Medical Staff Affairs Manager – Credentialing/Privileging

The Childrens Hospital of Philadelphia

Reference #: 1010041
SHIFT:Day (United States of America)

Seeking Breakthrough Makers

Childrens Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation.

At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care-and your career.

CHOPs Commitment to Diversity, Equity, and Inclusion

CHOP is committed to building an inclusive culture where employees feel a sense of belonging, connection, and community within their workplace. We are a team dedicated to fostering an environment that allows for all to be their authentic selves. We are focused on attracting, cultivating, and retaining diverse talent who can help us deliver on our mission to be a world leader in the advancement of healthcare for children.

We strongly encourage all candidates of diverse backgrounds and lived experiences to apply.

A Brief Overview
Under the direction of the Director, Medical Staff Affairs, performs complex diversified administrative, operational and strategic functions. Must be able to supervise medical staff and graduate medical education coordinators. Must have full working knowledge of the Joint Commission medical staff standards as well as other regulatory agency requirements related to credentialing and privileging of licensed independent practitioners, allied health practitioners and graduate medical education trainees functioning as members of the medical staff. Must be able to meet deadlines, work on several projects at once, and understand all of the concepts involved in the work performed. Must be able to work autonomously and make independent judgments.

What you will do
1.Maintain Joint Commission accreditation and DOH compliance
Meet with Division Administrators regularly to review status of medical staff applications, to advise them of new standards and to review privileging criteria.
Monitor changes and updates in standards and provide training for staff as appropriate.
Develop and maintain review processes for monitoring regulatory agency requirements. Routinely advise Sr. Director of changes.
Communicate regularly with the Sr. Director of the Medical Staff Office and the Chair of the Credentials Committee, NPH Committee and APN/PA Committee, regarding the status of all initial and reappointment applications.
Coordinate biennial reappointment process with MSA coordinators and Division representatives to ensure compliance with CHOP Medical Staff Bylaws and regulatory agency standards.
Work with Sr. Director and MSA coordinators to expedite clean applications.
Communicate regularly with the Sr. Director of MSA and Manager of GME regarding the status of all trainees moving to an attending role.
2. Manage budget for MSA
Manages the MSA operating budget, provides monthly variance analysis and oversees submission of check requests and purchase orders.
Supports the Sr. Director with the annual planning of the operating and capital budget needs.
3. Provide administrative oversight for internal systems
Participate in implementation of new credentialing/privileging software application.
Ensure that database remains up to date and that information is correctly entered.
Ensure that primary source verifications are performed in a timely manner.
Work with various hospital departments to ensure availability of current information regarding present, and former appointments, resignations and related information.
Ensure annual updates of ECMS roster and Medical Staff Appointment lists.
Maintain current access codes for online verifications
Monitor record archiving schedule and receive written verification of record disposition after transfer to CD-ROM.
Coordinate periodic requests for medical staff information from hospital departme ts such as Public Relations, Development and Marketing.
Reports anticipated changes, difficulties with deadline deliveries, etc to director prior to deadline.
4. Supervise Medical Staff Affairs Coordinators
Assure that staff adheres to policies, procedures and guidelines listed as essential and job specific standards, including timely completion of annual mandatory education.
Monitor assignments to ensure that deadlines are met.
Assist coordinators with developing quality improvement projects.
Maintain time and attendance records. Approve biweekly payroll in the STAR system.
Develop appropriate quality control processes to monitor MSA coordinators effectiveness and productivity.
Participate in performance review process annually. Assist coordinators with developing attainable goals and identifying learning needs.
5. Provide administrative support to Sr. Director
Provide support for periodic projects as necessary.
Assist Sr. Director in preparing for regulatory agency site visits and surveys.
Coordinate annual review of Medical Staff Affairs Office Policy and Procedures Manual.
Develop credentialing and privileging operational procedures
Advise Sr. Director of licensure or accreditation issues.
Assist in the implementation of quality improvement projects as assigned.
Provide support for BOT expedited credentialing committee

Education Qualifications
High School Diploma / GED Required
Bachelors Degree Preferred

Experience Qualifications
At least five (5) years medical staff credentialing experience. Required
At least one (1) year lead, supervisory or management experience. Required
At least ten (10) years medical staff credentialing management experience Preferred
At least three (3) years lead, supervisory or management experience. Preferred

Skills and Abilities
Intermediate proficiency with office software (Microsoft Office) including word processing, spreadsheet, presentation and database software (Word, Excel, PowerPoint, Access)
Intermediate proficiency with credentialing database software.
Excellent verbal and written communications skills.
Strong organizational skills.
Ability to handle confidential materials and matters.
Ability to handle multiple tasks and projects simultaneously.

Licenses and Certifications
Certified Provider Credentialing Specialist (CPCS) – National Association Medical Staff Services – within 24 months – Required or
Certified Professional Medical Services Management (CPMSM) – National Association Medical Staff Services – within 24 months – Required

To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must be fully vaccinated against COVID-19 and receive an annual influenza vaccine. Learn more.

Employees may request exemptions for valid religious and medical reasons. Start dates may be delayed until candidates are immunized or exemption requests are reviewed.

EEO / VEVRAA Federal Contractor |  Tobacco Statement

Childrens Hospital of Philadelphia is an equal opportunity employer. We do not discriminate on the basis of race, color, gender, gender identity, sexual orientation, age, religion, national or ethnic origin, disability or protected veteran status.

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