Director Medical Affairs

Profile

Director, Medical Affairs
The candidate will lead the design, execution, and management of the Medical Affairs Department for the company. Oversee the Credentialing Manager who is responsible for day-to-day credentialing and privileging activities, as well as a Computer User Support Analyst. Oversee regulatory requirements related to The Joint Commission as pertains to credentialing, privileging, and professional staff governance and credentialing agreements with health plans. Staff Professional Board activities including the Professional Board meetings, Professional Board operations meetings, and related activities under the guidance of the Professional Board Chair and Chief Medical Officer focused on support for medical staff governance functions and responsibilities including the Bylaws, policies and procedures necessary to address organizational needs and changes. Interface with Risk Management to identify and help mitigate risks as pertains to Medical Affairs functions. A Bachelor degree in health services area or Hospital/Business Administration required. A Masters or JD preferred. 3-5 years health care credentialing, contracting, quality management or Medical Affairs experience in acute care hospital, clinic or payor setting, or equivalent experience required. Previous management experience; knowledge of group dynamics; basic understanding of statistical and data analysis, reporting and facilitating problem solving; good working knowledge and ability to apply regulatory/accreditation standards related to key services including The Joint Commission and NCQA excellent presentation, oral and written communication skills required with strong analytic, problem-solving and project management skills; demonstrated ability to deliver training and conduct effective meetings required. Experience in third party payer environment with exposure to appeals and grievance procedures preferred.

Company info

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