Director of Medical Staff Credentialing

UHS$90K — $120K *
Hospitals & Medical Centers
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in healthcare or business administration required, or 10+ years of relevant experience considered.
  • Master's degree in health or business administration preferred.
  • CPCS or CPMSM Certification required.
  • Minimum of five years of medical staff credentialing experience mandatory.
  • Proficient with credentialing software databases, preferably MD-Staff.

Responsibilities

  • Lead and manage the Medical Staff Services Department and staff.
  • Oversee credentialing, privileging, reappointment, and peer review for medical staff and allied health professionals.
  • Ensure compliance with hospital bylaws and regulatory standards, including TJC and CMS.
  • Serve as an advisor to executive leadership on credentialing and privileging matters.
  • Maintain an accurate and confidential credentialing database with timely updates.
  • Coordinate with medical staff to update privileging criteria and processes.
  • Support governance functions for medical staff committees and prepare related documentation.

Benefits

  • Health, dental, and vision insurance provided.
  • Retirement savings plan options available.
  • Professional development and continuing education support.
  • Flexible schedule with standard daytime hours.
  • Generous paid time off and holidays.
Full Job Description
Responsibilities

Job Title:

Director of Medical Staff Credentialing

Status:
Full Time
Schedule:

Days

8:00am - 5:00pm,

Monday - Friday

*You will be considered for any openings for which you qualify. It is not necessary to apply to multiple positions.*

Job Overview:

The Director of Medical Staff Credentialing provides strategic leadership and oversight for all aspects of medical staff credentialing, privileging, and reappointment processes. This position ensures compliance will all regulatory, accreditation, and hospital bylaws requirements while maintaining efficient, accurate, and timely credentialing. The Director serves as the key liaison between hospital administration, the medical staff, and external regulatory agencies to support high standards of clinical quality, patient safety, and professional accountability. Always demonstrates Service Excellence. Other duties as assigned.

General Responsibilities:
  • Lead and manage the Medical Staff Services Department, including credentialing specialists and support staff.
  • Oversee all credentialing, privileging, reappointment, and peer review functions for medical staff, allied health professionals, and contract providers.
  • Ensure adherence to hospital bylaws, Joint Commission (TJC), CMS, and state regulatory standards.
  • Serve as a trusted advisor to the CEO, CMO, and Medical Executive Committee on credentialing and privileging matters.
  • Direct and maintain a comprehensive credentialing and privileging database, ensuring accuracy, confidentiality, and timely updates.
  • Oversee initial and reappointment application processing, primary source verification, and ongoing monitoring of practitioner credentials.
  • Coordinate with medical staff leadership to review and update privileging criteria and processes.
  • Develop and maintain policies, procedures, and workflows to support efficient credentialing operations.
  • Maintains current master copy of the Medical Staff Bylaws, Rules and Regulations, and Credentials Manual and has a working knowledge of such.
  • Serve as the liaison between hospital administration, department chairs, and medical staff committees.
  • Facilitate communication between the medical staff and hospital leadership regarding credentialing, privileging, and peer review issues.
  • Support medical staff governance functions, including coordination of Medical Executive Committee and Credentials Committee activities.
  • Prepares monthly meeting Medical Staff calendar.
  • Prepares monthly ER call schedules for multiple specialties.
  • Coordinates physician and Allied Health Professional specific data for Focused Professional Practice Evaluations (FPPE).
  • Performs other duties as assigned.
Required Skills/Abilities:
  • Excellent written and verbal communication skills
  • Computer skills required (Word, Excel, PowerPoint, Outlook).
  • Customer service skills required.
  • Understanding of credentialing and re-credentialing functions. The Joint Commission, State and Federal Regulatory Requirements, and overall knowledge of an organized Medical Staff required.

Qualifications

  • Bachelor's degree in healthcare or business administration is required, or 10+ years of relevant experience may be considered.
  • Master's degree in health or business administration and/or certification by the American College of Medical Practice Executives is preferred.
  • Minimum of five years of medical staff credentialing experience required.
  • CPCS or CPMSM Certification required
  • Knowledge of credentialing software database, preferably MD-Staff.
Please allow two to three business days for the manager to review your application. Thank you for your interest!

About UHS

UHS Careers

Joining UHS presents an unparalleled opportunity to become part of a leading team of healthcare professionals dedicated to making a difference. UHS, known for its commitment to innovation and leadership in the healthcare sector, offers a variety of job opportunities that cater to a diverse range of skills and experiences.

Explore Job Opportunities

UHS is actively hiring and offers a wide array of positions, from clinical roles to administrative support. Each position at UHS is designed to challenge team members while providing meaningful service to the community. Explore the current job openings and find a career path that suits professional aspirations and skills.

Internship Programs

UHS provides robust internship programs that offer hands-on experience in the healthcare industry. Internships are a cornerstone of professional development, giving participants a chance to deepen practical skills in a real-world setting. These programs are tailored to foster growth and prepare interns for a full-time position within the company.

Professional Growth and Development

UHS believes in nurturing the career growth of its team members through comprehensive professional development programs. These include leadership training, diversity training, and continuous education in the latest healthcare practices, ensuring that every team member has the opportunity to advance their career.

Benefits and Culture

Employment at UHS comes with competitive benefits designed to support the health, well-being, and financial security of each team member and their families. The company culture at UHS is built on a foundation of respect and inclusion, where diversity is celebrated and every voice is heard.

Networking and Innovation

UHS encourages a culture of innovation where team members are motivated to bring forward ideas that drive improvement and efficiency. Networking within the company is supported through various events and internal platforms, helping team members to connect, share insights, and collaborate on projects.

Applying for a Position

To apply for a position at UHS, candidates should prepare their resume to highlight relevant experience and skills. The interview process at UHS is thorough, aiming to assess not only the professional qualifications but also the alignment with the company’s values and culture. Interested candidates can visit the UHS Careers page to submit an application and learn more about the hiring process.

Stay Connected with UHS Careers

Keep up to date with the latest from UHS Jobs and Careers through the company’s dedicated careers blog. Subscribe to receive updates on new job opportunities, employment tips, and insights into the healthcare industry directly from the professionals at UHS.

Join UHS

Discover the rewarding career opportunities at UHS. Search for open positions that match individual skills and interests. UHS looks for passionate, curious, and solution-driven team players ready to make a significant impact in the healthcare sector.

SEARCH UHS JOBS

READ CAREERS BLOG

Job Alert Emails

Personalize your subscription to receive job alerts, latest news, and insider tips tailored to your preferences. Explore the exciting and rewarding opportunities that await at UHS.
Learn more about UHS

Similar Jobs

More Jobs at UHS

More Hospitals & Medical Centers Jobs

Find similar Director of Medical Staff Credentialing jobs: