Senior Director, Network Medical Affairs and Governance

About the Role

The Senior Director, Network Medical Affairs and Governance is accountable for the overall administrative planning and coordination of staffing, fiscal, and material resources. Oversees the establishment of systems to maintain provider data, monitor credentialing processes, complaint resolution, and regulatory compliance. Ensures effective integration, alignment, and operations of the medical staff services programs across the Network business unit, in compliance with applicable State and Federal laws.

Develops and leads strategies for improving efficiencies in Network practices and the Community Hospitals Division through reviewing and redesigning workflows and operational systems. Oversees the Network business unit medical staff affairs and governance, supporting harmonization of UCSF Health strategies with partnerships, affiliates, and joint ventures at all levels of complexity within the Network, mitigating risk, and focusing on alignment.

Strategizes, leads, and directs initiatives within the medical staff team of the UCSF Health system and Network business unit to provide overall continuity and oversight. Supports UCSF Health system and strategy efforts in building relationships with the Network and implements tactics to increase market share for the UCSF Health footprint. Develops pathways for UCSF Health to maintain governance oversight over the Network and Community Hospitals Division.

Department Overview

The Office of Medical Affairs and Governance (OMAG) is an enterprise-wide office responsible for oversight of clinicians and providers who are credentialed, privileged, and/or affiliated with UCSF Health and able to practice at any of its hospitals, clinics, ambulatory surgery centers, and affiliated sites. The office’s central units manage the credentialing and privileging of providers, health plan payer enrollment for both government and commercial plans, and the peer review program of the institution. The health system’s governance function is organized under OMAG, where the team manages various medical staff committees, management boards, and the governing body.

Responsibilities

• Oversee the establishment of systems for provider data maintenance, credentialing processes, complaint resolution, and regulatory compliance.
• Ensure effective integration, alignment, and operations of medical staff services programs across the Network business unit.
• Develop and lead strategies for improving efficiencies in Network practices and the Community Hospitals Division through workflow and operational system redesign.
• Oversee Network business unit medical staff affairs and governance, supporting harmonization with UCSF Health strategies, partnerships, affiliates, and joint ventures.
• Strategize, lead, and direct initiatives within the medical staff team to provide continuity and oversight.
• Support UCSF Health system efforts in building relationships with the Network and increasing market share for the UCSF Health footprint.
• Develop pathways for UCSF Health to maintain governance oversight over the Network and Community Hospitals Division.

Requirements

• Bachelor's degree in a related area and/or equivalent experience/training.
• Certified Professional Medical Services Management (CPMSM).
• Five or more years of experience at the Manager/Director level.
• Strong knowledge of external regulations, Network credentialing best practices, and clinical operations to implement in an acute care setting.
• Strong strategic skills to develop long-range plans and solve complex, wide-reaching problems when no precedent exists.
• Strong management and conflict resolution skills to effectively lead and motivate others.
• Successful background working with peers, patients, multidisciplinary team members, executives, assigned staff, and representatives of regulatory agencies.
• Strong collaboration skills and ability to build and maintain relationships with physicians, clinical department heads, and senior management.
• Knowledge of process improvement approaches and methods, including planning, setting priorities, systematic performance assessment, and implementation of improvements.
• Knowledge of organizational structure, Network structure, and change management skills to streamline systems and improve operational efficiency.
• Knowledge of HR and UC policies and processes.
• Ability to consistently interact with all members of the organization in ways that enhance understanding, respect, cooperation, and problem-solving.
• Ability to exercise professional judgment in handling sensitive and confidential issues with discretion.
• Demonstrated sensitivity to political situations and confidential issues.
• Advanced ability to quickly evaluate complex issues and identify multiple options for resolution.

Preferred Qualifications

• Master’s degree in a related area.
• Certified Provider Credentialing Specialist (CPCS).