Director, Medical Staff Services & Compliance

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

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