Supervisor, Medical Staff Office

About the role

Supervises team to review and request primary source information and verifications. Proactively identifies, suggests improvements to, and provides resolution for complex gaps in vendor relationships. Serves as an escalation point of contact for external queries regarding practitioner status. Evaluates applications and supporting highly complex documents. Guides team to conduct improvements to credentialing and privileging processes. Guides and supervises team to evaluate complex practitioner sanctions. Participates in surveys and audits of credentialing entities. Facilitates and implements strategic initiatives cost-effective due process. Identifies and provides leadership to resolve adverse actions/issues. Leads and evaluates audits of data between different departments. Conducts and supervises the facilitation and orientation and training to newly appointed physician leaders. Develops highly complex informational documents. Maintains working relationships with key stakeholders. Maintains awareness of current policy and climate interactions.

Responsibilities

• Recommends developmental opportunities for others; builds collaborative, cross-functional relationships.
• Solicits and acts on performance feedback; provides team members with feedback; and mentors and coaches to drive performance improvement.
• Pursues professional growth; provides training and development to talent for growth opportunities; supports execution of performance management guidelines and expectations.
• Implements, adapts, and stays up to date with organizational change, challenges, feedback, best practices and processes.
• Fosters open dialogue, supports, mentors, engages, and motivates team members on collaboration.
• Delegates tasks and decisions as appropriate; provides appropriate support, guidance and scope.
• Supervises and coordinates daily activities of designated work team or unit by monitoring the execution and completion of tactical action items and work assignments; ensures all policies and procedures are followed.
• Aligns team efforts and standards, and measures progress in achieving results; determines and carries out processes and methodologies; resolves escalated issues as appropriate.
• Develops work plans to meet business priorities and deadlines; coordinates, obtains and distributes resources.
• Removes obstacles that impact performance; identifies and recommends improvement opportunities; influences teams to execute in alignment with operational objectives.
• Guides team to facilitate meetings with leadership to develop on-boarding processes.
• Supervises team to process complex provider enrollment information.
• Supervises team to ensure credentialing data analyses.
• Reviews multiple types of structure database structures and data.
• Communicates status, leads development of corrective action plans, and collaborates with relevant teams to conduct audits and site visits.

Requirements

Minimum two (2) years of experience in a leadership role with or without direct reports. Minimum two (2) years of experience with databases and spreadsheets. Bachelors degree in Business Administration, Health Care Administration, Nursing, Public Health, or related field AND minimum five (5) years of experience in clinical credentialing, accreditation and regulation, licensing, health care, quality, or a directly related field OR minimum eight (8) years of experience in in clinical credentialing, accreditation and regulation, licensing, or a directly related field. Provider Credentialing Specialist Certificate OR Professional Medical Services Management Certificate.

Qualifications

One (1) year(s) of experience in delegated credentialing. Two (2) years of experience in medical records administration.

Skills

• Ambiguity/Uncertainty Management
• Attention to Detail
• Business Knowledge
• Communication
• Constructive Feedback
• Critical Thinking
• Cross-Group Collaboration
• Decision Making
• Dependability
• Diversity, Equity, and Inclusion Support
• Drives Results
• Facilitation Skills
• Health Care Industry
• Influencing Others
• Integrity
• Leadership
• Learning Agility
• Organizational Savvy
• Problem Solving
• Short- and Long-term Learning & Recall
• Strategic Thinking
• Team Building
• Teamwork
• Topic-Specific Communication Knowledge, Skills and Abilities

Benefits

N/A

Pay

$78700 - $101750 / year

Schedule

Full-time