Corporate Project Manager, Quality and Professional Governance
New
J
JobgetherHealthcare quality
Based in the United StatesFull-TimeManager
Salary not disclosed
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Job Details
- Experience
- At least 5 years of experience in a healthcare environment, particularly in medical staff services, healthcare quality, credentialing, or professional governance.
- Required Skills
- Project ManagementMicrosoft Office
Requirements
- At least 5 years of experience in a healthcare environment, particularly in medical staff services, healthcare quality, credentialing, or professional governance.
- Working knowledge of CMS Conditions of Participation, Joint Commission accreditation standards, NCQA requirements, and applicable federal and state healthcare regulations.
- Understanding of medical staff credentialing, privileging, bylaws, hospital regulations, and professional practice evaluation processes.
- Experience with database administration, including data querying, reporting, document generation, data integrity monitoring, and database maintenance.
- Strong Microsoft Office skills, including work with reporting tools, databases, and documentation systems.
- High school diploma or GED required.
- A relevant associate's or bachelor's degree is preferred.
- Familiarity with MD-Stat and Virtual Committee is an advantage.
- NAMSS certification, particularly Certified Professional in Medical Services Management (CPMSM), is preferred.
- Ability to coordinate cross-functional initiatives, manage competing priorities, meet deadlines, and drive projects through implementation.
- Research, problem-solving, auditing, and data analysis skills, including identifying compliance risks and recommending solutions.
Responsibilities
- Coordinate regulatory standards and process improvements for licensed independent practitioners, aligning them with JC, CMS, NCQA, and applicable state and federal requirements.
- Guide Medical Staff Offices in maintaining compliant bylaws, privileges, hospital regulations, procedural rules, and supporting documentation.
- Develop, review, and recommend updates to systemwide policies, procedures, bylaws, and hospital regulations.
- Collaborate with quality leaders and medical group stakeholders to standardize specialty quality indicators and oversee OPPE and FPPE requirements.
- Administer MD-Stat and related statistical applications, maintaining database integrity, security, functionality, data collection, and reporting.
- Audit databases, monitor quality metrics, identify compliance gaps, and coordinate corrective actions.
- Develop educational materials and provide guidance on databases, professional practice evaluation, credentialing, and governance procedures.
- Lead and support cross-functional projects with clinical, quality, legal, compliance, and medical group stakeholders.
- Guide medical staff coordination teams in Canada and Mexico on credentialing, privileging, regulatory compliance, and data integrity.
- Research complex issues, analyze performance data, implement operational improvements, and maintain collaboration platforms and documentation repositories.
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