This position is incentive eligible.
Introduction
We are seeking a Medical Staff Services Market Director with TriStar Health to promote growth and unlock possibilities. At HCA Healthcare, we are committed to the care and improvement of human life. Share your leadership skills and come make a difference with us!
Benefits
TriStar Health offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
Free counseling services and resources for emotional, physical and financial wellbeing
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
Employee Stock Purchase Plan with 10% off HCA Healthcare stock
Family support through fertility and family building benefits with Progyny and adoption assistance.
Referral services for child, elder and pet care, home and auto repair, event planning and more
Consumer discounts through Abenity and Consumer Discounts
Retirement readiness, rollover assistance services and preferred banking partnerships
Education assistance (tuition, student loan, certification support, dependent scholarships)
Colleague recognition program
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)
Note: Eligibility for benefits may vary by location.
We are seeking a Medical Staff Services Market Director for our team to be an innovator. HCA Healthcare partners with Harvard Pilgrim Institute and the CDC to use our data from more than 26 million patient encounters each year to impact the industry. Come build your career with us!
Job Summary and Qualifications
The Market Director of Medical Staff Services is responsible for the implementation and compliance with credentialing initiatives/processes at assigned facilities. The incumbent is expected to maintain a working knowledge of applicable HCA Healthcare and Parallon Credentialing Processing Center (CPC) policies, accreditation standards and regulations associated with medical staff services, and play a key role in the integration of HCA Clinical Strategies and HCA systems.
What you will do in this role:
Provide management, support and guidance to facility and medical staff leadership.
Create a collaborative team environment with an open communication culture.
Take ownership by being decisive, problem solving, and abstaining from blame.
Identify opportunities for change, drive change, and promote solutions.
Be open to provide and receive objective feedback.
Create strategic partnerships and collaborate facility stakeholders.
Oversee management of facility Medical Staff Services operations.
Develop self to be the facility subject matter expert on all things Medical Staff Services.
Be the face of the facility MSO by attending scheduled medical staff meetings and facility meetings, being available for providers who stop by the MSO with questions and interacting with medical staff on a regular basis.
Manage correspondence between facility and medical staff members, not related to credentialing matters.
Act as back up to the executive assistant for the official emergency call schedule and records for call compensation payments.
Ensure medical staff accountant has what is needed to coordinate the collection and handling of medical staff dues and other fees in accordance with Ethics & Compliance Policy.
Develop, maintain, and distribute medical staff governance documents (i.e. bylaws, rules & regulations, policies) and implement annual review process.
Ensure current Medical Staff Bylaws, Credentials Policy, Organization Manual, and other pertinent medical staff policies are current on the facility intranet and external website.
Disseminate facility, division, and/or corporate policies to medical staff leadership for review and approval.
Manage requests for medical staff observers, in accordance to policy.
Manage requests for APP students, in accordance to policy.
Facilitate Medical Staff department and meetings (develop agendas, maintain meeting minutes, coordinate follow-up).
Participate in facility FECC meetings - quarterly.
Participate in facility Professional Practice Evaluation Committee meetings - as needed.
Participate in facility referral panel meetings - monthly.
Support and manage up the division centralized credentialing model.
Serve as a liaison between facility administration and division credentialing team, communicating facility priorities.
In partnership with CPC and Division credentialing team, communicate with providers and delegates to obtain missing or incomplete information.
Analyze any available internal data and information for an assessment of qualifications and competencies for each RRFC to include in reappointment applications for facility review.
Utilize "paper-lite" procedures to prepare applications (RFC, RRFC, RFINCP) for facility review.
Monitor provider requests for changes of status, adding to appropriate credentialing reports, forwarding to Credentials Committee (CC), Medical Executive Committee (MEC), and Board of Trustees (BOT).
Facilitate review, assessment, and authenticated documentation of an evaluation of each application and request for clinical privileges by the department/section chair.
Facilitate review, assessment and recommendations for each application and request for clinical privileges by the CC and MEC.
Forward MEC recommendations to the Board of Trustees for approval.
Forward BOT approvals to Division credentialing team to perform facility post-BOT processes.
Verify applicant identity in accordance (referring to MSS-004).
In partnership with CPC and Division credentialing team, actively manage each provider's expiring credentials in accordance with CPC-36 and MSS-003.
Monitor iResponse records in accordance to HCA Information Sharing Policy.
Facilitate development of eligibility criteria for each clinical privilege or grouping of clinical privileges that require the same qualifications and competencies.
Assess the applicability and appropriateness of clinical privileges for each specialty through periodic review.
Facilitate any required regulatory agency reporting of adverse actions taken against a practitioner's medical staff membership or clinical privileges, as directed by division and facility leadership.
Participate in new provider onboarding, in partnership with other key stakeholders.
Facilitate annual orientation for new Medical Staff leaders, committee members and governing body.
Provide annual education to administrators and department directors regarding CPC operations and MSSD operations, and privileging (including temporary and disaster privileging).
Manage and monitor provider annual education requirements related to credentialing and privileging.
Develop self to serve as the facility subject matter expert regarding relevant accreditation and regulatory requirements related to the medical staff.
Notify the CPC, Division and corporate teams of any upcoming or ongoing surveys relative to credentialing, privileging and PPE/peer review activities and functions.
Coordinate accreditation, regulatory, and any internal surveys relative to credentialing, privileging and peer review activities and functions.
Respond to any accreditation and regulatory compliance citations or deficiencies by developing and implementing corrective action plans.
Partner with facility stakeholders, such as administration, department directors, quality, operating room staff, continually audit internal processes and databases to ensure providers are appropriately privileged for the services they are providing within the facility.
Coordinate with the facility's quality department to facilitate focused professional practice evaluation (FPPE), and any related evaluation at the conclusion of FPPE or a period of provisional status.
Coordinate with the facility's quality department to facilitate ongoing professional practice evaluation (OPPE).
Coordinate with facility leadership in the conduct of internal and external peer reviews.
Complete a summary of FPPE, OPPE, and peer review results for evaluation by medical staff leaders as part of the R-RFC process, and ongoing as required by policy.
Monitor and process concerns related to medical staff professional conduct, in accordance to Medical Staff Professionalism Policy.
Monitor and process concerns related to medical staff health issues, in accordance to Practitioner Health Policy.
Partner with Ethics & Compliance Officer, ensure tokens of appreciation and gifts provided to members of the medical staff are appropriately logged on the Business Courtesy Log, in accordance with Ethics & Compliance Policies LL.022, EC.005, EC.006, and EC.008
In accordance with Ethics & Compliance Policy EC.023, and in coordination with the facility's ECO, submit a Reportable Issue report for any instances of a practitioner providing patient care within the facility without a legally required credential (e.g., license, DEA), or while under a Federal or state sanction, or without having current, approved clinical privileges.
Routinely monitor pertinent Ethics & Compliance Policies and Procedures.\
Manage and maintain the NPDB account as the Data Bank Administrator.
In collaboration with the facility's Operations Counsel and appropriate facility leaders, submit reports to the NPDB as required by Federal law.
Manage and respond to any requests for information made as the result of a NPDB report.
Coordinate the completion of the NPDB's Attestation by the facility's Attesting Official at the time of renewal of the facility's registration with NPDB.
What qualifications you will need:
Bachelor's degree in healthcare management, business, or related field of study or combination of 10 years of experience and certification required.
Certified Professional Medical Services Management (CPMSM) and/or Certified Provider Credentialing Specialist (CPCS) required within 2 years of hire.
5 years of credentialing experience in an acute care hospital or CVO setting required.
2 years supervisory/management experience required.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
Join our family of over 180 hospitals and about 2,000 sites of care to drive excellence and raise the bar for our over 35 million annual patient encounters.
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
