Supervisor, Medical Staff Credentialing

Supervisor, Medical Staff Credentialing

Kids Are Our Everything.

Department 10110 Medical Staff Services

Pay Range $64,168.00 - $106,932.80

What You'll Do: The Medical Staff Supervisor is responsible for successfully supervising the organizational and administrative operations of the CVO and all credentialing and privileging of the Medical Staff Department. Performs supervisory duties, including training, evaluating, and the day-to-day management of the Medical Staff team. The Supervisor is accountable for quality and integrity of data entered into systems and monitors administrative activities related to the Medical Staff Office. Collaborates with the Director to assign work to team members, assuring timely completion of project milestones and deliverables as appropriate. Emphasis is placed on customer services, provider satisfaction, staff development and fiscal goals. Supervises and oversees all credentialing services, provides onboarding assistance to the medical staff, assists in the supervision of various information systems used in credentialing functions, and oversees the process for delegated credentialing.

What You'll Need:

Minimum Education Bachelor's Degree (Required) or relevant experience beyond the minimum required work experience may substitute the educational requirement on a 1-to-1 ratio i.e. one year of relevant work experience equals one year of required education. Master's Degree (Preferred) Minimum Work Experience 3 years of credentialing experience (Required)

Required Skills/Knowledge

• Excellent written and verbal communication skills, detailed knowledge of medical staff credentialing.
• Knowledge of various accreditation standards (JC, NCQA, AAAHC, DOH) and State laws
• Knowledge of ECHO (or equivalent) Credentialing Data System preferred

Required Licenses and Certifications Certified Provider Credentialing Specialist CPCS and CPMSM 2 Yrs (Required) Functional Accountabilities Credentialing

• Supervises day to day activities of the credentialing services staff.
• Ensures that processes function smoothly and timely
• Develops departmental guidelines to ensure compliance with the Medical Staff Bylaws
• Oversees processes and minutes for CC.
• Provides updated credentials committee actions to managed care for submission to the various payer's
• Handles delegated credentialing audits. Develops responses and action plans as needed. Submits results to manager, medical affairs for the Credentials Committee.

Program and Service Administration and Implementation

• Supervises processing of initial appointments and reappointments.
• Conducts audits of completed appointments and reappointment applications.
• Provides education and feedback to staff.
• Prepares files for credentials committee actions.
• Develops automated processes in ECHO for appointments and reappointments.

Compliance

• Develops process to ensure that all providers maintain current licensure, health attestations, certifications and insurance certificates.
• Provides list of providers to be deferred monthly for medical staff action.
• Develops automated processes in ECHO for tracking licensure, etc. and sending notifications.

Customer Service

• Supervises staff in physician on-boarding, to include assisting new doctors in application process for obtaining appropriate licensure, as well as medical staff privileges.
• Develops and applies metrics around time of hire, medical staff application date, licensure application, licenses granted and medical staff privileges approved.
• Trains staff in customer service activities and maintains high level of customer service.
• Develops automated processes in ECHO to assist in on-boarding process.

Leader Accountabilities Supervisor

Deliver

• Provide clear and visible team goals and priorities
• Manage achievement of team goals and priorities
• Provide input on the team budget and operational priorities
• Monitor the use of resources and provide guidance to staff
• Implement procedures to ensure high safety and quality, and course-correct as needed
• Ensure service excellence in meeting the customer's needs

Engage

• Help staff understand the impact of organizational strategies on the team's work
• Provide prompt and clear verbal and written feedback to staff and manage/guide their performance
• Establish and maintain a positive working environment
• Ensure adherence to organizational regulations
• Assist in recruiting talents and developing their capabilities
• Support the manager in promoting strong employee engagement

Grow

• Encourage and share new ways of making the right work easier to do
• Recognize and share incremental improvements in operations
• Monitor and promote efficiency in the team's operations

What You'll Receive:

• Comprehensive health coverage, including medical, prescription, infertility, and transgender health services.
• Generous paid time off, including vacation accrual from day one, sick leave, holidays, and a personal day.
• Financial wellness support, including a 401(k) plan and healthcare and dependent care spending accounts.
• Employer-paid life, AD&D, and long-term disability coverage, with optional supplemental plans.
• Additional perks, including tuition assistance, fitness resources, employee assistance, commuter benefits, and more.

Why Join Us:

• Nationally Recognized Excellence Consistently ranked among the Top 10 Children's Hospitals in the nation by U.S. News & World Report.
• Leading Pediatric Care One of the largest and most comprehensive children's hospitals in the country, offering nationally ranked specialties and cutting-edge treatments.
• Innovation & Research A premier academic medical center with a strong commitment to pediatric research, education, and advancing the future of child health.
• Mission-Driven Culture Dedicated to providing family-centered care while fostering a collaborative, supportive environment for clinical teams.