Director, Medical Staff

Wilson Medical Center; Wilson (NC); On-site; USD 140,000 - 200,000; Full time

Benefits offered by this job

Comprehensive Benefits

Tuition assistance

Loan assistance

401(k) retirement with company match

Paid time off

Job summary

Wilson Medical Center in Wilson, NC, part of Lifepoint Health, seeks a strategic Director of Medical Staff Services to lead credentialing, privileging, bylaws governance, and FPPE/OPPE programs. This executive collaborates with physicians, hospital leaders, and compliance teams to ensure CMS COP adherence, quality, and patient safety across the medical staff operations.

The role drives safety, documentation integrity, and process improvements while aligning with the hospital’s mission of

Qualifications

• Experience in medical staff services, credentialing within a hospital or healthcare system.
• Strong knowledge of medical staff bylaws, rules and regulations.
• Understanding of CMS Conditions of Participation and accreditation standards.
• Ability to lead, develop, and evaluate staff and drive performance improvement.
• Excellent interpersonal and collaboration skills with physicians and hospital leaders.

Responsibilities

• Credentialing & Privileging: Directs all medical staff credentialing, appointment, reappointment, recredentialing, and privileging processes for physicians and advanced practice providers, ensuring timely processing, thorough verification, and compliance with established standards.
• Medical Staff Governance & Bylaws: Oversees the administration, interpretation, maintenance, and revision of medical staff bylaws, rules and regulations, and related policies in collaboration with medical staff leadership and hospital administration.
• Medical Staff Committee Oversight: Coordinates and oversees medical staff committee operations, including the Medical Executive Committee, agenda preparation, meeting documentation, minutes, action tracking, and governance processes to ensure effective decision-making and compliance with established requirements.
• Practitioner Performance Monitoring: Oversees FPPE and OPPE processes in collaboration with medical staff leadership to support practitioner competency assessment, appropriate documentation, and ongoing quality of care.
• Regulatory Compliance & Accreditation Readiness: Ensures medical staff services comply with CMS COP, accreditation standards, state and federal regulations, and organizational policies; maintains survey readiness and coordinates audits, corrective actions, and regulatory documentation.
• Medical Staff Records, Confidentiality & Data Integrity: Ensures the accuracy, integrity, security, and confidentiality of credentialing files, privileging records, committee documentation, peer review materials, and other sensitive information in accordance with applicable legal and regulatory requirements.
• Departmental Leadership & Operational Excellence: Directs daily departmental operations, establishes performance metrics, monitors credentialing turnaround times and quality, leads process improvement initiatives, oversees credentialing technology, and manages staffing, training, performance evaluations, and professional development.
• System-Wide Coordination & Resource Management: Partners with hospital executives, medical staff leaders, clinical departments, compliance, and legal counsel to standardize processes across facilities, resolve complex issues, manage departmental budgets and resources, and advance organizational objectives.

Skills

Leadership

Communication

Regulatory knowledge

Analytical skills

Staff development

Project management

Collaboration

Education

Bachelor's degree or equivalent

Job description

Your Experience Matters Wilson Medical Center is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. The

Your Experience Matters Wilson Medical Center is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. The Director of Medical Staff Services oversees medical staff credentialing, privileging, committee governance, and bylaws administration to ensure compliance with healthcare regulations and accreditation standards. This role provides strategic leadership to departmental staff and collaborates with hospital executives and physician leaders to maintain effective medical staff operations, support quality and patient safety, and advance organizational objectives. As the Director, Medical Staff joining our team, you're embracing a vital mission dedicated to making communities healthier. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.
More About Our Team At Wilson Medical Center, people are at the heart of everything we do. We are committed to providing excellent, compassionate, high-quality care to our community while fostering an environment where our team members are valued for their skills, dedication, and the unique contributions they bring to healthcare. For more than 55 years, our 294-bed facility has proudly served the residents of Wilson County and surrounding communities, offering a comprehensive range of services, including orthopedics, cardiology, general surgery, women's care, emergency medicine, imaging, and much more. Our commitment to meeting the diverse needs of our community extends beyond the hospital through our nine multispecialty physician clinics, wound center, radiation oncology center, outpatient imaging center, rehabilitation and nursing care center, and five-star day care. At Wilson Medical Center, we take pride in working together to make a meaningful difference in the lives of those we serve, continually striving to deliver exceptional care and support the health and well-being of our community.

How You'll Contribute As the Director, Medical Staff, you will excel in this role by:

• Credentialing & Privileging: Directs all medical staff credentialing, appointment, reappointment, recredentialing, and privileging processes for physicians and advanced practice providers, ensuring timely processing, thorough verification, and compliance with established standards.
• Medical Staff Governance & Bylaws: Oversees the administration, interpretation, maintenance, and revision of medical staff bylaws, rules and regulations, and related policies in collaboration with medical staff leadership and hospital administration.
• Medical Staff Committee Oversight: Coordinates and oversees medical staff committee operations, including the Medical Executive Committee, agenda preparation, meeting documentation, minutes, action tracking, and governance processes to ensure effective decision-making and compliance with established requirements.
• Practitioner Performance Monitoring: Oversees Focused Professional Practice Evaluation (FPPE) and Ongoing Professional Practice Evaluation (OPPE) processes in collaboration with medical staff leadership to support practitioner competency assessment, appropriate documentation, and ongoing quality of care.
• Regulatory Compliance & Accreditation Readiness: Ensures medical staff services comply with applicable CMS Conditions of Participation, accreditation standards, state and federal regulations, and organizational policies; maintains survey readiness and coordinates audits, corrective actions, and regulatory documentation.
• Medical Staff Records, Confidentiality & Data Integrity: Ensures the accuracy, integrity, security, and confidentiality of credentialing files, privileging records, committee documentation, peer review materials, and other sensitive information in accordance with applicable legal and regulatory requirements.
• Departmental Leadership & Operational Excellence: Directs daily departmental operations, establishes performance metrics, monitors credentialing turnaround times and quality, leads process improvement initiatives, oversees credentialing technology, and manages staffing, training, performance evaluations, and professional development.
• System-Wide Coordination & Resource Management: Partners with hospital executives, medical staff leaders, clinical departments, compliance, and legal counsel to standardize processes across facilities, resolve complex issues, manage departmental budgets and resources, and advance organizational objectives.

Schedule: Full-Time, Days

Why join us We Believe That Investing In Our Employees Is The First Step To Providing Excellent Patient Care. In Addition To Your Base Compensation, This Position Also Offers

• Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
• Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
• Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
• Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
• Professional Development: Ongoing learning and career advancement opportunities.

What We're Looking For

• Education: Bachelor's degree in a related field preferred; equivalent applicable work experience may be considered in lieu of education.
• Relevant Experience: Demonstrated experience in medical staff services, credentialing, privileging, and medical staff administration within a hospital or healthcare system
• Regulatory Knowledge: Comprehensive understanding of healthcare regulations, accreditation standards, CMS Conditions of Participation, HIPAA, and medical staff compliance requirements.
• Medical Staff Governance: Strong knowledge of medical staff bylaws, rules and regulations, committee structures, appointment processes, and privileging requirements.
• Leadership & Staff Development: Proven ability to lead, develop, and evaluate staff, manage departmental operations, establish priorities, and drive performance improvement.
• Communication & Collaboration: Excellent interpersonal and communication skills, with the ability to collaborate effectively with physicians, medical staff leaders, hospital executives, and cross-functional departments.
• Analytical & Organizational Skills: Strong problem-solving, project management, and organizational skills, with the ability to manage complex workflows, maintain accurate documentation, monitor performance metrics, and oversee multiple priorities simultaneously.

More About Wilson Medical Center Wilson Medical Center is committed to always providing excellent care to our community. Our 294-bed facility provides services to residents of Wilson County and surrounding communities. Our commitment to high-quality healthcare is strong. We bring new and innovative programs to those who matter the most - our community. Accredited by The Joint Commission, we offer services including cancer care, cardiac care, orthopedics, imaging, surgical services and many more.

EEOC Statement "Wilson Medical Center is an Equal Opportunity Employer. Wilson Regional Medical is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."

Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.