Director Credentialing

How you move is why we’re here. ®
Now more than ever.

Get back to what you need and love to do.
The possibilities are endless...
 
Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize the abundant opportunities for growth and success.
 
If this describes you then let’s talk!
 
HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report. As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment.

Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise.

Emp Status

Work Shift

Compensation Range

What you will be doing

JOB DESCRIPTION/POSITION & UNIT ACCOUNTABILITIES

Leadership

• Exercises Leadership - Oversees others. Supervises Coordinators
• Exercises Leadership - Manages credentialing processes at main campus and regional sites. Oversees all aspects of credentialing of HSS Medical Staff, Allied Health Professional Staff and Graduate Medical Education Staff, for initial and reappointments, as required by TJC, NYS DOH, NCQA, ACGME and HSS Medical Board as applicable.
• Exercises Leadership - Manages operations. Oversees operations of the credentialing office and assumes departmental leadership, as needed.
• Exercises Leadership - Meets with faculty. Meets with Faculty to review new Program requests and Delineation of Privileges.
• Coaching & Development – Helps staff grow in areas such as primary-source verification, payer enrollment, or data integrity.

Operational

• Clear Expectations & Accountability – Sets measurable KPIs for turnaround times, accuracy, productivity, and compliance
• Delegation & Workload Balancing – Manages capacity during peak volumes, reappointments, and onboarding cycles.
• Ensures Quality Outcomes - Serves as liaison. Acts as liaison between graduate medical trainees, external GME Offices and Departmental offices, and HSS Medical Staff Office, Legal Affairs Department and OHS to assure completed applications.
• Maintains Documentation & Manages Information - Oversees credentialing information. Ensures that the Department maintains a database on credentialing information along with a hard copy of each trainee file.
• Maintains Documentation & Manages Information - Generates reports. Generates relevant database reports, including but not limited to; monthly report of appointments for the Credential Committee, Medical Board and Board of Trustees.
• Maintains Documentation & Manages Information - Maintains malpractice records. Maintains accurate and timely malpractice histories by coordinating information obtained from physicians, NPDB, malpractice insurance carriers and affiliated healthcare facilities, within the guidelines of NYS law 2805K.
• Audit Management – Guides staff through internal/external audits and provides coaching based on findings.
• Supports Department Activities - Participates in initiatives. Participates in Education Institute projects and activities.
• Upholds Standards/Expectations of HSS Staff - Demonstrates effective communication skills. Communicates in an organized, illustrative and courteous manner, both verbally and in writing, with physicians and coworkers.
• Perform other duties and special projects as assigned

YEARS OF EXPERIENCE REQUIRED
5-7, Healthcare/Medical - Healthcare Administration
EDUCATION REQUIRED
A Bachelor's degree (e. g., BA, BS, BSN, BSW). or 5-7 years experience in lieu of degree
EDUCATION PREFERRED
Masters.

PHYSICAL WORKING CONDITIONS
Standing or sitting in the same location. Standing or sitting in the same location; may require to stoop, climb or lift light material (10 lbs. or less) or equipment. Examples: programmers, receptionists, medical technologists, and dishwashers.

ENVIRONMENTAL WORKING CONDITIONS
Indoor area with frequent exposure. Located in an indoor area with frequent exposure to mild physical discomfort from dust, fumes, temperature, and noise. Examples: patient care providers and laboratory technicians.

HAZARDS OSHA
OSHA Category 3.Tasks that involve no exposure to blood, body fluids, tissues, or other potentially infectious materials and Category 1 tasks are not a condition of employment.

CERTIFICATIONS/LICENSURE REQUIRED

CERTIFICATIONS/LICENSURE PREFERRED
CPCS Certification (preferred).

SKILLS REQUIRED
Proven supervisory ability; Knowledge of healthcare; Good oral and written communication skills; Strong problem solving skills; Excellent organizational skills.

SKILLS PREFERRED

Non-Discrimination Policy
Hospital for Special Surgery is committed to providing high quality care and skilled, compassionate, reliable service to our community in a safe and healing environment. Consistent with this commitment, Hospital for Special Surgery provides care, admits, and treats patients and provides all services without regard to age, race, color, creed, ethnicity, religion, national origin, culture, language, physical or mental disability, socioeconomic status, veteran or military status, marital status, sex, sexual orientation, gender identity or expression, or any other basis prohibited by federal, state, or local law or by accreditation standards.

Non-Discrimination Policy
Hospital for Special Surgery is committed to providing high quality care and skilled, compassionate, reliable service to our community in a safe and healing environment. Consistent with this commitment, Hospital for Special Surgery provides care, admits, and treats patients and provides all services without regard to age, race, color, creed, ethnicity, religion, national origin, culture, language, physical or mental disability, socioeconomic status, veteran or military status, marital status, sex, sexual orientation, gender identity or expression, or any other basis prohibited by federal, state, or local law or by accreditation standards.