Director Medical Staff Administration

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities.

Job Description Summary:

The Director of Medical Staff Operations reports to the Vice President of Medical Staff Operations with highly matrixed relationships throughout the enterprise and with all care sites, including VPCAs. This role is tasked with overseeing and enhancing the operational efficiency of medical staff services and physician contracting across multiple regionally based entities. This position plays a crucial role in supporting medical staff credentialing, privileging, and related activities, ensuring these processes are conducted effectively, in compliance with regulatory standards, and with a focus on continuous improvement. This role provides leadership and strategic direction that aligns and organizes teams in a manner that optimizes shared- priorities, minimizes duplication of resources, and is conducive to effective communication and informed decision-making that aligns with the broader organizational strategy. The Director serves as a key liaison between hospital and medical staff leadership. The Director supports provider engagement, quality and operational excellence for the Medical Staff and Allied Health Professionals (AHP). This role requires travel to regional facilities as indicated.

Responsibilities And Duties:

Strategic Operations Oversight and Leadership
Develop and execute regional strategies to standardize and optimize medical staff/AHP services across facilities.
Provide leadership and guidance to medical staff leaders and credentialing/contracting professionals at each facility.
Serve as a liaison between hospital administration and the medical staff/AHP to support alignment with organizational goals.
Lead initiatives aimed at optimizing operations, increasing customer satisfaction, and fostering collaboration across the region.
Serve as regional point of contact for resolving complex issues related to credentialing, privileging, regulatory agencies, and medical staff operations.
Direct oversite of Financial Management activities including management of financial resources to achieve business growth and strategic goals.

Credentialing & Privileging Oversight
Ensure that credentialing, recredentialing and privileging processes comply with regulatory standards.
Monitor performance metrics to ensure quality and efficiency of credentialing processes across all entities.

Governance & Bylaws Management
Support medical staff governance, including coordination of Credential Committees, Medical Executive Committees and medical staff meetings.
Ensure compliance with medical staff bylaws, rules, and regulations.
Facilitate updates to governance documents as needed to reflect regulatory or organizational changes.

Regulatory Compliance & Accreditation Readiness
Maintain readiness for accreditation and licensing surveys related to medical staff functions.
Lead regional efforts to audit and assess compliance with regulatory and accreditation requirements.
Partner with legal and compliance departments to ensure risk mitigation related to credentialing and privileging.

Team Development, Collaboration & Supervision –
Direct, coach, and evaluate the performance of medical staff services and contracting personnel.
Collaborate with other departments to implement solutions that improve data management, workflows and reporting while building and maintaining strong relationships with medical staff leadership, department leaders and external partners.
Promote professional development, cross-training and succession planning within the regional team.
Implement standard operating procedures and best practice.
Intentionally promote an environment of diversity and inclusion.
Physician Contracting/Relations Works with the Vice President of Medical Clinical Affairs, hospital administration, and Office of General Counsel in the Medical Staff leadership contract process, and is involved in physician job description creation. Oversees the process for orientation and onboarding for new Medical Staff members, and for new Medical Staff Officers, Committee members, Department Chairs, Section Chairs, and/or Division Chiefs.

Medical Staff Relations & Communication
Foster productive relationships between hospital leadership and the medical staff.
Address concerns and conflicts, serving as a resource for conflict resolution and physician/AHP engagement.
Promote transparency and open communication channels across all levels of physician/AHP leadership.

Process Improvement & Technology Integration
Lead or support projects to enhance efficiency, including the implementation of credentialing software or digital tools.
Analyze workflow and data to identify opportunities for improvement in service delivery.
Stay current on industry trends and innovations in medical staff operations.

The major duties, responsibilities and essential functions listed above are not intended to be all-inclusive of the duties and responsibilities to be performed by associates in this job.

SPECIFIC COMPETENCIES
Knowledge and application of growth and development principles
Utilization of effective communication, collaboration, and coordination strategies

PHYSICAL DEMANDS AND WORK ENVIRONMENT
While performing the duties of this job, the employee is regularly required to use hands to finger, handle, or feel and talk or hear. The employee frequently is required to sit. The employee is occasionally required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, depth perception, and ability to adjust focus.

The noise level in the work environment is usually quiet.

OSHA BLOOD BORNE PATHOGEN EMPLOYEE EXPOSURE CATEGORIES (One category must be checked):
CATEGORY I: ______
Employees whose job functions involve routine or potential exposure to blood, body fluids or tissues. (Direct patient care jobs)
CATEGORY II: __X____
Employees whose job functions involve no routine exposure to blood, body fluids or tissues, but employment may require performing unplanned Category I tasks. (Indirect patient care jobs, i.e. unit clerk, pastoral care, etc.)
CATEGORY III: ______
Employees whose job functions involve no exposure to blood, body fluids or tissues, and Category I and II tasks are not a condition of employment.

Minimum Qualifications:

Bachelor's Degree (Required)CPCS - Certified Provider Credentialing Specialist - National Association of Medical Staff Services

Additional Job Description:

SPECIALIZED KNOWLEDGE

Healthcare Administration and Operations

• Hospital operations – understanding workflows in acute care, ambulatory care, and other clinical settings.
• Medical Staff structure – familiarity with the roles, responsibilities and organization of medical staff and AHP organization.
• Healthcare systems – knowledge of integrated health systems and how multi-site coordination works.

Medical Staff Services & Credentialing

• Credentialing and privileging processes – deep knowledge of the process for verifying physician/AHP qualifications, reappointment, and scope of practice.
• MSO software systems
• Bylaws and policies – ability to interpret and help revise medical staff bylaws, rules, and regulations.

Regulatory and Compliance Knowledge

• Accreditation Standards [TJC, ODH, CMS]
• Federal/state regulations
• Risk management – understanding how credentialing and documentation affect legal exposure

Leadership and Strategic Management

• Regional coordination – experience managing operations across multiple sites, ensuring consistency in processes and standards
• Project management – skills in leading system-wide initiatives, audits or transitions to new credentialing systems.
• Physician relations – ability to engage with and support medical staff leaders, addressing concerns diplomatically.

Work Shift:

Day

Scheduled Weekly Hours :

40

Department

Administration

Join us!
... if your passion is to work in a caring environment
... if you believe that learning is a life-long process
... if you strive for excellence and want to be among the best in the healthcare industry

Equal Employment Opportunity

OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment

About Us

WE Are Inspired to Do Our Best.

OhioHealth is a nationally recognized, innovative healthcare system delivering world-class patient care in a supportive, professional environment filled with limitless opportunities to learn and grow.

We are a unique organization in the healthcare field. Our model system of facilities encompasses a wide scope of expertise and care. For professionals, we are a place where people committed to doing their best are given the tools and resources to accomplish our mission every single day.

OhioHealth is recognized as a Great Place to Work CertifiedTM organization. The Great Place to Work® is a global authority on high-trust, high-performance workplace cultures. This recognition is one measure of our success in achieving a part of our vision ̶ to be an organization "where people want to work." Apply now and work together with us to improve the health of those we serve.