supervision of continuous quality improvement efforts related to medical staff and credentials verification office operations. Works closely with Physician Leadership and Administration to ensure Medical Staff follows all Medical Staff Bylaws; ensures bylaws and associated policies comply with The Joint Commission, CMS, payer credentialing standards and Other Regulatory Requirements.
Plans, develops, implements and evaluates all approved programs, projects and major initiatives in staff credentialing/recredentialing and appointment/reappointment process.
Works with the Chief Medical Officer (CMO) to provide assistance in the continuous optimization and management of the ongoing professional practice evaluation (OPPE) / focused professional practice evaluation (FPPE) process as defined by the CMO and Governing Body.
Serves as an expert resource to UAB St. Vincent’s medical staff leaders assisting as needed to expedite problem identification/resolution, provision of project specific updates, other assistance as requested by the MECs, Credentials Committees, Chief Medical Officer.
Ensures active communication with all external and internal stakeholders to establish strong, collaborative relationships that are consistent with organizational goals and strategic needs.
Directs the fiscal planning, budget, and audits, and employee management. Prepares and monitors monthly and annual budget to ensure appropriate performance against objectives; anticipates and plans for opportunities for new services and programs and reduction of expenses in department. Establishes and measures organizational performance against goals and objectives.
Provides oversight of the credentialing database.
Performs other duties as assigned.
Licenses / Certifications / Registrations
Certified Professional Medical Services Management (CPMSM) by the National Association Medical Service Providers (NAMSS) preferred.
Education
Bachelor’s degree in Business, Healthcare or related field required
Master’s degree preferred.
Minimum of 5 years in health care management, payer enrollment/credentialing, quality improvement, or medical staff affairs required.
Will consider equivalent years of experience in lieu of education.
Seniority level
Director
Employment type
Full-time
Job function
Health Care Provider
Industries
Hospitals and Health Care
UAB St. Vincent’s, a trusted provider of health care with a legacy of service in central Alabama.
#J-18808-Ljbffr
Responsibilities
Directs and oversees all aspects of the daily operations for medical staff and credentialing verification and office services throughout UAB St. Vincent’s.
Provides direction, coordination and consultation for all administrative operations and activities related to credentialing, privileging, quality monitoring, peer review, FPPE / OPPE, and integration of services and programs in a manner that ensures strategic alignment across the health system.
Maintains governance documents and related processes and adheres to the requirements of regulatory/accrediting agencies and payer credentialing standards related to the medical staff.
Plans, formulates and executes system-level medical staff service strategic plans, policies and procedures to the Medical Executive Committees (MEC) for approval. Ensures that all recommendations align with UAB St. Vincent’s strategic objectives.
Directs and supports selection of expert staff in assigned areas; conducts ongoing assessments and assumes responsibility for professional growth and development of staff to include workforce planning for areas of responsibilities.
Assumes compliance with regulatory requirements, payer credentialing standards and quality management, including supervision of continuous quality improvement efforts related to medical staff and credentials verification office operations. Works closely with Physician Leadership and Administration to ensure Medical Staff follows all Medical Staff Bylaws; ensures bylaws and associated policies comply with The Joint Commission, CMS, payer credentialing standards and Other Regulatory Requirements.
Plans, develops, implements and evaluates all approved programs, projects and major initiatives in staff credentialing/recredentialing and appointment/reappointment process.
Works with the Chief Medical Officer (CMO) to provide assistance in the continuous optimization and management of the ongoing professional practice evaluation (OPPE) / focused professional practice evaluation (FPPE) process as defined by the CMO and Governing Body.
Serves as an expert resource to UAB St. Vincent’s medical staff leaders assisting as needed to expedite problem identification/resolution, provision of project specific updates, other assistance as requested by the MECs, Credentials Committees, Chief Medical Officer.
Ensures active communication with all external and internal stakeholders to establish strong, collaborative relationships that are consistent with organizational goals and strategic needs.
Directs the fiscal planning, budget, and audits, and employee management. Prepares and monitors monthly and annual budget to ensure appropriate performance against objectives; anticipates and plans for opportunities for new services and programs and reduction of expenses in department. Establishes and measures organizational performance against goals and objectives.
Provides oversight of the credentialing database.
Performs other duties as assigned.
Licenses / Certifications / Registrations
Certified Professional Medical Services Management (CPMSM) by the National Association Medical Service Providers (NAMSS) preferred.
Education
Bachelor’s degree in Business, Healthcare or related field required
Master’s degree preferred.
Minimum of 5 years in health care management, payer enrollment/credentialing, quality improvement, or medical staff affairs required.
Will consider equivalent years of experience in lieu of education.
Seniority level
Director
Employment type
Full-time
Job function
Health Care Provider
Industries
Hospitals and Health Care
UAB St. Vincent’s, a trusted provider of health care with a legacy of service in central Alabama.
#J-18808-Ljbffr