Director, Medical Staff

About the role

Wilson Medical Center is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. The Director of Medical Staff Services oversees medical staff credentialing, privileging, committee governance, and bylaws administration to ensure compliance with healthcare regulations and accreditation standards. This role provides strategic leadership to departmental staff and collaborates with hospital executives and physician leaders to maintain effective medical staff operations, support quality and patient safety, and advance organizational objectives.

About the organization

For more than 55 years, Wilson Medical Center's 294-bed facility has proudly served the residents of Wilson County and surrounding communities, offering a comprehensive range of services including orthopedics, cardiology, general surgery, women's care, emergency medicine, imaging, and more. The organization extends beyond the hospital through nine multispecialty physician clinics, a wound center, radiation oncology center, outpatient imaging center, rehabilitation and nursing care center, and a five-star day care. Accredited by The Joint Commission, Wilson Medical Center is committed to providing excellent, compassionate, high-quality care while fostering an environment where team members are valued for their skills, dedication, and unique contributions.

Responsibilities

• Credentialing & Privileging: Directs all medical staff credentialing, appointment, reappointment, recredentialing, and privileging processes for physicians and advanced practice providers, ensuring timely processing, thorough verification, and compliance with established standards.
• Medical Staff Governance & Bylaws: Oversees the administration, interpretation, maintenance, and revision of medical staff bylaws, rules and regulations, and related policies in collaboration with medical staff leadership and hospital administration.
• Medical Staff Committee Oversight: Coordinates and oversees medical staff committee operations, including the Medical Executive Committee, agenda preparation, meeting documentation, minutes, action tracking, and governance processes to ensure effective decision-making and compliance with established requirements.
• Practitioner Performance Monitoring: Oversees Focused Professional Practice Evaluation (FPPE) and Ongoing Professional Practice Evaluation (OPPE) processes in collaboration with medical staff leadership to support practitioner competency assessment, appropriate documentation, and ongoing quality of care.
• Regulatory Compliance & Accreditation Readiness: Ensures medical staff services comply with applicable CMS Conditions of Participation, accreditation standards, state and federal regulations, and organizational policies; maintains survey readiness and coordinates audits, corrective actions, and regulatory documentation.
• Medical Staff Records, Confidentiality & Data Integrity: Ensures the accuracy, integrity, security, and confidentiality of credentialing files, privileging records, committee documentation, peer review materials, and other sensitive information in accordance with applicable legal and regulatory requirements.
• Departmental Leadership & Operational Excellence: Directs daily departmental operations, establishes performance metrics, monitors credentialing turnaround times and quality, leads process improvement initiatives, oversees credentialing technology, and manages staffing, training, performance evaluations, and professional development.
• System-Wide Coordination & Resource Management: Partners with hospital executives, medical staff leaders, clinical departments, compliance, and legal counsel to standardize processes across facilities, resolve complex issues, manage departmental budgets and resources, and advance organizational objectives.

Requirements

• Education: Bachelor's degree in a related field preferred; equivalent applicable work experience may be considered in lieu of education.
• Relevant Experience: Demonstrated experience in medical staff services, credentialing, privileging, and medical staff administration within a hospital or healthcare system.
• Regulatory Knowledge: Comprehensive understanding of healthcare regulations, accreditation standards, CMS Conditions of Participation, HIPAA, and medical staff compliance requirements.
• Medical Staff Governance: Strong knowledge of medical staff bylaws, rules and regulations, committee structures, appointment processes, and privileging requirements.
• Leadership & Staff Development: Proven ability to lead, develop, and evaluate staff, manage departmental operations, establish priorities, and drive performance improvement.
• Communication & Collaboration: Excellent interpersonal and communication skills, with the ability to collaborate effectively with physicians, medical staff leaders, hospital executives, and cross-functional departments.
• Analytical & Organizational Skills: Strong problem-solving, project management, and organizational skills, with the ability to manage complex workflows, maintain accurate documentation, monitor performance metrics, and oversee multiple priorities simultaneously.

Benefits

• Multiple levels of medical, dental, and vision coverage for full-time and part-time employees
• Financial protection: life, accident, critical illness, and hospital indemnity insurance; short- and long-term disability; paid family leave and paid time off
• Financial & career growth: higher education and certification tuition assistance, loan assistance, and 401(k) retirement package with company match
• Employee well-being: mental, physical, and financial wellness programs including free gym memberships, virtual care appointments, mental health services, and discount programs
• Professional development: ongoing learning and career advancement opportunities

Schedule

Full-Time, Days