JOB DESCRIPTION
Your experience matters
The Director of Medical Staff Services oversees medical staff credentialing, privileging, committee governance, and bylaws administration to ensure compliance with healthcare regulations and accreditation standards. This role provides strategic leadership to departmental staff and collaborates with hospital executives and physician leaders to maintain effective medical staff operations, support quality and patient safety, and advance organizational objectives. As the Director, Medical Staffjoining our team, youre embracing a vital mission dedicated to making communities healthier. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.
How youll contribute
As the Director, Medical Staff, you will excel in this role by:
- Credentialing & Privileging: Directs all medical staff credentialing, appointment, reappointment, recredentialing, and privileging processes for physicians and advanced practice providers, ensuring timely processing, thorough verification, and compliance with established standards.
- Medical Staff Governance & Bylaws: Oversees the administration, interpretation, maintenance, and revision of medical staff bylaws, rules and regulations, and related policies in collaboration with medical staff leadership and hospital administration.
- Medical Staff Committee Oversight: Coordinates and oversees medical staff committee operations, including the Medical Executive Committee, agenda preparation, meeting documentation, minutes, action tracking, and governance processes to ensure effective decision-making and compliance with established requirements.
- Practitioner Performance Monitoring: Oversees Focused Professional Practice Evaluation (FPPE) and Ongoing Professional Practice Evaluation (OPPE) processes in collaboration with medical staff leadership to support practitioner competency assessment, appropriate documentation, and ongoing quality of care.
- Regulatory Compliance & Accreditation Readiness: Ensures medical staff services comply with applicable CMS Conditions of Participation, accreditation standards, state and federal regulations, and organizational policies; maintains survey readiness and coordinates audits, corrective actions, and regulatory documentation.
- Medical Staff Records, Confidentiality & Data Integrity: Ensures the accuracy, integrity, security, and confidentiality of credentialing files, privileging records, committee documentation, peer review materials, and other sensitive information in accordance with applicable legal and regulatory requirements.
- Departmental Leadership & Operational Excellence: Directs daily departmental operations, establishes performance metrics, monitors credentialing turnaround times and quality, leads process improvement initiatives, oversees credentialing technology, and manages staffing, training, performance evaluations, and professional development.
- System-Wide Coordination & Resource Management: Partners with hospital executives, medical staff leaders, clinical departments, compliance, and legal counsel to standardize processes across facilities, resolve complex issues, manage departmental budgets and resources, and advance organizational objectives.
Schedule: Full-Time, Days
Why join us
We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:
- Comprehensive Benefits:Multiple levels of medical, dental and vision coverage for full-time andpart-time employees.
- Financial Protection & PTO:Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
- Financial & Career Growth:Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
- Employee Well-being:Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
- Professional Development:Ongoing learning and career advancement opportunities.
What were looking for
- Education: Bachelors degree in a related field preferred; equivalent applicable work experience may be considered in lieu of education.
- Relevant Experience: Demonstrated experience in medical staff services, credentialing, privileging, and medical staff administration within a hospital or healthcare system
- Regulatory Knowledge: Comprehensive understanding of healthcare regulations, accreditation standards, CMS Conditions of Participation, HIPAA, and medical staff compliance requirements.
- Medical Staff Governance: Strong knowledge of medical staff bylaws, rules and regulations, committee structures, appointment processes, and privileging requirements.
- Leadership & Staff Development: Proven ability to lead, develop, and evaluate staff, manage departmental operations, establish priorities, and drive performance improvement.
- Communication & Collaboration: Excellent interpersonal and communication skills, with the ability to collaborate effectively with physicians, medical staff leaders, hospital executives, and cross-functional departments.
- Analytical & Organizational Skills: Strong problem-solving, project management, and organizational skills, with the ability to manage complex workflows, maintain accurate documentation, monitor performance metrics, and oversee multiple priorities simultaneously.
More about Wilson Medical Center
Wilson Medical Center is committed to always providing excellent care to our community. Our 294-bed facility provides services to residents of Wilson County and surrounding communities.Our commitment to high-quality healthcare is strong. We bring new and innovative programs to those who matter the most - our community.Accredited by The Joint Commission, we offer services including cancer care, cardiac care, orthopedics, imaging, surgical services and many more.
