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Medical Staff Credentialing Administrator

$33.33 per hour

Direct Jobs

Responsibilities Develop, build, and maintain clinician delineation of privileges (DOP) forms within the credentialing and privileging software system. Translate approved Medical Staff Rules & Regulations, bylaws, policies, and specialty criteria into structured, standardized electronic privilege forms. Ensure privilege language reflects current clinical practice, regulatory requirements, and accreditation standards (e.g., Joint Commission, CMS). Perform regular review and updates of privilege forms to reflect changes in scope of practice, technology, clinical standards, or organizational initiatives. Monitor and track special, advanced, and condition‑based privileges across specialties. Ensure required qualifications, proctoring, focused professional practice evaluation (FPPE), and ongoing professional practice evaluation (OPPE) elements are built into the privileging framework. In collaboration with the department of Quality, carry out the FPPE & OPPE review and approval with Medical Staff leaders, including Chiefs, Chairs, Service Line Leaders, Medical Executive Committees, and Chief Medical Officers. Track and ensure timely review. Prepare draft proposals, revisions, comparison documents, and summary materials to support informed physician leadership decision‑making. Coordinate privilege form review and approval with Medical Staff leaders, including Chiefs, Chairs, Service Line Leaders, Medical Executive Committees, and Chief Medical Officers. Facilitate feedback, revisions, and consensus‑building across multiple specialties and stakeholders. Track approvals and ensure timely implementation of newly adopted or revised privilege forms. Work collaboratively with Medical Staff leadership to define, refine, and document specialty‑specific privileging parameters and performance metrics and requirements. Support consistent application and compliance with privileging criteria across departments and locations. Monitor privileging practices for compliance with regulatory, accreditation, and internal policy requirements. Conduct routine audits and data reviews related to privilege assignments, expirations, and special privilege tracking including robotic surgery, sedation, fluoroscopy, and laser use, ensuring adherence to medical staff governance requirements, regulatory expectations, and patient safety standards. Prepare reports, dashboards, and analyses to support leadership oversight, quality initiatives, and accreditation readiness. Identify trends, gaps, or risks and recommend. Serve as a content expert for privileging data within the credentialing system. Ensure data accuracy, integrity, and consistency related to privileges and scope of practice. Collaborate with Medical Staff Services, IT, and vendor partners on system enhancements, template updates, and optimization of privileging workflows. Maintain documentation of privileging processes, standards, and governance decisions. Serve as a backup to the Lead Credentialing Specialist. Participate in department projects, policy development, education, and process improvement initiatives. Perform other duties as assigned in support of Medical Staff Services operations. Qualifications Associate's degree in healthcare administration, business, or a related field required. Bachelor's degree preferred. Equivalent combination of education and experience considered. Minimum 3‑5 years of experience in Medical Staff Services, credentialing, or privileging required. Demonstrated experience with delineation of privileges, special privileging, or physician governance processes strongly preferred. Experience working directly with physician leaders and executive medical staff committees preferred. Benefits Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full‑time and part‑time team members). Life & AD&D Insurance. Short‑Term and Long‑Term Disability (with options to supplement). 403(b) Retirement Plan: Employer match, additional non‑elective contribution. PTO & Paid Sick Leave. Tuition Assistance, Advancement & Academic Advising. Parental, Adoption, Surrogacy Leave. Backup and On‑Site Childcare. Well‑Being Rewards. Employee Assistance Program (EAP). Fertility Benefits, Healthy Pregnancy Program. Flexible Spending & Commuter Accounts. Pet, Home & Auto, Identity Theft and Legal Insurance. Pay Transparency Act Note: In compliance with the NJ Pay Transparency Act (effective Sunday, June 1, 2025), all job postings will include the hourly wage or salary (or a range), as well as this summary of benefits. Final compensation and benefit eligibility may vary by role and employment status and will be confirmed at the time of offer. Job Information Minimum Salary (Hourly Rate): $33.33 Maximum Salary (Hourly Rate): $58.67 Assignment Category: Full‑time Hours per Week: 37.5 Primary Shift: Day Salary Admin Plan: PRO EEO Statement Atlantic Health, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran status. #J-18808-Ljbffr Direct Jobs

Vacancy posted 1 day ago
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