JOB SUMMARY: Responsible for coordinating all medical staff activities and acts as a liaison to medical staff, nursing and administration. Provides administrative support for medical staff functions and to the medical staff leadership including elected and appointed medical staff organization representatives in order to enable them to fulfill their duties and obligations as defined by regulatory and licensing agencies and Medical Staff Bylaws and accompanying documents. Must provide orientation and training to enable staff to perform the functions to which they are assigned. Establishment of work standards and quality controls.
The following duties are intended to provide a representative summary of the major duties and responsibilities and ARE NOT intended to serve as a comprehensive list of all duties performed by all employees in this classification. Incumbent(s) may not be required to perform all duties listed and may be required to perform additional, position-specific duties.
Responsible for providing exceptional customer service and setting the goals and objectives for the Medical Staff Office (MSO).
Provides administrative support for medical staff functions and to the medical staff leadership including elected and appointed medical staff organization representatives in order to enable them to fulfill their duties and obligations as defined by regulatory and licensing agencies and Medical Staff Bylaws and accompanying documents.
Must provide orientation and training to enable staff to perform the functions to which they are assigned. Establishes work standards and quality controls.
Serves as the subject matter expert for all Medical staff Office activities in the context of regulatory, accreditation, legal, and other requirements. Explore other models for delivery of services, analyzes potential for success and makes recommendations for implementation of these methods.
Develop revenue generation mechanisms in conjunction with other program managers in order to expand programs. Develop, implement, and monitor policies and procedures that reflect the quality and safe delivery of health care services. Develop, implement and monitor a quality improvement and assurance program related to the Credentialing function.
Manages and schedules assigned staff. Develops goals and priorities; assigns tasks and projects. Develops staff skills and training plans. Counsels, trains and coaches assigned staff. Implements corrective actions and conducts performance evaluations.
Develops, implements and monitors quality improvement and assurance programs. Assists in budget formulation. Monitors MSO staffing, resource and expenditure to ensure successful program implementation in accordance with approved budget.
Timely completion of management reports. Responsible for tracking departmental workload measurements.
Coordinate and work with other departments to ensure the optimal flow of customers through the system.
Supervises credentialing and privileging activities: Follows Federal and Alaska State laws and Joint Commission standards to create and implement policies and procedures for credentialing and privileging which are in compliance with the Medical Staff Bylaws policies and procedures and which have been approved by the Credentials Committee, the Medical Staff Executive Committee and the Joint Operating Board.
Provides performance data for evaluation of providers. Assures that credentialing procedures are completed in a timely manner according to guidelines outlined in the Medical Staff Bylaws and credentialing policies and procedures. Assures that appropriate documentation of credentialing and privileging activities is maintained for Joint Commission and other accreditation and Alaska State licensing surveys, including (but not limited to) minutes and credentials files.
Oversees management of medical staff organization meetings: Assures coverage of medical staff meetings and provides guidance, resources and support to elected and appointed officers of the Medical Staff. Assures that appropriate agendas are developed after consultation with committee and department chairs.
Maintains documentation of all minutes for Joint Commission and other accreditation and licensing surveys. Assures that follow-up action is taken as indicated and appropriate. Oversees the preparation of accurate documentation of medical staff meetings and peer review monitoring activities following legal guidelines, Joint Commission, and other Federal and State requirements.
Properly manages credentialing for other Tribal Health Organizations in accordance with signed Credentialing Verification Organization contracts.
KNOWLEDGE and SKILLS
Knowledge of applicable Federal, State, and Tribal law, regulations, rules, policies and processes. Including substantial knowledge of relevant specialized fields such as Federal Indian law and self-determination/self-governance, health law, and employment law.
Knowledge of Joint Commission compliance standards and application experience related to medical staff credentialing and privileging requirements.
Knowledge of sound quality assurance and management practices.Knowledge of fiscal management; budgeting
Knowledge of and demonstrated application of the 1974 Privacy Act – specifically as related to confidentiality of information.
Knowledge of adult communication and learning principles.
Skill in verbal and written communication.
Skill in identified areas of expertise, such as transactions, investigations, policy analysis, etc.
Skill in establishing and maintaining cooperative working relationships with individuals with wide array of cultural, political, educational, socio-economic, geographic and linguistic backgrounds.
Skill in addressing sensitive issues and situations.
Skill in training others in exceptional customer service practices.
Skill and knowledge of program development.
Skilled in using Microsoft Excel, other spreadsheets, Microsoft Word and other word-processing software.
MINIMUM EXPERIENCE QUALIFICATION
Non-supervisory – Seven (7) years of relevant work experience. An equivalent combination of relevant education and/or training may be substituted for experience.
Supervisory - Three (3) years involving employee supervision. An equivalent combination of relevant education and/or training may be substituted for experience.
MINIMUM CERTIFICATION QUALIFICATION
CPSC, CMSC, CPHQ or CPMSM Certification required.
MINIMUM EDUCATION QUALIFICATION
A Bachelor’s Degree in Business Administration or other related field. Progressively responsible professional work-related experience, education, or training may be substituted on a year-for-year basis for college education.
PREFERRED EDUCATION QUALIFICATION
A Master’s Degree in Business Administration or other related field. Progressively responsible professional work-related experience, education, or training may be substituted on a year-for-year basis for college education.
Additional Salary Information: $110,000/year minimum, depends on experience and qualifications
Internal Number: RFR4405
About Alaska Native Tribal Health Consortium
The Alaska Native Tribal Health Consortium is a non-profit Tribal health organization designed to meet the unique health needs of Alaska Native and American Indian people living in Alaska. In partnership with the more than 175,000 Alaska Native and American Indian people that we serve and the Tribal health organizations of the Alaska Tribal Health System, ANTHC provides world-class health services, which include comprehensive medical services at the Alaska Native Medical Center, wellness programs, disease research and prevention, rural provider training and rural water and sanitation systems construction.
ANTHC is the largest, most comprehensive Tribal health organization in the United States, and Alaska’s second-largest health employer with more than 3,000 employees offering an array of health services to people around the nation’s largest state.
Our vision: Alaska Native people are the healthiest people in the world. Our vision is not only an ambitious statement — but the guiding principle in all that the Alaska Native Tribal Health Consortium does. We envision Alaska Native people and the Tribal health system as health leaders. The inspiration for that vision, and the ...foundation for achieving it, is based in the strength of our Alaska Native people and our cultures. We have the tools for physical, mental and community health to protect and perpetuate our Alaska Native cultures and traditions. To achieve the vision that Alaska Native people are the healthiest people in the world, ANTHC works with patients, Tribal partners, employees, government and nonprofit partners, and others who share common objectives.