Senior Director of Medical Staff Services

Position Summary The Senior Director of Medical Staff Services effectively leads and directs administrative and operational activities of the Medical Services teams.

The Senior Director participates in discussions, recommendations, and actions of the Medical Executive Committees and the Credentials Committees.

About Orlando Health Founded more than 100 years ago, Orlando Health is a not-for-profit healthcare organization with a long tradition of serving its many and varied communities.

With physicians in more than 100 specialties, the healthcare system attracts patients from across the state, region and nation.

The healthcare system encompasses award-winning hospitals, stand-alone emergency departments, behavioral health care, skilled nursing facilities, rehabilitation services and urgent care locations.

Our network of primary care physicians and specialists extends from the Atlantic to Gulf coasts and spans more than a dozen counties.

Orlando Health is nationally recognized for its pediatric and adult trauma programs as well as its high-performing community hospitals and specialty hospitals.

Each year, we welcome more than 20,000 babies across the system and care for the most fragile in one of the nation’s largest neonatal intensive care units.

The most-advanced care is offered through our specialty institutes that connect clinical excellence, education and research programs in our core services.

With a robust graduate medical education program that hosts more than 350 residents and fellows each academic year, Orlando Health continues its pioneering research that includes therapies for end-stage breast cancer, identifying biomarkers to detect traumatic brain injury and offering first-in-the- world expanded access for an experimental advanced melanoma treatment.

Last year, the healthcare system provided more than $1.3 billion in total community impact in the form of charity care, community benefit programs and services, and community building activities.

Responsibilities Interacts with Physician Medical Staff Leadership, Senior Leadership, and other departments to develop and promote the physician led quality strategy for the organization.

Primary responsibility for review of quality reporting as developed in collaboration with Risk Management, Quality Improvement, and Information Services Departments.

Primary responsibility for strategic planning and development, integration and implementation, orientation and training, system upgrades / updates, and systems reporting to all downstream systems from the credentialing software applications.

Actively participatesin organizational strategic objectivesfrom the perspective of the Medical Staff. Exhibits extensive attention to detail and requires attention to detail from all team members.

Exhibits and promotes within the Medical Staff Services Department excellent customer service to Medical Staff leaders, medical staff members, medical staff applicants, hospital administration, and internal and external customers.

Develops and implements all credentialing and privileging processes and procedures for all physicians and allied health practitioners, including establishing qualifying criteria for initial appointment.

Formulation and revision of all application and orientation materials; professional profiling for reappointment. Works in concert with legal counsel and Medical Staff Leadership to facilitate amendments to Medical Staff governance documents to ensure compliance with regulatory, statutory, legal, and accreditation bodies and their required standards, as well as with Medical Staff Bylaws, Policies / Procedures, and Rules & Regulations for all facilities.

Conducts physician investigations(both behavioral and clinical competency), notifies practitioner of adverse action, and administers the Fair Hearing & Appeal Process, as required.

Ensures accuracy of system-wide process for distribution of clinical privileges to numerous internal clinical service areas.

Maintains data integrity, generates, and analyzes scheduled periodic quality reports, provides standard and specialized reports to customers, and process improvement / quality feedback to staff.

Plans, organizes, leads, and directs Medical Staff Services team activities; appropriately addresses staffing needs, hires, trains, evaluates, disciplines, and manages team, including establishing goals and objectives for the development of departmental human resources.

Assists AVP of Medical Affairs to prepare, track, and manage fiscal budget and restricted account. Ensures physician workflow system use is maximized and coordinate with other departments using the system to ensure consistent usage.

Qualifications Education Bachelor’s degree required. Master’s degree preferred. Certification The following certifications are preferred : Certified Professional Medical Services Management (CPMSM) Certification Certified Provider Credentialing Specialist (CPCS) Certification Required Experience Five years of experience interacting with hospital administration, Medical Staff Leadership, Medical Staff physicians, credentialing activities, or medical staff support is required.

Significant experience in use of workflow systems and development of reporting. Experience with change management and streamlining of workflow processes.

Interacts with Physician Medical Staff Leadership, Senior Leadership, and other departments to develop and promote the physician led quality strategy for the organization.

Primary responsibility for review of quality reporting as developed in collaboration with Risk Management, Quality Improvement, and Information Services Departments.

Primary responsibility for strategic planning and development, integration and implementation, orientation and training, system upgrades / updates, and systems reporting to all downstream systems from the credentialing software applications.

Actively participatesin organizational strategic objectivesfrom the perspective of the Medical Staff. Exhibits extensive attention to detail and requires attention to detail from all team members.

Exhibits and promotes within the Medical Staff Services Department excellent customer service to Medical Staff leaders, medical staff members, medical staff applicants, hospital administration, and internal and external customers.

Develops and implements all credentialing and privileging processes and procedures for all physicians and allied health practitioners, including establishing qualifying criteria for initial appointment.

Formulation and revision of all application and orientation materials; professional profiling for reappointment. Works in concert with legal counsel and Medical Staff Leadership to facilitate amendments to Medical Staff governance documents to ensure compliance with regulatory, statutory, legal, and accreditation bodies and their required standards, as well as with Medical Staff Bylaws, Policies / Procedures, and Rules & Regulations for all facilities.

Conducts physician investigations(both behavioral and clinical competency), notifies practitioner of adverse action, and administers the Fair Hearing & Appeal Process, as required.

Ensures accuracy of system-wide process for distribution of clinical privileges to numerous internal clinical service areas.

Maintains data integrity, generates, and analyzes scheduled periodic quality reports, provides standard and specialized reports to customers, and process improvement / quality feedback to staff.

Plans, organizes, leads, and directs Medical Staff Services team activities; appropriately addresses staffing needs, hires, trains, evaluates, disciplines, and manages team, including establishing goals and objectives for the development of departmental human resources.

Assists AVP of Medical Affairs to prepare, track, and manage fiscal budget and restricted account. Ensures physician workflow system use is maximized and coordinate with other departments using the system to ensure consistent usage.

Education Bachelor’s degree required. Master’s degree preferred. Certification The following certifications are preferred : Certified Professional Medical Services Management (CPMSM) Certification Certified Provider Credentialing Specialist (CPCS) Certification Required Experience Five years of experience interacting with hospital administration, Medical Staff Leadership, Medical Staff physicians, credentialing activities, or medical staff support is required.

Significant experience in use of workflow systems and development of reporting. Experience with change management and streamlining of workflow processes.