Medical Staff Systems & Data Governance Manager

10 HOSP Ann & Robert H. Lurie Children's Hospital of Chicago; Chicago (IL); On-site; USD 94,000 - 154,000; Full time

Benefits offered by this job

Medical, dental and vision insurance

403(b) with 5% employer match

Paid Time Off and Holidays

Tuition assistance

Employee Assistance Program

Job summary

Ann & Robert H. Lurie Children’s Hospital of Chicago is seeking a Medical Staff Systems & Data Governance Manager to oversee credentialing, provider lifecycle, and GME software platforms.

The role ensures compliant workflows, documentation, and data governance across the Medical Staff Office, Enrollment, Peer Review, and GME programs. The position acts as SME and system administrator, aligning with TJC, NCQA, CMS Conditions of Participation, and ACGME standards, and partners with IT and vendors

Qualifications

• Bachelor’s degree in Healthcare Administration, HIM, Business, or Information Systems preferred.
• Minimum five years of experience in medical staff services, credentialing, provider enrollment, peer review, GME, or healthcare operations.
• CPCS certification strongly preferred as demonstration of advanced credentialing knowledge.

Responsibilities

• Serve as primary system administrator for credentialing, provider lifecycle management, peer review, payer enrollment, and GME platforms.
• Design, configure and maintain system architecture and workflows for credentialing, privileging, reappointment, enrollment and resident/fellow lifecycle processes.
• Manage system security, access controls, audit trails, and regulatory compliance.
• Provide system training for staff to ensure consistent utilization and accurate data entry.
• Coordinate system enhancements, upgrades, and testing with IT and external vendors.

Skills

System administration

Regulatory compliance

Data governance

Workflow design

Vendor coordination

Education

Bachelor’s degree in Healthcare Administration

CPCS certification

Tools

Credentialing software

Job description

Ann & Robert H. Lurie Children’s Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do.

Job Description

Location Olympia Center

General Summary of Position Responsibility

The Medical Staff Systems & Data Governance Manager is a non-supervisory, individual contributor responsible for the strategic administration, governance, optimization, and integrity of the organization’s medical staff, credentialing, enrollment, peer review, and Graduate Medical Education (GME) software systems. This position serves as the subject matter expert (SME) and system administrator for provider lifecycle management technology, ensuring alignment with regulatory and accreditation standards including The Joint Commission (TJC), NCQA, CMS Conditions of Participation, and ACGME requirements. The role ensures system workflows, documentation, reporting, and data governance processes support compliance, operational excellence, and accreditation readiness across the Medical Staff Office, Enrollment Department, Peer Review, and Graduate Medical Education programs.

Essential Job Functions

• Serve as primary system administrator for credentialing, provider lifecycle management, peer review, payer enrollment, and graduate medical education (GME) management platforms.
• Design, configure, and maintain system architecture and standardized electronic workflows supporting credentialing, privileging, reappointment, payer enrollment, performance review, and resident/fellow lifecycle processes, including development and maintenance of system documentation, configuration standards, and workflow procedures.
• Manage system security and access controls, including user roles, permissions, audit trails and system controls to ensure compliance with organizational and regulatory standards.
• Provide system and workflow training for departmental staff to ensure consistent system utilization, adherence to standardized electronic workflows, and accurate data entry across provider lifecycle processes.
• Coordinate and lead system enhancements, upgrades, and testing in partnership with internal Information Systems/IT teams and external vendors to ensure system performance, security, and alignment with operational and regulatory requirements.
• Establish and oversee enterprise provider data governance standards, ensuring accuracy, completeness, and consistency of credentialing, enrollment, peer review, and GME data.
• Conduct routine data audits and reconciliation activities and maintain documentation demonstrating internal controls and regulatory compliance.
• Ensure systems and processes support compliance with regulatory and accreditation standards, including The Joint Commission, NCQA, CMS Conditions of Participation, and ACGME requirements.
• Develop and deliver standard and ad hoc reporting and analytics, including reporting related to OPPE/FPPE monitoring, reappointment cycles, NCQA timelines, ACGME documentation, and executive leadership dashboards.
• Collaborate with operational and program leadership to improve system utilization, identify automation opportunities, reduce manual processes, and enhance compliance and operational efficiency.
• Other job functions as assigned.

Knowledge, Skills and Abilities

• Bachelor’s degree in Healthcare Administration, Health Information Management, Business, Information Systems, or related field preferred.
• Equivalent experience in medical staff systems administration, credentialing operations, data governance, and regulatory compliance will be strongly considered.
• Minimum five (5) years of experience in medical staff services, credentialing, provider enrollment, peer review, GME, or healthcare operations.
• In-depth knowledge of medical staff credentialing, privileging, reappointment, and provider enrollment processes across the provider lifecycle.
• CPCS certification strongly preferred as demonstration of advanced knowledge and expertise in credentialing standards and practices.
• Demonstrated experience administering credentialing or provider management systems, including system configuration, workflow design, reporting and vendor coordination.
• Advanced ability to analyze provider data, conduct audits, ensure data integrity, and develop reports supporting operational, compliance, and leadership needs.
• Ability to design efficient workflows, identify automation opportunities, and improve operational processes through effective system utilization.
• Strong written and verbal communication skills with the ability to collaborate effectively across departments and serve as a subject matter expert supporting operational leaders and accreditation activities.

Education Pay Range

$93,600.00-$154,440.00 Salary At Lurie Children’s, we are committed to competitive and fair compensation aligned with market rates and internal equity, reflecting individual contributions, experience, and expertise. The pay range for this job indicates minimum and maximum targets for the position. Ranges are regularly reviewed to stay aligned with market conditions. In addition to base salary, Lurie Children’s offer a comprehensive rewards package that may include differentials for some hourly employees, leadership incentives for select roles, health and retirement benefits, and wellbeing programs. For more details on other compensation, consult your recruiter.

Benefit Statement

• Medical, dental and vision insurance
• Employer paid group term life and disability
• Employer contribution toward Health Savings Account
• Flexible Spending Accounts
• Paid Time Off (PTO), Paid Holidays and Paid Parental Leave
• 403(b) with a 5% employer match
• Various voluntary benefits: Supplemental Life, AD&D and Disability
• Critical Illness, Accident and Hospital Indemnity coverage
• Tuition assistance
• Student loan servicing and support
• Adoption benefits
• Backup Childcare and Eldercare
• Employee Assistance Program, and other specialized behavioral health services and resources for employees and family members
• Discount on services at Lurie Children’s facilities
• Discount purchasing program

There’s a Place for You with Us

At Ann & Robert H. Lurie Children’s Hospital of Chicago and its affiliates (collectively “Lurie Children’s”), we embrace and celebrate diversity and equity in a serious way. We are committed to building a team with a variety of backgrounds, skills, and viewpoints — recognizing that diverse identities strengthen our workplace and the care we can provide to the Chicago community and beyond. We treat everyone fairly, appreciate differences, and make meaningful connections that foster belonging and allyship. This is a place where you can be your best, so we can give our best to the patients and families who trust us with their care.

Lurie Children’s and its affiliates are equal employment opportunity employers. We value diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity or expression, religion, national origin, ancestry, age, disability, marital status, pregnancy, protected veteran status, order of protection status, protected genetic information, or any other characteristic protected by law.

For questions about how to request an accommodation please contact: [e-mail]

AI Notice

Lurie Children’s utilizes certain AI-enabled features within our recruiting platform to support candidate engagement and assist recruiters in identifying and prioritizing applicants whose experience aligns with job requirements. All employment decisions are made by individuals. It is a civil rights violation with respect to recruitment, hiring, promotion, or employment for an employer to use artificial intelligence that has the effect of subjecting employees to discrimination on the basis of protected classes under the Illinois Human Rights Act or to use zip codes as a proxy for protected classes. For questions about the use of artificial intelligence in this process or any additional support, please contact: [e-mail]

Ann & Robert H. Lurie Children’s Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do.