Medical Staff Services Manager

Salem Hospital; Salem, Northern (OR, KY); Hybrid; USD 110,000 - 140,000; Full time

Job summary

Salem Health's Medical Staff Services Manager leads a specialized team supporting credentialing, privileging, and reappointments across regulatory, accreditation, and governance requirements in a busy hospital setting.

You'll direct day-to-day operations, drive Lean improvements, mentor credentialing professionals, and partner with physicians and leadership to ensure compliant, efficient processes that safeguard patient safety and organizational success.

Qualifications

• Bachelor's degree required.
• Minimum five years of progressively responsible Medical Staff Services or regulatory/compliance experience with at least two years in supervision.
• Experience applying Lean, A3 thinking and data‑driven process improvement.

Responsibilities

• Lead all Medical Staff Services operations related to credentialing, privileging, appointments, reappointments, temporary privileges, and provider enrollment activities.
• Oversee the accurate and timely processing of provider applications and credentialing workflows.
• Serve as SME on credentialing standards, regulatory requirements, accreditation expectations, and medical staff governance.
• Lead a team of Credentialing staff and analysts; drive continuous improvement initiatives.
• Monitor provider data integrity, operational controls, and department performance metrics.

Skills

Regulatory compliance

Lean methodologies

Leadership & coaching

Data analysis

Problem solving

Communication & collaboration

Change management

Education

Bachelor's degree

Tools

A3 thinking

Lean tools

Job description

Location: Salem Hospital, 890 Oak Street SE, Salem, OR 97301
Department: Medical Staff Services
Position Type: Full Time, 40 hours/week, Exempt, Onsite
Schedule: 8:00 am - 4:30 pm, Monday - Friday; must be able to accommodate several monthly 6:30 am meetings

Your role with us

As the Medical Staff Services Manager, you will lead a highly specialized team responsible for supporting the integrity, compliance, and effectiveness of the medical staff credentialing and privileging process. This role sits at the intersection of healthcare operations, regulatory compliance, physician engagement, and process improvement, making it critical to both organizational success and patient safety.

You will oversee the day-to-day operations of Medical Staff Services, ensuring providers are credentialed, privileged, and reappointed accurately, efficiently, and in accordance with complex regulatory, accreditation, and governance requirements. As the department's operational expert, you'll serve as a trusted resource for medical staff leaders, physicians, and organizational stakeholders, helping navigate complex situations, interpret standards, and manage risk.

This is an excellent opportunity for a collaborative and service-oriented leader who enjoys solving complex problems, interpreting regulations, and improving systems. You'll lead a team of credentialing professionals, provide guidance on challenging operational issues, and drive continuous improvement initiatives using Lean principles and structured problem-solving methodologies.

Success in this role requires a leader who combines strong operational discipline with humility, curiosity, and a commitment to partnership. The ideal candidate understands how to build trust, leverage the expertise of their team, and thoughtfully implement improvements that strengthen both processes and culture. You'll have the opportunity to make a meaningful impact by supporting providers, enhancing efficiency, improving compliance, and helping create an environment where teams can thrive.

If you are passionate about regulatory excellence, team development, and continuous improvement, this role offers the opportunity to lead a high-impact function that supports providers, strengthens patient safety, and contributes directly to organizational success.

What you'll do

• Lead all Medical Staff Services operations related to credentialing, privileging, appointments, reappointments, temporary privileges, and provider enrollment activities.
• Oversee the accurate and timely processing of provider applications and credentialing workflows.
• Serve as a subject matter expert on credentialing standards, regulatory requirements, accreditation expectations, and medical staff governance.
• Review complex credentialing matters and provide guidance regarding eligibility, privileges, adverse findings, and risk-related concerns.
• Support professional practice evaluation processes and Medical Staff committee operations, including preparation, coordination, documentation, and follow-up activities.
• Monitor provider data integrity, operational controls, and department performance metrics.
• Identify operational risks, workload concerns, delays, and process gaps, implementing solutions to improve performance and compliance.
• Escalate complex, high-risk, or noncompliant situations to appropriate leadership with well-developed recommendations.
• Lead, coach, develop, and evaluate a team of Medical Staff Coordinators, Credentialing Specialists, Analysts, and other support staff.
• Establish clear performance expectations, accountability standards, and professional development opportunities.
• Manage departmental staffing, workload distribution, technology resources, budgets, and operational priorities.
• Foster a culture of collaboration, respect, customer service, accountability, and continuous improvement.
• Lead the development, execution, and sustainment of departmental Lean initiatives and A3 strategies.
• Use data, root cause analysis, and structured problem-solving methodologies to improve processes, eliminate waste, and drive sustainable results.
• Partner closely with physicians, medical staff leaders, executives, regulatory bodies, and organizational stakeholders to support operational excellence.
• Ensure department readiness for audits, surveys, accreditation reviews, and regulatory assessments.

What we're looking for

• Strong understanding of healthcare regulatory and accreditation requirements and the ability to interpret and apply complex standards within hospital operations.
• Experience managing credentialing, privileging, medical staff services, compliance programs, quality initiatives, or related healthcare operations.
• Demonstrated success leading teams through coaching, performance management, accountability, and professional development.
• Ability to evaluate complex information, identify risks, make sound decisions, and manage competing priorities with accuracy and attention to detail.
• Strong analytical, critical thinking, and problem-solving skills.
• Experience utilizing Lean principles, continuous improvement methodologies, A3 thinking, root cause analysis, and data-driven decision-making.
• Exceptional communication and relationship-building skills, with the ability to collaborate effectively with physicians, executives, medical staff leaders, and operational teams.
• A self-directed learning mindset with the ability to independently research, interpret, and apply regulatory requirements.
• A leadership style grounded in humility, collaboration, curiosity, and service.
• Ability to lead change thoughtfully, build trust with teams, and create an environment where employees feel valued, heard, and engaged.
• Strong organizational and project management skills with the ability to balance strategic priorities and daily operational demands.

Required qualifications

• Bachelor's degree.
• Must meet at least one of these two experience requirements: 1) Minimum five years of progressively responsible Medical Staff Services experience inan acute-care hospital, including credentialing and privileging, with at least two yearsof formal supervisory or management experience; 2)Minimum five years of progressively responsible hospital experience in regulatorycompliance, accreditation, quality, or a closely related area, including regulatoryinterpretation, compliance assessment, corrective or improvement actions, with atleast two years of formal supervisory or management experience.

Total rewards package

Salem Health's comprehensive benefits package prioritizes your mental and physical health, financial stability, family obligations, and professional growth. Click here for details.

Why Salem Health?

Salem Health is a Top Workplace in Oregon, known for fostering a supportive culture where your contributions truly matter. As an award-winning, independent health care system, we serve our region through Salem Hospital, multiple community clinics and West Valley Hospital, ensuring broad access to high-quality care.

We believe in empowering our teams. Through Lean principles, staff help drive innovation and solve real problems. We also invest in your growth with professional development, tuition assistance, and clear career pathways. At Salem Health, you’ll find more than a job, you’ll find purpose, connection, and room to thrive.

Salem Health Hospitals and Clinics is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, genetic information, or any other status or condition protected by law.

Salem Health Hospitals and Clinics is committed to providing access, equal opportunity, and reasonable accommodation for applicants. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact [e-mail].