Medical Staff Services Supervisor

About the role

To improve the health of the communities we serve through contemporary, innovative, quality healthcare solutions.

Responsibilities

• Direct all Medical Staff Office operations and personnel.
• Develop, implement, and maintain medical staff bylaws, policies, rules, and regulations.
• Serve as liaison between hospital administration, medical staff leadership, and providers.
• Advise executive leadership on medical staff governance and compliance matters.
• Support Medical Executive Committee (MEC), Credentials Committee, Peer Review Committee, and governing board activities.
• Oversee credentialing, recredentialing, privileging, and provider enrollment processes within MSO.
• Ensure compliance with Joint Commission and/or HFAP, CMS, state regulations, and organizational requirements.
• Establish credentialing and privileging standards and oversight these standards and the reporting thereof.
• Monitor application turnaround times and departmental performance metrics.
• Ensure timely processing of initial appointments, reappointments, focused professional practice evaluations (FPPE), and ongoing professional practice evaluations (OPPE).
• Maintain continuous survey readiness for Joint Commission and/or HFAP, DNV, CMS, and state regulatory agencies.
• Lead responses to accreditation surveys and regulatory audits.
• Ensure compliance with medical staff accreditation standards and provider governance requirements.
• Monitor regulatory changes and implement necessary operational updates.
• Coordinate Medical Staff committees and governance activities.
• Prepare agendas, reports, meeting materials, and board presentations.
• Maintain official medical staff records and documentation.
• Ensure board approvals and privileging/credentialing recommendations are accurately documented.
• Develop and implement departmental goals, budgets, and strategic initiatives.
• Identify operational improvement opportunities and implement best practices.
• Leverage technology to improve credentialing efficiency and compliance.
• Lead implementations and optimizations of credentialing software platforms (e.g., MD-Staff, Sail Point, EPIC).
• Recruit, mentor, develop, and evaluate Medical Staff Office personnel.
• Establish department performance goals and accountability measures.
• Promote a culture of excellence, customer service, and continuous improvement.
• Manage departmental budget and resource allocation.

Requirements

• Bachelor's degree in Healthcare Administration, Business Administration, Nursing, or related field required.
• Minimum five (5) years of experience in a leadership role within Medical Staff Services.
• Experience managing medical staff credentialing and privileging processes within an acute care hospital or integrated health system.
• Experience supporting Joint Commission, DNV, HFAP, NCQA, CMS, and state regulatory surveys.

Benefits

• Health, vision, dental insurance
• Retirement with employer match
• Wellness program with discounts to Health Insurance or Cash Bonus with Participation
• Milestone payments with longevity of employment
• Paid Time Off (PTO) or Flex time off (FTO)
• Extended Sick Pay
• Learning Center designated only for Freeman Family members
• Payroll deduction at different locations such as The Daily Grind, Freeman Gift Shop, Cafeteria, etc