Supervisor, Medical Staff Credentialing

10100 Children's Hospital; United States; On-site; USD 64,000 - 107,000; Full time

Job summary

10100 Children's Hospital is seeking a Medical Staff Supervisor to oversee credentialing and privileging for the Medical Staff Department within the CVO. You will supervise the credentialing team, ensuring data integrity and timely completion of processes, while aligning with payer requirements and regulatory standards.

The role requires a Bachelor's degree, CPCS/CPMSM credentials, and 3+ years of credentialing experience, with preference for a Master's degree.

Qualifications

• Bachelor's degree required; relevant experience may substitute on a 1-to-1 ratio.
• 3+ years credentialing experience required.
• CPCS and CPMSM credentials required.

Responsibilities

• Supervise day-to-day credentialing services staff.
• Ensure timely processing of appointments and reappointments.
• Maintain compliance with Medical Staff Bylaws and accreditation standards.
• Develop automated processes in ECHO for tracking licensure.
• Provide onboarding support to new medical staff.

Skills

Communication skills

Credentialing knowledge

Accreditation standards knowledge

Education

Bachelor's degree

Master's degree (Preferred)

Tools

ECHO Credentialing Data System

Job description

Kids Are Our Everything.

Department 10110 Medical Staff Services Pay Range $64,168.00 - $106,932.80

What You’ll Do:

• The Medical Staff Supervisor is responsible for successfully supervising the organizational and administrative operations of the CVO and all credentialing and privileging of the Medical Staff Department.
• Performs supervisory duties, including training, evaluating, and the day‑to‑day management of the Medical Staff team.
• The Supervisor is accountable for quality and integrity of data entered into systems and monitors administrative activities related to the Medical Staff Office.
• Collaborates with the Director to assign work to team members, assuring timely completion of project milestones and deliverables as appropriate.
• Emphasis is placed on customer services, provider satisfaction, staff development and fiscal goals.
• Supervises and oversees all credentialing services, provides onboarding assistance to the medical staff, assists in the supervision of various information systems used in credentialing functions, and oversees the process for delegated credentialing.

What You’ll Need:

• Minimum Education Bachelor's Degree (Required) or relevant experience beyond the minimum required work experience may substitute the educational requirement on a 1-to-1 ratio i.e. one year of relevant work experience equals one year of required education.
• Master’s Degree (Preferred)
• Minimum Work Experience 3 years of credentialing experience (Required)
• Required Skills/Knowledge Excellent written and verbal communication skills, detailed knowledge of medical staff credentialing. Knowledge of various accreditation standards (JC, NCQA, AAAHC, DOH) and State laws Knowledge of ECHO (or equivalent) Credentialing Data System preferred
• Required Licenses and Certifications Certified Provider Credentialing Specialist CPCS and CPMSM 2 Yrs (Required)

Functional Accountabilities

• Credentialing:
  • Supervises day to day activities of the credentialing services staff.
  • Ensures that processes function smoothly and timely.
  • Develops departmental guidelines to ensure compliance with the Medical Staff Bylaws.
  • Oversees processes and minutes for CC.
  • Provides updated credentials committee actions to managed care for submission to the various payer’s.
  • Handles delegated credentialing audits.
  • Develops responses and action plans as needed.
  • Submits results to manager, medical affairs for the Credentials Committee.
• Program and Service Administration and Implementation:
  • Supervises processing of initial appointments and reappointments.
  • Conducts audits of completed appointments and reappointment applications.
  • Provides education and feedback to staff.
  • Prepares files for credentials committee actions.
  • Develops automated processes in ECHO for appointments and reappointments.
• Compliance:
  • Develops process to ensure that all providers maintain current licensure, health attestations, certifications and insurance certificates.
  • Provides list of providers to be deferred monthly for medical staff action.
  • Develops automated processes in ECHO for tracking licensure, etc. and sending notifications.
• Customer Service:
  • Supervises staff in physician on‑boarding, to include assisting new doctors in application process for obtaining appropriate licensure, as well as medical staff privileges.
  • Develops and applies metrics around time of hire, medical staff application date, licensure application, licenses granted and medical staff privileges approved.
  • Trains staff in customer service activities and maintains high level of customer service.
  • Develops automated processes in ECHO to assist in on‑boarding process.
• Leader Accountabilities:
  • Supervisor Deliver Provide clear and visible team goals and priorities.
  • Manage achievement of team goals and priorities.
  • Provide input on the team budget and operational priorities.
  • Monitor the use of resources and provide guidance to staff.
  • Implement procedures to ensure high safety and quality, and course‑correct as needed.
  • Ensure service excellence in meeting the customer’s needs.
  • Engage Help staff understand the impact of organizational strategies on the team’s work.
  • Provide prompt and clear verbal and written feedback to staff and manage/guide their performance.
  • Establish and maintain a positive working environment.
  • Ensure adherence to organizational regulations.
  • Assist in recruiting talents and developing their capabilities.
  • Support the manager in promoting strong employee engagement.
  • Grow Encourage and