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Director, Credentials Verification
Wellstar Health System. Provide strategic leadership for Wellstar's system Credentials Verification Organization (CVO) .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical staff credentialing and privileging processes, ensuring compliance with regulatory standards and effective communication across departments. Proven ability to lead teams, manage budgets, and develop departmental goals in a healthcare setting.
Highest-signal resume keywords
Medical Staff CredentialingCPCS CertificationCPMSM CertificationRegulatory ComplianceLeadership and Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Credentialing ProcessesPrivileging ProgramsMedical Staff Database TechnologyBudget ManagementPolicy Development
Soft Skills
Strong CommunicationProblem-SolvingLeadershipOrganizational SkillsAdaptability
Certifications & Qualifications
CPCSCPMSM
Industry Keywords
Joint Commission StandardsNCQA StandardsState/Federal RegulationsMedical Staff GovernanceHealthcare Administration
About the role
Key responsibilities & impact- Provide strategic leadership for Wellstar's system Credentials Verification Organization (CVO)
- Lead and maintain a high-quality, comprehensive credentialing and privileging program
- Oversee credentialing and privileging for Medical Staff, Advanced Practice Professionals, and Allied Health Professionals across Wellstar entities
- Ensure applications comply with Medical Staff Bylaws, Joint Commission and NCQA standards, CMS, and state/federal regulations
- Analyze credentialing information and maintain current electronic credential files
- Oversee communication with applicants regarding membership and privileging
- Liaise with Wellstar Legal and Risk Management on credentialing matters
- Maintain regulatory and accreditation readiness and identify required policy or bylaw amendments
- Serve as liaison among Medical Staff, Administration, Senior Leadership, attorneys, and other departments
- Prepare required reports for Medical Staff, Administration, Senior Leadership, and other departments
- Define departmental goals and objectives with Senior Leadership
- Manage recruitment, hiring, orientation, performance evaluations, workload, staffing, cross-training, and employee development
- Conduct department meetings and in-services and resolve staffing issues
- Develop and coordinate operating and capital budgets
- Manage budget evaluations, variance reports, action plans, and new or revised programs
- Perform other duties as assigned
Requirements
What you’ll need- Bachelor's degree in Business Administration/Management or Health Administration required
- Additional relevant work experience and/or other specialized training may be used in lieu of the minimum education requirement
- Minimum 8 years of comprehensive experience as a medical staff services professional within a hospital or CVO setting, with increasing responsibility and supervisory experience
- Experience using medical staff database technology required
- CPCS preferred upon hire
- CPMSM preferred upon hire
- Working knowledge of medical staff credentialing/privileging processes
- Comprehensive knowledge of state/federal regulatory requirements and accreditation standards related to organized medical staff
- Documented experience with multiple medical staff departments and committees and supervisory responsibility for five or more support staff
- Knowledge of medical staff governance, practitioner credentialing and privileging processes, Joint Commission and NCQA standards
- Knowledge of current federal and state laws and regulations relevant to medical staff functions
- Ability to draft revisions to compliance documents
- Ability to lead, manage, and/or effect change
- Ability to use discretion and independent judgment while maintaining confidentiality
- Ability to multitask, prioritize, delegate, organize, and meet deadlines
- Ability to adapt to a flexible work schedule with frequent interruptions
- Strong communication, people, problem-solving, presentation, and computer skills
- Ability to motivate and lead and work with little direct supervision
Benefits
Comp & perks- Hybrid work arrangement
- Day shift
- Support for educational opportunities (formal and informal)
- Ongoing education and leadership development opportunities