POSITION SUMMARY

The Supervisor, Medical Staff Services & Credentialing, is responsible for the day-to-day operational supervision, oversight, and performance management of the Medical Staff Office credentialing team and administrative support functions. This role ensures that all medical staff credentialing, privileging, reappointment, and related Medical Staff processes are executed in full compliance with The Joint Commission (TJC), CMS, Medicaid, NCQA, Medical Staff Bylaws, and organizational policies.

In addition, the Supervisor serves as a key operational partner to the Senior Director of Physician Services and the Delegation Analyst to ensure alignment, accountability, and consistency across credentialing and delegated credentialing functions. While the Supervisor does not own delegation work as a primary responsibility, they are expected to collaborate, escalate issues, support operational problem-solving, and provide leadership coverage as needed, including stepping in alongside the Senior Director when required to support continuity of operations.

This role functions as a representative of the Medical Staff Office in internal and external interactions and serves as the final internal operational review for credentialing and privileging items prior to presentation to the Credentials Committee, Medical Executive Committee (MEC), and other governing bodies.

 

 

PRINCIPAL DUTIES AND JOB RESPONSIBILITIES

 

Medical Staff Credentialing & Privileging Oversight

• Provide direct supervision and operational leadership to Credentialing Specialists and Administrative Secretary.
• Ensure timely, accurate, and compliant processing of:
• Initial appointments
• Reappointments
• Privilege requests and modifications
• Resignations, leaves of absence, suspensions, and reinstatements
• Confirm adherence to:
• Medical Staff Bylaws, Rules & Regulations, and policies
• Credentialing and privileging criteria
• Regulatory and accreditation standards (TJC, CMS, Medicaid, NCQA)
• Serve as the final internal operational review prior to submission to:
• Credentials Committee
• Medical Executive Committee (MEC)
• Governing Board, as applicable

Delegated Credentialing Collaboration & Oversight

• Collaborate closely with the Delegation Analyst and Senior Director to ensure:
• Credentialing Specialists understand and meet expectations related to delegated credentialing workflows.
• Credentialing processes align with NCQA delegated credentialing requirements and payor expectations.
• Serve as an escalation and coordination point when issues arise that impact credentialing accuracy, timeliness, or delegation readiness.
• Support cross-functional problem-solving related to:
• Data integrity
• File completeness
• Audit findings
• Process gaps affecting delegation
• Maintain flexibility to assist or step in alongside the Senior Director as needed to support delegation-related initiatives or operational continuity.

Supervisory & Leadership Responsibilities

• Assign, prioritize, and monitor daily and long-term work assignments for credentialing staff.
• Conduct ongoing performance coaching, feedback, and corrective guidance in collaboration with the Senior Director.
• Participate in performance evaluations and staff development planning.
• Approve staff PTO requests in coordination with the Senior Director; ensure appropriate coverage and continuity of operations.
• Monitor workload distribution and proactively identify staffing or workflow concerns.
• Ensure staff compliance with departmental standards, timelines, and expectations.
• Serve as a role model for professionalism, accountability, and regulatory rigor.

Committee & Governance Support

• Ensure credentialing and privileging materials are:
• Accurate
• Complete
• Properly vetted