Mgr Medical Staff Services

Baylor Scott & White Health; Frisco (TX); On-site; USD 75,000 - 95,000; Full time

Benefits offered by this job

401(k) savings plan with dollar-for-dollar match up to 5%

Tuition Reimbursement

PTO accrual beginning Day 1

Job summary

Direct Jobs is looking for a Manager of Medical Staff Services in Frisco, Texas. This role involves overseeing functions like credentialing and ensuring compliance with relevant standards. You will serve as a liaison between Medical Staff and Administration, while also integrating services throughout the health system.

The ideal candidate has at least five years of medical services experience and a strong knowledge of medical laws and regulations. Responsibilities include maintaining credentialing processes and overseeing the departmental budget. Join us and help support the mission of quality healthcare.

Qualifications

• Must have at least 5 years of medical services experience.
• Exceptional knowledge of Joint Commission standards and CMS regulations.
• Must have prior experience processing credentials files.

Responsibilities

• Oversee Medical Staff functions including credentialing.
• Ensure compliance with regulatory standards and policies.
• Recruit and maintain departmental staff.

Skills

Knowledge of bylaws, rules and regulations

Budget preparation

Credentials processing

Experience in Managed Care

Education

Bachelor's degree or equivalent work experience

Job description

Benefits

Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:

• Immediate eligibility for health and welfare benefits
• 401(k) savings plan with dollar-for-dollar match up to 5%
• Tuition Reimbursement
• PTO accrual beginning Day 1

Note: Benefits may vary based upon position type and/or level.

Job Summary

The Manager of Medical Staff Services oversees Medical Staff functions. This includes credentialing and privileging physicians and Allied Health Professionals. The role ensures compliance with regulatory standards, bylaws, rules, and medical staff policies. This position acts as the main liaison between the Medical Staff and Administration. It also aids in integrating Medical Staff Services across Baylor Scott & White Health.

Essential Functions of the Role

• Direct help from the Chief Medical Officer, Medical Staff Officers, Department Chairs, Chair of Credentials Committee, and Medical Executive Committee.
• Maintain accurate, verifiable and secure credentialing information for physicians and allied health professionals.
• Maintain bylaws, Rules and Regulations, medical staff policies, privilege cards etc.
• Accountable for regulatory compliance with all State and Federal regulatory agencies as it pertains to Medical Staff Services.
• Develop and/or help the development of the budget and operates the department within Baylor Scott & White Health.
• Recruit and maintain the staff necessary to carry out the functions of the department.
• Maintain a long-range plan for the on-going operation of the department consistent with system goals and targets.
• Work cooperatively with peers to further integrate Medical Staff Services across Baylor Scott & White Health.
• Attend Medical Executive Committee, Credentials Committee, Department Meetings and other key meetings as required.
• Accountable for all other activities that may be defined.

Key Success Factors

• Know how to prepare and maintain a budget. Be comfortable working with Medical Staff administrators on complex issues like behaviors and quality.
• High level of knowledge of bylaws, rules and regulations, medical staff policies, privilege cards, etc.
• Must have at least 5 years of medical services experience. This includes Managed Care, Physicians Organizations, Ambulatory Care, or hospital.
• Must have prior experience processing credentials files and utilizing a credentialing database.
• Should have exceptional knowledge of the Joint Commission standards and CMS regulations.
• Must have prior experience helping Medical Staff Leadership and Chief Medical Officers with meetings, minutes, etc.

QUALIFICATIONS

• EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
• EXPERIENCE - 5 Years of Experience
• CERTIFICATION/LICENSE/REGISTRATION - Cert Provider Credentialing Spec (CPCS), Cert Prof Medical Services Mgr (CPMSM): Must have CPCS or CPMSM within two years of hire.