Medical Staff Systems & Data Governance Manager

## Medical Staff Systems & Data Governance Manager Apply:
Streeterville, Chicago, IL:
Full time:
Posted Yesterday:
JRAnn & Robert H. Lurie Children’s Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children’s Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.
** Location
* * Olympia Center
** Job Description
**** General Summary of Position Responsibility:
** The Medical Staff Systems & Data Governance Manager is a non-supervisory, individual contributor responsible for the strategic administration, governance, optimization, and integrity of the organization’s medical staff, credentialing, enrollment, peer review, and Graduate Medical Education (GME) software systems.

This position serves as the subject matter expert (SME) and system administrator for provider lifecycle management technology, ensuring alignment with regulatory and accreditation standards including The Joint Commission (TJC), NCQA, CMS Conditions of Participation, and ACGME requirements. The role ensures system workflows, documentation, reporting, and data governance processes support compliance, operational excellence, and accreditation readiness across the Medical Staff Office, Enrollment Department, Peer Review, and Graduate Medical Education programs.
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* Essential Job Functions:

*** Serve as primary system administrator for credentialing, provider lifecycle management, peer review, payer enrollment, and graduate medical education (GME) management platforms.
* Design, configure, and maintain system architecture and standardized electronic workflows supporting credentialing, privileging, reappointment, payer enrollment, performance review, and resident/fellow lifecycle processes, including development and maintenance of system documentation, configuration standards, and workflow procedures.
* Manage system security and access controls, including user roles, permissions, audit trails, and system controls to ensure compliance with organizational and regulatory standards.
* Provide system and workflow training for departmental staff to ensure consistent system utilization, adherence to standardized electronic workflows, and accurate data entry across provider lifecycle processes.
* Coordinate and lead system enhancements, upgrades, and testing in partnership with internal Information Systems/IT teams and external vendors to ensure system performance, security, and alignment with operational and regulatory requirements.
* Establish and oversee enterprise provider data governance standards, ensuring accuracy, completeness, and consistency of credentialing, enrollment, peer review, and GME data.
* Conduct routine data audits and reconciliation activities and maintain documentation demonstrating internal controls and regulatory compliance.
* Ensure systems and processes support compliance with regulatory and accreditation standards, including The Joint Commission, NCQA, CMS Conditions of Participation, and ACGME requirements.
* Develop and deliver standard and ad hoc reporting and analytics, including reporting related to OPPE/FPPE monitoring, reappointment cycles, NCQA timelines, ACGME documentation, and executive leadership dashboards.
* Collaborate with operational and program leadership to improve system utilization, identify automation opportunities, reduce manual processes, and enhance compliance and operational efficiency.
* Other job functions as assigned.
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* Knowledge, Skills and Abilities:

*** Bachelor’s degree in Healthcare Administration, Health Information Management, Business, Information Systems, or related field preferred. Equivalent experience in medical staff systems administration, credentialing operations, data governance, and regulatory compliance will be strongly considered.
* Minimum five (5) years of experience in medical staff services, credentialing, provider enrollment, peer review, GME, or healthcare operations.
* In-depth knowledge of medical staff credentialing, privileging, reappointment, and provider enrollment processes across the provider lifecycle.
* CPCS certification strongly preferred as demonstration of advanced knowledge and expertise in credentialing standards and practices.
* Demonstrated experience administering…