Medical Staff Services Manager

Medical Staff Services Manager

Medical Staff Services

Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare organization, passionately dedicated to improving the health and well-being of our community. With a history dating back to 1898, LMHS remains a cornerstone of healthcare excellence, catering to the evolving needs of Licking County. Our cutting-edge facility provides a comprehensive spectrum of patient care services, from life-saving emergency medicine to the comforting embrace of home healthcare, with a unique range of specialized medical services, including cancer, heart health, maternity, and mental wellness.

When you join the LMHS team, you become a vital part of your local community Hospital. Working at LMHS is not just a job, it is a unique opportunity to directly impact the health and well-being of your friends, family, and neighbors. You will be providing care in a place in which you are personally connected, where the impact of your work extends beyond the Hospital doors and into the heart of our community. Our commitment to diversity, equity, and inclusion ensures that every member of our community is served with respect and compassion. Join us in our mission - dedicated to patient safety, utilizing state-of-the-art technology, and with a passionate team of highly trained and compassionate individuals who strive to improve the health of the community.

Position Summary

The Medical Staff Services Manager oversees all administrative functions related to the credentialing, privileging, and support of the medical staff and allied health professionals. This role ensures compliance with regulatory and accreditation requirements (e.g., Joint Commission, DNV, CMS, NCQA ,state licensure) and serves as a liaison between hospital administration and the medical staff. The manager plays a key role in fostering a collaborative, efficient, and organized medical staff environment in alignment with the hospital's mission and values.

Responsibilities

• Oversee and coordinate all functions of medical staff services, including credentialing, reappointment, privileging, peer review, continuing medical education (CME) programs, and payer enrollment.
• Ensure compliance with federal, state, and accrediting body regulations related to medical staff governance and operations.
• Serve as a primary liaison between hospital administration and the Medical Executive Committee, department chairs, and other physician leaders.
• Coordinate and attend Medical Staff meetings, and maintain accurate minutes, agendas, and official records.
• Oversee the development, implementation, and compliance of medical staff bylaws, policies, and procedures.
• Manage the preparation for and participation in surveys by Joint Commission, DNV, and other accrediting/licensing agencies.
• Supervise credentialing and medical staff services staff; provide leadership, training, and performance evaluations.
• Ensure accuracy and confidentiality of medical staff files and records.
• Collaborate with quality and risk management teams in provider performance evaluations and peer review processes.
• Promote physician engagement and foster strong working relationships between hospital leadership and the medical staff.

Requirements

• Bachelor's degree in healthcare administration, business, or related field required
• Certified Professional in Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) preferred or obtain once eligible.
• Minimum of 5 years experience in medical staff services or credentialing, with at least 2 years in a leadership role.
• Experience in a community hospital setting strongly preferred.
• In-depth knowledge of credentialing, privileging, and regulatory requirements.
• Excellent organizational, interpersonal, and communication skills.
• Strong leadership and team management abilities.
• Proficient in medical staff management software (e.g., MD-Staff) and MS Office Suite.

Licking Memorial Health Systems is an equal opportunity employer and maintains compliance with all state, federal, and local regulations. Licking Memorial Health Systems does not discriminate against applicants because of race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors protected by law.