A cover letter is required for consideration for this position and should be attached as the first page of your resume. The cover letter should address your specific interest in the position and outline skills and experience that directly relate to this position.
Provides administrative management, leadership, and direction of the Medical Staff Services (MSS) office and MSS initiatives to ensure ongoing accreditation by The Joint Commission (TJC), Centers for Medicare and Medicaid (CMS), National Commission for Quality Assurance (NCQA), URAC, state and federal regulators, and all managed care payers. Manages and coordinates all appointment/reappointment, and credentialing and privileging processes within Michigan Medicine, ensuring strict compliance with applicable rules and regulations of the accrediting bodies. Works closely and effectively with Chief Medical Officer, Chief of Staff, hospital leadership, clinical departments, Medical School, and the Office of General Counsel in order to provide required services.
Ability to analyze, compare, and evaluate various courses of action, and have the authority to make independent decisions on matters of significance, free from immediate direction, within the scope of their responsibilities. Primary activities and decision making authority are predominantly performed independently affecting business operations to a substantial degree.
Continually reviews processes to assess overall compliance with accrediting bodies; develops and implements policies, procedures and data collection to facilitate this ongoing effort. Works closely with clinical departments, and physician faculty to identify and implement supportive or corrective processes to manage accreditation requirements.
Leadership o Provide strategic leadership to MSS o Oversight for performance improvement initiatives and activities o Set and maintain budget/financial objectives o Approval of expenditures o Long-term maintenance and support for affiliate credentialing, health plan audits, and vendor contracts o eHealth credentialing and privileging initiatives o New privilege/new technology requests o Represent MSS at routine and ad hoc committees
• Operations o Manage day-to-day operations of permanent staff that include credentialing specialists, database administrator, OPPE programmer, project manager, and administrative assistant o Makes decisions on hiring, promotions, disciplinary action o Manage and monitor staff workload o Monitors staff performance o Developing and managing staff performance improvement plans o Set team goals o Procedure manual development and ongoing maintenance o Staff performance metric development and reporting o Timekeeping
• Performance and Process Improvement: o Leads and participates in LEAN weekly huddles o Use Lean in Daily Work methodology for process improvement o Monitors key metrics that drive performance o Monitoring performance goals of direct reports o Maintaining and monitoring all staff metrics at the individual and team level o Establishes targets and thresholds for performance o Engages staff in improving performance o Develops and documents standard work for all important business processes • Policy Management: o Creation, maintenance, and updates of Medical Staff Services policies o Bylaws updates/revisions o Advises on policy interpretation o Collaborates with others on development of health system wide policies o Medical Staff policy management (coordinating with external departments)
• Credentialing and Privileging o Internal file audit for accuracy and compliance with regulatory requirements o Currently leads initiatives to move to a paperless credentialing process o Staffing Michigan Medicine Credentialing Committee, coordinating agenda setting and managing follow up items o Document management for all MSS forms o 10% effort for delegated credentialing under affiliate contract for UM practitioners practicing at affiliate sites o Privileging document development and oversight of ongoing document maintenance o Manages appropriate escalation of findings during the credentialing process, coordinating with the Chief of Staff, Department Chair, or Service Chief when appropriate
• Regulatory Readiness o Coordinates delegated payer audits for 15 contracted health plans o Participation in TJC, CMS, and state licensing surveys o Works closely with the Office of Clinical Affairs on identified issues o Managing performance improvement plans/corrective action plans if needed o Ensures appropriate disciplinary action and sanctions are reported to outside agencies
• Affiliations, Acquisitions, and Mergers o Acts as MSS lead for due diligence review to identify gaps and best practices for new healthcare acquisitions, contracts, or affiliations o Maintains ongoing due diligence with affiliates ensuring alignment with current policies and procedures o Development and maintenance of delegated credentialing contracts and telemedicine agreements o Long-term maintenance of affiliate relationships o Representation on affiliate credentialing committees
• Finance, Budget, and Contracting o Evaluates key financial, budgetary and other metrics related to operations o Provides information, trends or other conditions that may affect operations or budget planning o Participates in the development of FTE budgetary expenses, operational expenses and capital budgets in coordination with the Administrative Director and Office of Clinical Affairs o Manages current vendor contracts for MSS o MSS lead for delegated facility and payer credentialing contract development and review • Travel o Approximately 10% travel for offsite meetings and conferences
Bachelor's degree in Business, Public Health, Administration or other related field, or an equivalent combination of education and experience
At least 5 years’ experience in Medical Staff Services with supervisory experience
CPMSM (Certified professional Medical Staff Management) certification from NAMSS or certified within five years of employment
Considerable knowledge of CMS, TJC, NCQA, and URAC rules and regulations as they relate to hospital accreditation, credentialing, and privileging
Ability to commit to and meet deadlines, while not compromising quality
Must be extremely detail oriented and able to handle multiple projects, prioritizing workload to maximize efficiency
Outstanding verbal and written communication skills, as well as advanced organizational skills
Strong record of working effectively with staff in a diverse environment
Must be extremely detail oriented and able to handle multiple projects, prioritizing workload to maximize efficiency.
Outstanding verbal and written communication skills, as well as advanced organizational skills.
Strong record of working effectively with staff in a diverse environment
Master's degree in Business, Public Health, Administration or other related field, or an equivalent combination of education and experience
Trained in LEAN principles for healthcare
Experience with CACTUS from symplr® software
Knowledge and understanding of the University of Michigan Health System policies and procedures
Experience in an academic medical
Under Michigan law, a criminal history check including fingerprinting is required as a condition of transfer or employment for this position.
Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.
The University of Michigan is an equal opportunity/affirmative action employer.
Internal Number: 192903
About University of Michigan - Ann Arbor
A great university is made so by its faculty and staff, and Michigan is recognized as one of the best universities to work for in the country. The Michigan culture is known for engaging faculty and staff in all facets of the university to create a workplace that is vibrant and stimulating.For two consecutive years, the Chronicle of Higher Education has placed U-M in its "Great Colleges to Work For" survey. In particular, the university earns high marks for strong relations between faculty and administrators, a collaborative system of governance, strong pay and benefits, and a healthy work/life balance.