Director of Medical Staff Credentialing

Responsibilities

The Director of Medical Staff Credentialing provides strategic leadership and oversight for all aspects of medical staff credentialing, privileging, and reappointment processes. This position ensures compliance with all regulatory, accreditation, and hospital bylaws requirements while maintaining efficient, accurate, and timely credentialing. The Director serves as the key liaison between hospital administration, the medical staff, and external regulatory agencies to support high standards of clinical quality, patient safety, and professional accountability.

Other duties as assigned.

* You will be considered for any openings for which you qualify. It is not necessary to apply to multiple positions.*

• Lead and manage the Medical Staff Services Department, including credentialing specialists and support staff.
• Oversee all credentialing, privileging, reappointment, and peer review functions for medical staff, allied health professionals, and contract providers.
• Ensure adherence to hospital bylaws, Joint Commission (TJC), CMS, and state regulatory standards.
• Serve as a trusted advisor to the CEO, CMO, and Medical Executive Committee on credentialing and privileging matters.
• Direct and maintain a comprehensive credentialing and privileging database, ensuring accuracy, confidentiality, and timely updates.
• Oversee initial and reappointment application processing, primary source verification, and ongoing monitoring of practitioner credentials.
• Coordinate with medical staff leadership to review and update privileging criteria and processes.
• Develop and maintain policies, procedures, and workflows to support efficient credentialing operations.
• Maintain current master copy of the Medical Staff Bylaws, Rules and Regulations, and Credentials Manual and have a working knowledge of such.
• Serve as the liaison between hospital administration, department chairs, and medical staff committees.
• Facilitate communication between the medical staff and hospital leadership regarding credentialing, privileging, and peer review issues.
• Support medical staff governance functions, including coordination of Medical Executive Committee and Credentials Committee activities.
• Prepare monthly meeting Medical Staff calendar.
• Prepare monthly ER call schedules for multiple specialties.
• Coordinate physician and Allied Health Professional specific data for Focused Professional Practice Evaluations (FPPE).
• Perform other duties as assigned.

• Excellent written and verbal communication skills.
• Computer skills required (Word, Excel, PowerPoint, Outlook).
• Customer service skills required.
• Understanding of credentialing and re-credentialing functions. Knowledge of the Joint Commission, State and Federal Regulatory Requirements, and overall knowledge of an organized Medical Staff.

• Bachelor’s degree in healthcare or business administration is required, or 10+ years of relevant experience may be considered.
• Master’s degree in health or business administration and/or certification by the American College of Medical Practice Executives is preferred.
• Minimum of five years of medical staff credentialing experience required.
• CPCS or CPMSM Certification required.
• Knowledge of credentialing software database, preferably MD-Staff.

Job Title:

Director of Medical Staff Credentialing

Status:
Full Time

Schedule:

Days 8:00am - 5:00pm, Monday - Friday

Lakewood Ranch Medical Center® (LWRMC), located in the heart of the Lakewood Ranch community, has served the people of Lakewood Ranch and surrounding areas since 2004. It is an award-winning, high-quality, acute-care hospital accredited by The Joint Commission and consistently ranks high in terms of quality, safety and patient satisfaction. The medical staff includes more than 750 physicians and allied health professionals who practice in a wide range of specialties.

Through the years, LWRMC has expanded its offerings to the people of Manatee and Sarasota counties by growing services and updating technologies to better serve the surrounding communities. Services include emergency services and freestanding emergency…