Manager - Medical Staff Credentialing

If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One!

We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we’ve served the health care needs of the people of Memphis and the Mid-South.

Manages associates, oversees operational processes, and ensures that the credentialing database is functional to credential and privilege new applicants and reappointments to the Medical Staff. Ensures that Physicians and Advanced Practice Professionals are credentialed per DNV standards and MLH Credentials Policy. Models appropriate behavior as exemplified in MLH Mission, Vision and Values.

Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence.

A Brief Overview
Manages associates, oversees operational processes, and ensures that the credentialing database is functional to credential and privilege new applicants and reappointments to the Medical Staff. Ensures that Physicians and Advanced Practice Professionals are credentialed per DNV standards and MLH Credentials Policy. Models appropriate behavior as exemplified in MLH Mission, Vision and Values.

What you will do

• Serves as subject matter expert in medical staff credentialing and privileging, and other medical staff processes and their associated standards, rules, and regulations. Includes but is not limited to state licensing regulations, CMS Conditions of Participation and DNV Standards for Medical Staff.
• Serves as system administrator and super user for all databases and applications used by Medical Staff Services/Credentialing. Manages user access, training, reporting, and implementation of end-user portals. Responsible for the accuracy and integrity of the credentialing and privileging database system. Assures continued accreditation by maintaining accurate databases and reports.
• Maintains systems and processes to catalog and track privileges granted to all practitioners working in MLH hospitals or provider-based clinics. Prepares and maintains cumulative reports to inform Physician Enterprise, ULPS, and mission critical group practices about the status of their practitioners who have requested privileges.
• Monitors credentialing and re-credentialing process to assure compliance with governance and regulatory standards, Maintains a formal process of evaluations, self-reporting, and monitoring of Physician and Credentialed Practitioner activities.
• Gathers data for evaluation and analysis of confidential healthcare provider credentials for the initial appointment and reappointment processes; prepares information for presentation to the Credentials Committee for review.
• Provides support to the Credentials Committee as needed. Attends the Credentials Committee meeting, acting as resource for all credentialing actions being taken, and communicates actions forwarded to the Medical Board and Board of Directors. Participates in other committees as assigned.
• Manages department workforce in a responsible, respectful, confidential, and fiscally responsible manner including recruitment, on-boarding, orientation, supervision, leave time, performance evaluation, annual merit, and disciplinary action, according to the MLH value system.
• Manages a remote workforce, promoting professionalism and adherence to remote work agreements.
• Provides guidance, assistance, and direction in the Credentialing process; oversees adherence to Credentialing policies and processes.
• Identifies training, development opportunities, staffing and other resource needs in collaboration with the department director.

Education Qualifications

• Bachelor's Degree Business Administration/Management
• Bachelor's Degree Healthcare

Experience Qualifications

• 3-5 years Credentialing in a hospital setting
• Management in a hospital setting

Skills and Abilities

• Demonstrated knowledge of credentialing, privileging, governance structures, policy implementation and process improvement.
• Knowledge of DNV Standards for Medical Staff Services.
• Demonstrated leadership skills.
• Considerable knowledge of credentialing databases and applications.
• Expert use of Excel.
• Ability to develop and maintain effective relationships with physicians, advanced practice professionals, leaders across MLH and external group practice managers.
• Persuasive communication skills (verbal, written, diplomatic).
• Ability to perform thorough investigation and follow through to resolve issues with minimal leadership intervention.

Licenses and Certifications

• Certified Professional Medical Services Management National Association Medical Staff Services

Supervision Provided by this Position

• Supervises the Credentialing staff in Medical Staff Services.

Physical Demands

• The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion.
• Must have good balance and coordination.
• The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently.
• The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading.
• The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work.

Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity.

Education:

Bachelor's Degree: Business Administration/Management (Required), Bachelor's Degree: Healthcare

Work Experience:

Credentialing, Management

Certifications:

Certified Professional Medical Services Management - National Association Medical Staff Services

Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.