Medical Staff Credentialing Director jobs in District of Columbia

Medical Staff Credentialing Director is responsible for all aspects of the verification process for medical staff incumbents. Provides regulatory oversight and guidance to the credentialing process. Being a Medical Staff Credentialing Director maintains working knowledge and ensures continuing compliance with state, federal, and institutional standards and guidelines. Develops and implements policies and protocols related to medical staff verifications and ensures that the organization and staff are in accordance with organizational and industry standards. Additionally, Medical Staff Credentialing Director analyzes reports on applications and credential status to identify trends and improve the credentialing process. Presents files to the credentialing committee and may act as a liaison to state medical licensure boards regarding the status of license applications. Requires a bachelor's degree. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to senior management. The Medical Staff Credentialing Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. To be a Medical Staff Credentialing Director typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. (Copyright 2024 Salary.com)

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Supervisor, Medical Staff Credentialing
  • Children's National Medical Center
  • Washington, DC FULL_TIME
  • Description The Medical Staff Supervisor is responsible for successfully supervising the organizational and administrative operations of the CVO and all credentialing and privileging of the Medical Staff Department. Performs supervisory duties, including training, evaluating, and the day-to-day management of the Medical Staff team. The Supervisor is accountable for quality and integrity of data entered into systems and monitors administrative activities related to the Medical Staff Office. Collaborates with the Director to assign work to team members, assuring timely completion of project milestones and deliverables as appropriate. Emphasis is placed on customer services, provider satisfaction, staff development and fiscal goals. Supervises and oversees all credentialing services, provides onboarding assistance to the medical staff, assists in the supervision of various information systems used in credentialing functions, and oversees the process for delegated credentialing.
    Qualifications Minimum Education
    Bachelor's Degree (Required)
    Master's Degree (Preferred)

    Minimum Work Experience
    3 years of credentialing experience (Required)

    Required Skills/Knowledge
    Excellent written and verbal communication skills, detailed knowledge of medical staff credentialing.
    Knowledge of various accreditation standards (JC, NCQA, AAAHC, DOH) and State laws
    Knowledge of ECHO (or equivalent) Credentialing Data System preferred

    Required Licenses and Certifications
    Certified Provider Credentialing Specialist CPCS and CPMSM 2 Yrs (Required)
    .

    Functional Accountabilities
    Credentialing
    • Supervises day to day activities of the credentialing services staff.
    • Ensures that processes function smoothly and timely
    • Develops departmental guidelines to ensure compliance with the Medical Staff Bylaws
    • Oversees processes and minutes for CC.
    • Provides updated credentials committee actions to managed care for submission to the various payer's
    • Handles delegated credentialing audits. Develops responses and action plans as needed. Submits results to manager, medical affairs for the Credentials Committee.
    Program and Service Administration and Implementation
    • Supervises processing of initial appointments and reappointments.
    • Conducts audits of completed appointments and reappointment applications.
    • Provides education and feedback to staff.
    • Prepares files for credentials committee actions.
    • Develops automated processes in ECHO for appointments and reappointments.
    Compliance
    • Develops process to ensure that all providers maintain current licensure, health attestations, certifications and insurance certificates.
    • Provides list of providers to be deferred monthly for medical staff action.
    • Develops automated processes in ECHO for tracking licensure, etc. and sending notifications.
    Customer Service
    • Supervises staff in physician on-boarding, to include assisting new doctors in application process for obtaining appropriate licensure, as well as medical staff privileges.
    • Develops and applies metrics around time of hire, medical staff application date, licensure application, licenses granted and medical staff privileges approved.
    • Trains staff in customer service activities and maintains high level of customer service.
    • Develops automated processes in ECHO to assist in on-boarding process.

    Organizational Accountabilities
    Organizational Accountabilities (Staff)
    Organizational Commitment/Identification

    Teamwork/Communication

    Performance Improvement/Problem-solving

    Cost Management/Financial Responsibility

    Safety
    Primary Location: District of Columbia-Washington
    Work Locations:
    CN Hospital (Main Campus)
    111 Michigan Avenue
    Washington 20010
    Job: Management
    Organization: Chief Academic Officer
    Position Status: R (Regular) - FT - Full-Time
    Shift: Day
    Work Schedule: 8:00 - 4:30PM
    Job Posting: Apr 22, 2024, 3:21:35 PM

    Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individual with Disabilities.

     

  • Just Posted

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Supervisor, Medical Staff Credentialing
  • Children's National Hospital
  • Washington, DC FULL_TIME
  • Description The Medical Staff Supervisor is responsible for successfully supervising the organizational and administrative operations of the CVO and all credentialing and privileging of the Medical St...
  • Just Posted

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Senior Director, Head of State and Federal Public Health Policy
  • 10000942 - Public Policy Director
  • Washington, DC FULL_TIME
  • Senior Director, Head of State and Federal Public Health PolicyLocation: Washington, D.C.Introduction to role:At AstraZeneca, we're on a journey to bring life-saving medicines to patients. Our role in...
  • 18 Days Ago

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Director, US Alliance Development
  • 10000941 - Public Policy Associate Director
  • Washington, DC FULL_TIME
  • Are you ready to co-lead policy-based advocacy campaigns and advance public policy goals? We are seeking a Director, Alliances who will work cross-functionally with internal colleagues and external st...
  • 3 Days Ago

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Staff Mammographer
  • Johns Hopkins Medical Management Corporation
  • Washington, DC FULL_TIME
  • Overview Johns Hopkins Intrastaff is the internal staffing agency for the Johns Hopkins Health System and partner hospitals, providing temporary support to a variety of the Johns Hopkins locations. Ou...
  • 1 Month Ago

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Senior Strategy and Research Advisor
  • Office of the National Cyber Director
  • Washington, DC FULL_TIME
  • This position is located in the Executive Office of the President (EOP), Office of the National Cyber Director (ONCD), reporting to the Assistant National Cyber Director (ANCD) for Strategy and Resear...
  • 11 Days Ago

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Medical Director/Senior Medical Director
  • GQR
  • The Director/Senior Medical Director, reporting to the Chief Medical Officer, plays a pivotal role in steering clinical ...
  • 4/24/2024 12:00:00 AM

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Medical Director
  • Centurion Health
  • Sneads, FL
  • Job Details Job Location FL, Sneads - Apalachee East Correctional Institution - Sneads, FL Position Type Full-Time Educa...
  • 4/24/2024 12:00:00 AM

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Medical Director
  • Theoria Medical
  • Hickory, NC
  • Position Type: Part-time, exemptCompensation: Up to $400,000 annually + monthly Medical Director StipendJob HighlightsWo...
  • 4/24/2024 12:00:00 AM

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Medical Director
  • Theoria Medical
  • Grand Rapids, MI
  • Position Type : Part-time, exemptCompensation : Up to $400,000 annually + monthly Medical Director StipendJob Location: ...
  • 4/24/2024 12:00:00 AM

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Medical Director
  • Theoria Medical
  • Overland Park, KS
  • Position Type : Part-time, exemptCompensation : Up to $400,000 annually + monthly Medical Director StipendJob Highlights...
  • 4/24/2024 12:00:00 AM

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Medical Director
  • Theoria Medical
  • Columbus, WI
  • Position Type : Part-time, exemptCompensation : Up to $400,000 annually + monthly Medical Director StipendJob Highlights...
  • 4/24/2024 12:00:00 AM

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Medical Director
  • Advanced Animal Hospital Group
  • Johnson City, TN
  • OverviewMedical Director - Practice Leader Veterinary Medical Center Johnson CityAre you an experienced Medical Director...
  • 4/24/2024 12:00:00 AM

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Medical Director
  • CAI
  • Harrisburg, PA
  • Medical Director Req number: R1741 Employment type: Full time Worksite flexibility: Hybrid Job Summary As the Medical Di...
  • 1/25/2024 12:00:00 AM

Washington, D.C. is located in the mid-Atlantic region of the U.S. East Coast. Due to the District of Columbia retrocession, the city has a total area of 68.34 square miles (177.0 km2), of which 61.05 square miles (158.1 km2) is land and 7.29 square miles (18.9 km2) (10.67%) is water. The District is bordered by Montgomery County, Maryland to the northwest; Prince George's County, Maryland to the east; Arlington County, Virginia to the south; and Alexandria, Virginia to the west. The south bank of the Potomac River forms the District's border with Virginia and has two major tributaries: the An...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Director jobs
$177,741 to $231,181

Medical Staff Credentialing Director in Hialeah, FL
The Medical Staff Services Facility Specialist is also responsible for the accuracy and integrity of the credentialing and clinical privileging database system.
January 09, 2020
Medical Staff Credentialing Director in Worcester, MA
Consult applicable state laws when determining how to maintain or store credentialing files and other peer review documents.
January 27, 2020
Medical Staff Credentialing Director in Abilene, TX
The Director of Medical Staff Credentialing will oversee, supervise, and direct the day to day operations of the medical staff credentialing and hospital privileges department.
November 30, 2019