Privileging Team Lead

Mountain Park Health Center; Phoenix (AZ); On-site; USD 75,000 - 95,000; Full time

Job summary

A healthcare organization in Phoenix is seeking a Privileging Team Lead to oversee Privileging processes and manage the team. This role requires a minimum of six years in medical services, particularly in Privileging or Credentialing. A Bachelor's degree in human resources or related field is mandatory, with preference for CPCS or CPMSM certification. The ideal candidate will provide mentorship, manage compliance, verify credentials, and improve operational efficiencies while ensuring data integrity.

Qualifications

• Bachelor's degree in human resources or related field is required.
• Six years of experience in medical services, Privileging, or Credentialing is essential.
• CPCS or CPMSM certification is preferred.

Responsibilities

• Provide direction and mentoring for the Privileging team.
• Manage projects related to Privileging system applications.
• Conduct impact analysis and ensure compliance with laws.
• Verify and document expirables for compliance.

Skills

Privileging expertise

Project management

Data analytics

Compliance knowledge

Team leadership

Education

Bachelor's degree in human resources or related field

Job description

The Privileging Team Lead is a functional subject matter expert for the Mountain Parks Privileging processes. The Privileging processes and applications include CredentialStream, Kronos (HR System), as well as various sites, organizations, and resources. This role will develop new and innovative ways to automate Privileging functions, processes, data analytics, and reporting needs to gain efficiencies while maintaining compliance with HRSA, The Joint Commission, and other governmental requirements both Federal and State.

This is a lead position responsible for the supervision of Privileging Coordinator and the Privileging Systems Coordinator providing process support, analysis of data, communication, and coordination with End Users and key stakeholders.

ESSENTIAL FUNCTIONS:

• Provides direction, expertise, and mentoring for the Privileging team in the areas of Privileging, Reprivileging, license maintenance and compliance.
• Manages projects of all changes to the Privileging system applications (CredentialStream); determines time estimates for completing projects.
• Conducts impact analysis of business requirements in the system and ensures compliance with all applicable credentialing agencies, state and federal laws.
• Recognizes, investigates, and validates discrepancies and adverse information obtained from the application, primary source verifications, or other sources.
• Verifies and documents expirables using acceptable verification sources to ensure compliance with accreditation and regulatory standard.
• Complies with internal and external requirements related to verifying the status of all practitioner/provider expirables (e.g., licenses, certifications) by querying approved sources and recommending action(s) to ensure compliance.
• Acts as the subject matter expert for Privileging processes and the Privileging application with users, ensuring compliance, data integrity, and identifying overall needs.
• Oversees the creation and maintenance of training materials, user procedures, and documentation (test plans, design documents, etc.) for the end users.
• Maintains regular and predictable attendance.
• Performs other duties as required.

POSITION QUALIFICATIONS:

Minimum Qualifications

• Bachelor's degree in human resources or related field.
• Six (6) years of experience in medical services field such as Privileging and/or Credentialing.

Preferred Qualifications

• CPCS or CPMSM certification
• Two (2) or more years of supervisory experience