Manager of Medical Staff Services

HCA Healthcare; San Antonio (TX); On-site; USD 95,000 - 125,000; Full time

Benefits offered by this job

Benefits package

Wellbeing support

Paid time off and disability coverage

401(k) plan with match

Tuition and education support

Fertility/community support

Job summary

HCA Healthcare's Methodist Healthcare division in Texas seeks a Manager of Medical Staff Services to oversee credentialing, quality profiles and continuing education, coordinating with Medical Staff leaders and admin teams to ensure data integrity and efficient operations.

You will supervise application processes for membership and clinical privileges, maintain bylaws and governance documents, and guide staff through state and federal requirements and TJC standards to minimize risk and promote

Qualifications

• Bachelor’s degree in Business, Health Care Administration, or related field.
• Three years in hospital/healthcare credentialing or five years with an equivalent background.
• HIPAA and TJC standards knowledge required; experience with data integrity systems.

Responsibilities

• Oversees credentialing and privileging processes for physicians and providers.
• Manages medical staff minutes, quality improvement data and documentation.
• Ensures compliance with federal/state laws and accrediting standards.
• Provides guidance to Medical Staff organizations and hospitals.
• Interprets bylaws and regulations; implements process improvements.
• Plans policies and governance documents for MEC approval.
• Maintains governance documents and ensures regular reviews.

Skills

Advanced computer skills

Legal and regulatory knowledge

Leadership and collaboration

Education

Bachelor’s degree in Business or Health Care Administration

Associate’s degree in Business or Health Care Administration

CPMSM or CPCS certification within 12 months

Job description

Do you want to join an organization that invests in you as a Manager of Medical Staff Services? At Methodist Healthcare, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

Job Summary And Qualifications

Responsible for managing, coordinating and monitoring the medical staff services functions including credentialing, quality management profiles and continuing education as appropriate. Collaborates and coordinates with Medical Staff leaders and administrative representatives. Ensures effective use of resources and staff. Functions as a member of the team to assure optimum performance of the delegation of credentialing and relevant data integrity of applicable information systems databases.

Essential Job Functions

• Develops, implements and evaluates application processes for medical staff membership and clinical privileges for physicians and other health care providers to ensure cost-effectiveness and timelines of services.
• Oversees Medical Staff minutes and quality improvement data/documentation in an effort to limit legal exposures and assure compliance with TJC procedures.
• Maintains knowledge of and ensures adherence to Federal and State regulations and accrediting body standards for issues related to the organized Medical Staff and the credentialing process.
• Provides guidance, and serves as an expert resource to the Medical Staff organizations and Methodist Healthcare System hospitals.
• Interprets Medical Staff Bylaws, applicable laws, State and Federal regulations, and TJC requirements to the Medical Staff. Analyzes processes and recommends and implements changes to improve operations, foster communication, ensure continuity in services provided as well as consistency in documents, policies, and procedures.
• Plans, formulates, and recommends for approval of the MEC the policies, procedures, programs, and other strategies which will further the objectives and requirements of the Medical Staff Office.
• Coordinates and maintains governance documents, such as Medical Staff Bylaws, Rules and Regulations, and related documents, as well as policies and procedures of the Medical Staff Office.
• Assures that there is a review of existing policies and governance documents on a regular basis and recommends changes to the MEC as appropriate.
• Maintains open communication with department on a regular basis and assist peers in ensuring compliance with credentialing and privileging requirements.
• Carries out specific tasks assigned by the MEC, Chief of Staff, and/or Chief Executive Officer.

What qualifications you will need

• Bachelor’s degree in Business, Health Care Administration, or related field and three (3) years increasingly responsible experience in hospital and/or healthcare credentialing; or Associate’s degree in Business, Health Care Administration, or related field and five (5) years in the specific work area included in the essential functions of the job; or Eight (8) years in the specific work area included in the essential functions of the job Working knowledge of state and federal laws relating to due process and provisions of the Health Insurance Portability and Accountability Act of 1996 and TJC standards.
• Basic knowledge of anatomy and physiology, medical terminology and functions of medical staff.
• Advanced computer skills in word processing, spread sheets and databases. Employee completes initial and ongoing training and competencies as defined by service line, facility and department/unit which are specific to the needs of the patient population served (if applicable).
• Preferred: Minimum License, Certificates, or Registrations Required:
• Required: Certified Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) or obtain such within 12 months of hire.

Current and new incumbents hired prior to 07/31/2028 will have until 07/31/2029 to obtain.

Benefits

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn More About Employee Benefits

Note: Eligibility for benefits may vary by location.

HCA Healthcare (Corporate), based in Nashville, Tennessee, supports a variety of corporate roles from business operations to administrative positions. Like our colleagues in any HCA Healthcare hospital, our corporate campus employees enjoy unparalleled resources and opportunities to reach their potential as healthcare leaders and innovators. From market rate compensation to continuing education and career advancement opportunities, every person has a solid foundation for success. Nashville is also home to our Executive Development Program, where exceptional employees are groomed to take on CNO- and COO-level roles in our hospitals. This selective program focuses on ethics, leadership and the financial and clinical knowledge required of professionals at this level of the industry.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.