ScionHealth · 2 days ago
Director of Credentialing
Louisville, KY
Contract
Hybrid
Lead/Staff, Director/Executive
5+ years expScionHealth is dedicated to empowering caregivers and fostering a culture of collaboration and curiosity. The Director of Credentialing is responsible for strategic leadership and operational effectiveness of the centralized medical staff credentialing function across all facilities, ensuring compliance with regulations and driving continuous improvement.
Health CareHospitalInformation Technology
Responsibilities
Provide enterprise leadership for all aspects of centralized medical staff credentialing and privileging across assigned facilities
Ensure compliance with CMS Conditions of Participation, Joint Commission (or other accrediting body) standards, state regulations, and Medical Staff Bylaws, Rules, and Regulations
Develop, implement, and maintain standardized credentialing and privileging policies, procedures, workflows, and internal controls
Partner with Medical Staff leadership, hospital executives, Quality, Legal, and Compliance teams on credentialing-related matters, including practitioner eligibility, adverse actions, and bylaw interpretation
Oversee the credentialing of physicians and other licensed independent practitioners, including initial appointments, reappointments, privileging, and ongoing professional practice evaluation (OPPE/FPPE) support as applicable
Lead, coach, and develop centralized credentialing management and staff, including performance management, training, and succession planning
Establish and monitor key performance indicators (KPIs) related to credentialing timeliness, quality, and compliance
Oversee the use, optimization, and vendor management of credentialing software and related systems
Support facilities during regulatory surveys, audits, and medical staff reviews, including preparation, onsite support, and follow-up actions
Collaborate with facility CEOs and medical staff offices through regular communication and relationship-building to ensure service quality and alignment
Manage departmental budget, contracts, and resource planning
Identify opportunities for process improvement, standardization, and automation to enhance efficiency and reduce risk
Maintain strict confidentiality of practitioner, patient, and organizational information
Perform other duties as assigned in support of organizational objectives
Qualification
Required
Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) required
Minimum of 5 years of progressive medical staff credentialing experience in an acute care healthcare environment required
Demonstrated experience with Joint Commission and CMS surveys required
Prior leadership or management experience required
In-depth knowledge of medical staff credentialing, privileging, and regulatory requirements
Strong understanding of CMS Conditions of Participation and accreditation standards
Proven leadership, team development, and change-management skills
Excellent written and verbal communication skills with the ability to interact effectively at all organizational levels
Strong analytical, problem-solving, and decision-making capabilities
Ability to manage competing priorities in a fast-paced, deadline-driven environment
High level of professionalism, discretion, and integrity
Proficiency with credentialing software systems and Microsoft Office applications
Primarily sedentary work with prolonged periods of sitting and computer use
Occasional standing, walking, and lifting of materials up to 25 pounds
Visual and auditory acuity required for meetings, document review, and system use
Office and remote work environment with periodic travel to facilities
Occasional exposure to healthcare facility environments
Estimated travel: up to 20%, based on organizational needs
Preferred
Bachelor's degree in Healthcare Administration, Business Administration, Nursing, or a related field preferred
Prior experience supporting multiple facilities or enterprise-level credentialing operations strongly preferred
Company
ScionHealth
ScionHealth strives to provide quality-driven, patient-centered acute and post-acute hospital solutions in communities.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Rob Jay
Chief Executive Officer
Recent News
2025-09-12
Seattle TechFlash
2025-04-09
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