Medical Staff Credentialing Director jobs in Maryland

Job Summary

• Provides leadership, management and operational oversight of the Medical Staff Services Department which includes credentialing and privileging processes, medical staff quality review processes and assurance of compliance with medical staff bylaws and policies. Responsible for leading, coordinating, monitoring, and maintaining the credentialing, privilege delineation, and re-credentialing process. Facilitates all aspects of UM SRH credentialing, including initial appointment, reappointment, expiration process, as well as clinical privileging for Medical Staff, Allied Health Professionals, and all other providers outlined in UM SRH Medical Staff Bylaws, policies, or related contracts.
• Ensures interpretation and compliance with the appropriate accrediting and regulatory agencies, while developing and maintaining a working knowledge of the statues and laws relating to credentialing. Responsible for the accuracy and integrity of the credentialing database system and related applications.

At Shore Regional Health, you can learn, grow and make a lasting impact on patients and families. You’ll experience the support of a collaborative work environment and a sense of collegiality unlike any other. Our comprehensive system has many locations and practice options to choose from throughout the beautiful Eastern Shore of Maryland.

Minimum Qualifications and Required Competencies

• Bachelor’s degree and at least five years’ directly related experience at a managerial level.
• NAMMS certification as a Certified Professional Medical Services Manager (CPMSM).  NAMSS certification as a Certified Provider Credentials Specialist (CPCS) is acceptable upon hire.  If not certified as CPMSM upon hire, must become certified within 36 months of hire.

Knowledge, Skills, Abilities

• Ability to communicate effectively, both orally and in writing.
• Skill in designing, planning and implementing programs and process related to assigned subject matter and area of functional responsibility.
• Advanced knowledge of related accreditation and certification requirements.
• Advanced knowledge of medical credentialing and privileging procedures and standards.
• Ability to analyze, interpret and draw inferences from research findings, and prepare reports.
• Working knowledge of clinical and/or hospital operations and procedures.
• Informational research skills.
• Ability to use independent judgment to manage and impart confidential information.
• Database management skills including querying, reporting, and document generation.
• Ability to make administrative/procedural decisions and judgments.
• Skill in selecting, leading, supervising, and developing staff.

All your information will be kept confidential according to EEO guidelines.