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ScionHealth · 17 hours ago

Director, Centralized Credentialing

Louisville, KY

Contract

Hybrid

Lead/Staff, Director/Executive

5+ years exp

ScionHealth empowers caregivers and values every voice by caring deeply for patients and each other. The Director, Centralized Credentialing is responsible for strategic leadership and operational effectiveness of the centralized medical staff credentialing function across all facilities, ensuring compliance and efficiency in the credentialing process.

Health CareHospitalInformation Technology

Responsibilities

Provide enterprise leadership for all aspects of centralized medical staff credentialing and privileging across assigned facilities

Ensure compliance with CMS Conditions of Participation, Joint Commission (or other accrediting body) standards, state regulations, and Medical Staff Bylaws, Rules, and Regulations

Develop, implement, and maintain standardized credentialing and privileging policies, procedures, workflows, and internal controls

Partner with Medical Staff leadership, hospital executives, Quality, Legal, and Compliance teams on credentialing-related matters, including practitioner eligibility, adverse actions, and bylaw interpretation

Oversee the credentialing of physicians and other licensed independent practitioners, including initial appointments, reappointments, privileging, and ongoing professional practice evaluation (OPPE/FPPE) support as applicable

Lead, coach, and develop centralized credentialing management and staff, including performance management, training, and succession planning

Establish and monitor key performance indicators (KPIs) related to credentialing timeliness, quality, and compliance

Oversee the use, optimization, and vendor management of credentialing software and related systems

Support facilities during regulatory surveys, audits, and medical staff reviews, including preparation, onsite support, and follow-up actions

Collaborate with facility CEOs and medical staff offices through regular communication and relationship-building to ensure service quality and alignment

Manage departmental budget, contracts, and resource planning

Identify opportunities for process improvement, standardization, and automation to enhance efficiency and reduce risk

Maintain strict confidentiality of practitioner, patient, and organizational information

Perform other duties as assigned in support of organizational objectives

Qualification

Medical staff credentialingCredentialing software proficiencyLeadership skillsCMS Conditions of ParticipationAccreditation standards knowledgeAnalytical skillsTeam developmentCommunication skillsProblem-solving skillsDecision-making skills