Atlantic Health
Executive Director of Medical Staff Services
Atlantic Health – Executive leadership role overseeing credentialing, privileging, medical staff governance and support functions across the entire Atlantic Health system.
Key Responsibilities
Provide system-level strategic leadership for all credentialing and privileging operations, including hospitals and ambulatory locations.
Ensure system-wide compliance with accrediting bodies (e.g., The Joint Commission, CMS), licensure boards, NCQA, and support regulatory requirements.
Create, lead and manage the centralized Credentialing Verification Office (CVO), with team structure, resourcing, performance metrics, and staff development.
Oversee governance and coordination of Medical Staff Office functions at each hospital, ensuring alignment with bylaws, rules, and regulations.
Lead design, implementation, and continuous improvement of standardized credentialing and privileging policies, procedures, and workflows.
Partner with the CMO, legal, compliance, HR, and IT teams to manage provider onboarding, recredentialing, privileging, and termination processes.
Direct the adoption and optimization of CredentialStream credentialing and privileging platform across the enterprise.
Serve as the executive liaison to Credentials Committees, Medical Executive Committees, chief medical officers, hospital presidents, and Board of Trustees regarding credentialing issues and risk mitigation.
Maintain data integrity and provide robust reporting, analytics, and dashboards for leadership visibility and regulatory preparedness.
Support and evaluate delegated credentialing contracts and relationships with managed care organizations and insurers, as requested.
Lead change management and training efforts related to credentialing process improvements or system transitions.
Ensure that credentialing and privileging infrastructure is responsive, efficient, and aligned with organizational growth and physician recruitment strategies.
Required Qualifications
Education : Bachelor’s degree in healthcare administration, business, nursing or related field required; Master’s degree (MHA, MPH, MBA, etc.) strongly preferred.
Experience : Minimum 10 years of progressive leadership in healthcare credentialing and privileging; at least 5 years in a senior or system-level role; experience leading credentialing for a large, complex, multi-entity hospital system.
Deep understanding of medical staff governance, Joint Commission standards, CMS Conditions of Participation, NCQA requirements, and delegated credentialing processes.
Significant experience with the CredentialStream platform and advanced knowledge of credentialing software (e.g., Echo, CredentialStream).
CPMSM (Certified Professional in Medical Services Management) certification required.
Executive presence with the ability to lead across diverse stakeholders and influence at all levels.
Exceptional analytical, communication, and problem-solving skills.
Ability to manage complex regulatory requirements and translate them into scalable operational processes.
Strategic thinker with experience driving enterprise transformation and standardization.
Proven ability to lead teams through change and performance improvement initiatives.
High integrity, discretion, and commitment to patient safety and provider quality.
Ability to negotiate contracts and manage budgets.
Seniority Level Executive
Employment Type Full-time
Job Function Administrative
Industry Hospitals and Health Care
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Key Responsibilities
Provide system-level strategic leadership for all credentialing and privileging operations, including hospitals and ambulatory locations.
Ensure system-wide compliance with accrediting bodies (e.g., The Joint Commission, CMS), licensure boards, NCQA, and support regulatory requirements.
Create, lead and manage the centralized Credentialing Verification Office (CVO), with team structure, resourcing, performance metrics, and staff development.
Oversee governance and coordination of Medical Staff Office functions at each hospital, ensuring alignment with bylaws, rules, and regulations.
Lead design, implementation, and continuous improvement of standardized credentialing and privileging policies, procedures, and workflows.
Partner with the CMO, legal, compliance, HR, and IT teams to manage provider onboarding, recredentialing, privileging, and termination processes.
Direct the adoption and optimization of CredentialStream credentialing and privileging platform across the enterprise.
Serve as the executive liaison to Credentials Committees, Medical Executive Committees, chief medical officers, hospital presidents, and Board of Trustees regarding credentialing issues and risk mitigation.
Maintain data integrity and provide robust reporting, analytics, and dashboards for leadership visibility and regulatory preparedness.
Support and evaluate delegated credentialing contracts and relationships with managed care organizations and insurers, as requested.
Lead change management and training efforts related to credentialing process improvements or system transitions.
Ensure that credentialing and privileging infrastructure is responsive, efficient, and aligned with organizational growth and physician recruitment strategies.
Required Qualifications
Education : Bachelor’s degree in healthcare administration, business, nursing or related field required; Master’s degree (MHA, MPH, MBA, etc.) strongly preferred.
Experience : Minimum 10 years of progressive leadership in healthcare credentialing and privileging; at least 5 years in a senior or system-level role; experience leading credentialing for a large, complex, multi-entity hospital system.
Deep understanding of medical staff governance, Joint Commission standards, CMS Conditions of Participation, NCQA requirements, and delegated credentialing processes.
Significant experience with the CredentialStream platform and advanced knowledge of credentialing software (e.g., Echo, CredentialStream).
CPMSM (Certified Professional in Medical Services Management) certification required.
Executive presence with the ability to lead across diverse stakeholders and influence at all levels.
Exceptional analytical, communication, and problem-solving skills.
Ability to manage complex regulatory requirements and translate them into scalable operational processes.
Strategic thinker with experience driving enterprise transformation and standardization.
Proven ability to lead teams through change and performance improvement initiatives.
High integrity, discretion, and commitment to patient safety and provider quality.
Ability to negotiate contracts and manage budgets.
Seniority Level Executive
Employment Type Full-time
Job Function Administrative
Industry Hospitals and Health Care
#J-18808-Ljbffr