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Manager, Credentialing - Medical Staff Services

Job in New York, New York County, New York, 10261, USA
Listing for: NYU Langone Health
Full Time position
Listed on 2026-03-01
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Management, Medical Records, Healthcare Compliance
Salary/Wage Range or Industry Benchmark: 60000 - 80000 USD Yearly USD 60000.00 80000.00 YEAR
Job Description & How to Apply Below
Location: New York

NYU Langone Health is a fully integrated health system that consistently achieves the best patient outcomes through a rigorous focus on quality that has resulted in some of the lowest mortality rates in the nation. Vizient Inc. has ranked NYU Langone the No. 1 comprehensive academic medical center in the country for three years in a row, and U.S. News & World Report recently placed nine of its clinical specialties among the top five in the nation.

NYU Langone offers a comprehensive range of medical services with one high standard of care across 6 inpatient locations, its Perlmutter Cancer Center, and over 320 outpatient locations in the New York area and Florida. With $14.2 billion in revenue this year, the system also includes two tuition‑free medical schools, in Manhattan and on Long Island, and a vast research enterprise with over $1 billion in active awards from the National Institutes of Health.

For more information, go to NYU Langone Health, and interact with us on Linked In, Glassdoor, Indeed, Facebook, Twitter, You Tube and Instagram.

Position Summary

We have an exciting opportunity to join our team as a Manager, Credentialing - Medical Staff Services. In this role, the successful candidate, the MSS Manager for quality and audit, is responsible for audit of files for the monthly credentials committee and ongoing file reviews before delegated audits, regulatory audits and surveys and OPMC and other file requests. This position audits the credentialing verification process on physicians/dentists and allied health practitioners in accordance with regulatory and accreditation requirements.

This position manages the regulatory compliance function of the Medical Staff Services offices to assure departmental achievement of compliant documentation with multiple requirements including monthly sanction screens, monitoring of OIG, Opt‑Outs, exclusions, expireables, etc. and advisory alerts from OPMC. This position also manages the provider regulatory training requirements and required learning to assure departmental achievement of compliant documentation with multiple physician requirements.

Job Responsibilities
  • Maintains knowledge of standards of the Joint Commission on Accreditation of Healthcare Organizations, National Committee for Quality Assurance and State and Federal regulations related to Medical Staff organization.
  • Maintains working knowledge of the Medical Staff Bylaws, Rules and Regulations, and Hospital policies, and works to ensure the medical staffs compliance within the stated parameters.
  • Prepares for regulatory survey for the medical staff/leadership function, including staff and medical staff education regarding accreditation standards.
  • Participates in onsite surveys by TJC, CMS, NYS DOH, NCQA or other agencies as needed.
  • Closely monitors information collected by the teams to assure it meets Joint Commission, DOH and other regulatory requirements, evaluates information collected for adequacy and completion, and pursues additional information as necessary. Ensures that quality assurance standards are upheld and conducts continuous audits as a means of oversight.
  • Responsibility and accountability for auditing the application process for the appointment and clinical privileging of physicians and other health care practitioners.
  • Conducts audits of the Provider database to assess completeness of information and qualifications relative to established standards, accuracy of data entry and updated information in files.
  • Manages regulatory training assignments in LMS for all new appointments to the Medical and Dental Staff including orientation and annual education programs. This includes providing individual assistance to practitioners to access required courses in LMS.
  • Responsible for conducting Information Integrity Training for all credentialing staff members on an annual basis to ensure compliance with NCQA standards for delegated credentialing.
  • Responsible for conducting the annual audit of provider files credentialed and re‑credentialed during the previous year to ensure compliance with NCQA standards for delegated credentialing.
  • Participates in other Medical Staff functions and projects as…
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