Executive Director, Medical Staff Services

Job Description Summary

The Executive Director of Medical Staff Services (MSS) is the MUSCH system leader accountable for overseeing all functions and teams related to credentialing, privileging, peer review operations, and Focused Professional Practice Evaluation (FPPE) / Ongoing Professional Practice Evaluation (OPPE) operations. As such, the Executive Director will oversee the Medical Staff Office (MSO), Credentialing Verification Organization (CVO), and professional practices operations (PPO) functions. In this role, the Executive Director, MSS will be seen as the face of credentialing across the MUSC system and be the ultimate relationship manager for system executives for all credentialing, privileging, and peer review processes, concerns, and opportunities.

Entity

Medical University Hospital Authority (MUHA)

Worker Type

Employee

Worker Sub-Type​

Regular

Cost Center

CC004926 SYS - Credentialing and MSO

Pay Rate Type

Salary

Pay Grade

Health-38

Scheduled Weekly Hours

40

Work Shift

Job Description

Position Title: Executive Director, Medical Staff Services

Location: Charleston

Reports to: Chief Physician Executive, MUSC Health & MUSC Physicians

The Executive Director of Medical Staff Services (MSS) is the MUSCH system leader accountable for overseeing all functions and teams related to credentialing, privileging, peer review operations, and Focused Professional Practice Evaluation (FPPE) / Ongoing Professional Practice Evaluation (OPPE) operations. As such, the Executive Director will oversee the Medical Staff Office (MSO), Credentialing Verification Organization (CVO), and professional practices operations (PPO) functions. In this role, the Executive Director, MSS will be seen as the face of credentialing across the MUSC system and be the ultimate relationship manager for system executives for all credentialing, privileging, and peer review processes, concerns, and opportunities.

The Executive Director will serve as a key leader in developing policies, maintaining medical staff engagement, and ensuring high-quality medical staff support services across the system while working in close collaboration with Chief Medical Officers, Chief Quality Officers, the Medical Executive Committee (MEC), and other medical staff leaders (including department and committee chairs) to plan, organize, and direct the programs related to the Medical Staff Services Organization. The Executive Director will be accountable for MSS goals and objectives, including regular analysis and improvement of performance metrics.

The Executive Director will be based in Charleston and expected to travel to campuses across the system 3-4 times a month, or as needed.

Responsibilities

Credentialing & Privileging

• Accountable for ensuring the credentialing process for all physicians and providers is completed in a timely manner by the Medical Staff Office
• Oversees the relationship[s] with credentialing vendors, ensuring timely and accurate credentialing and re-credentialing of medical staff
• Serves as trusted advisor to regional Directors, Medical Staff Services and MUSC Health executive team for credentialing and privileging processes

Regulatory Compliance

• Accountable for effective Medical Staff Services operations, in compliance with accrediting bodies and regulatory agencies [including, but not limited to, The Joint Commission]
• Maintains up-to-date knowledge of relevant laws, regulations, and accreditation standards affective Medical Staff Services organization
• Participates in audits, surveys, and inspections related to Medical Staff Services, as required

Leadership & Management

• Develop, align, and provide strategic direction and leadership for Medical Staff Services across the CHS & RHN divisions, ensuring efficient management of medical staff credentialing, privileging, and governance functions across the MUSC Health system
• Oversee and partner with the Director, Medical Staff Servies for the Regional Health Network, the Director, Medical Staff Servies for Charleston Division, and Director, Professional Practices Operations on the development and operationalization of standard processes and policies for credentialing, privileging, peer review operations, FPPE / OPPE operations, and additional medical staff functions
• Foster a culture of collaboration, accountability, and continuous improvement across the Medical Staff Services Department across the MUSC Health system
• Develop, monitor, and take an active role in improvement of key performance indicators (KPIs)