Medical Staff Office Director & Designated Institutional Official for GME

Medical Staff Office Director & Designated Institutional Official for GME

Job Summary

The Medical Staff Office Director & Designated Institutional Official (DIO) for Graduate Medical Education (GME) is responsible for overseeing the medical staff credentialing and privileging processes, while also leading the institution’s GME programs in compliance with ACGME (Accreditation Council for Graduate Medical Education) standards. This dual role ensures that both patient care quality and medical education excellence are maintained through effective administration, regulatory compliance, and strategic leadership.

The Designated Institutional Official (DIO) should demonstrate a deep understanding of graduate medical education (GME) and possess a proven ability to build trust and collaborate effectively with physicians across specialties. While not an MD, the ideal candidate brings comfort and confidence in engaging with clinical faculty and residents, fostering a supportive and compliant learning environment.

Key Responsibilities :

Medical Staff Office Director Responsibilities :

• Oversee and manage the credentialing, privileging, and reappointment processes for all medical staff, advanced practice providers, and allied health professionals.
• Maintain compliance with accrediting bodies, CMS, state regulations, and internal policies.
• Serve as liaison between hospital administration and the medical staff, ensuring strong communication and alignment.
• Facilitate medical staff committee meetings, including Credentials Committee, Medical Executive Committee (MEC), and others.
• Manage medical staff bylaws, rules, and regulations and ensure timely updates.
• Coordinate peer review processes, FPPE / OPPE processes, and support quality initiatives.
• Supervise and train Medical Staff Office personnel.
• Maintain accurate and up-to-date credentialing database systems.
• Coordinate the Provider on call schedule.
• Provide administrative support to physician leadership, i.e. budgets and schedules as designated by the CEO.

Designated Institutional Official (DIO) for GME Responsibilities :

Minimum Job Requirements

Preferred Job Requirements

Skills / Knowledge / Abilities

Working Conditions

Physical and Mental Activities, Tools and Equipment

Equal Employment Opportunity

Marion Health is a smoke-free environment.

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