Job Title: System Manager of Medical Staff Services
Job Location: Bozeman MT
Job Type: Contract
Job Description:
- Oversee all processes related to initial appointment reappointment clinical privileging and peer review of medical staff and advanced practice clinicians (APCs) while ensuring credentialing information is accurate verifiable and secure.
- Coordinate and manage the peer review process including case reviews committee scheduling documentation follow-up and maintenance of confidentiality ensuring compliance with bylaws and regulatory standards.
- Serve as the administrative lead and content expert for peer review committees; collaborate with medical staff leaders and quality department to support clinical performance evaluations and quality assurance activities.
- Support medical staff governance including Medical Executive Committee (MEC) and Credentials Committee activities agenda preparation and documentation.
- Ensure full compliance with accreditation standards (e.g. DNV TJC) and state/federal regulations governing credentialing privileging and peer review.
- Collaborate with the CMO legal/risk and compliance to ensure defensible processes for fair hearing plans focused professional practice evaluation (FPPE) and ongoing professional practice evaluation (OPPE).
- Maintain practitioner data integrity including licensure certifications insurance and disciplinary history by utilizing a Credentials Verification Organization (CVO).
- Coordinate with Human Resources Quality Risk Management and Clinical Leadership on cross-functional provider performance issues.
- Lead continuous improvement initiatives within medical staff services to enhance quality timeliness and efficiency of credentialing OPPE FPPE and peer review workflows.
- Serve as the system liaison for regulatory audits accreditation surveys and legal reviews related to credentialing and peer review.