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The name you know. The doctors you trust. Georgetown University Hospital is consistently ranked among the best in the nation by U.S. News and World Report.

Position Summary: Manages and directs all financial and operational aspects of the Department of Medicine, with primary responsibility for assuring that the Department is managed in a fashion that optimizes financial and organizational results, including responsiveness to faculty and staff issues, assuming responsibility for preparation and compliance with approved budgets, and development, updating and maintenance of strategic and business plans to support the academic mission of the Department. These functions are performed in accordance with all applicable laws and regulations and Georgetown University Hospital´s philosophy, policies, procedures and standards.Required Education/Training: Appropriate Master´s level degree is required. (MS, MPH, MBA, MHA). Doctoral degree preferred.Required Experience: Minimum of 7 - 10 years of similar executive-level management experience in an academic health setting, preferably in a Department of similar size and scope. Must have extensive experience in medical center finances, budget preparation and control, personnel management, and information systems. Personal knowledge of statistical analysis and presentation. Must have considerable knowledge of modern management principles, practice and methods, and an understanding of application of automated data processing techniques to financial and operational management.

This job exists to implement the credentialing plan of The Methodist Hospital Physician Organization and to ensure compliance with all organizational policies and procedures and fulfill credentialing requirements for participation in selected managed care organizations. PATIENT AGE GROUP SERVEDThere is no direct patient care for this role.DUTIES AND RESPONSIBILITIES1. Develops, communicates, and maintains standard operating procedures for the department to ensure timely credentialing of all member physicians and allied health professionals. 2. Facilitates the credentialing function for physicians and allied health professionals. Critical activities include oversight of the completion of the Texas Standard Credentialing Application and the CAQH online credentialing application as well as enrollment in the Federal and State Medicare and Medicaid programs. Additional functions include facilitation of hospital privileging with all Methodist Health Care System hospitals, expiration management of all licenses, certifications, insurance, etc., and delineation of responsibilities for all allied health professionals .3. Develops and maintains oversight of all credentialing policies and procedures through the establishment of a credentialing committee comprised of member physicians of the organization. Provides ongoing staff support to this committee.4. If credentialing functions are delegated to a third party, maintains policies and procedures for delegated credentialing services and provides management and oversight to the Credentialing Verification Organization (CVO) and conducts onsite audits on a periodic basis and documents findings. Through the audit process, ensure findings are compliant with requirements of third party managed care organizations that look to the CVO for TMHPO credentialing information.5. Regularly communicates with providers, TMHPO Department Administrators, and other TMHPO departments regarding credentialing status and information.6. Oversees the ongoing maintenance of a complete organizational listing of all providers, credentialing dates, and managed care plan participation.7. Has a working knowledge of NCQA and JCAHO physician credentialing requirements.8. Sets performance criteria for credentialing staff, communicates expectations and outcomes, and evaluates individual and team performance. Manages staff by providing coaching and guidance in specific areas related to overall job performance and accountability.9. Provides relevant information to department director for effective budget planning. Monitors department expenditures and manages resources to support the approved budget.10. Attends to other duties as assigned.11. Demonstrates the I CARE values in the course of carrying out responsibilities.12. Follow all safety rules while on the job. Reports accidents promptly and corrects minor safety hazards.Experience - External:EDUCATION REQUIREMENTS Bachelors degree in Healthcare Administration, Business Administration, or other relevant field. Masters degree preferred.EXPERIENCE REQUIREMENTSFive plus years of progressively responsible experience in project and/or operations management with at least 5 years in a healthcare organization. Previous experience in a clinical setting and/or with direct physician interaction. Experience in directing the work of others to accomplish goals.CERTIFICATES, LICENSES AND REGISTRATIONS REQUIREDCPMSM or CPCS certification is a plus.SPECIAL KNOWLEDGE, SKILLS AND ABILITIES REQUIREDKnowledge of accrediting and credentialing requirements and associated practices. Ability to utilize information systems for tracking, monitoring, and analysis. Ability to effectively communicate (verbal and written) with various clinical and non-clinical audiences.

Be MovedTo a Career with a Central Florida Healthcare Leader

At Orlando Health, you can develop the healthcare career that is right for your individual goals. As a family of specialty and community hospitals, each has its own character, a natural extension of the specialized services offered. It is our mission that unifies us to offer superior service and provide quality healthcare to the people of Central Florida. We are currently hiring for the following position:Healthplan (Managed Care) Provider Credentialing Specialist Complete the review of all credentialing and recredentialing applications submitted to the Healthchoice health plan for inclusion in the provider network. Obtain timely and accurate primary source verifications for all credentialing and recredentialing activities. Present any findings in both verbal and written reports to the physician-led committees. Schedule, coordinate and oversee the successful completion of audits from both state regulatory agencies and entities who delegate health plan credentialing to Healthchoice. Assure compliance to state, regulatory and national accreditation standards. Maintain all credentialing and recredentialing files.Candidates must have 3 years of managed care provider credentialing experience. A strong working knowledge of Microsoft Office and Access database and knowledge of Access query writing required. Must have demonstrated excellent organizational, verbal communication and interpersonal skills. Must be flexible to attend early morning meetings and comfortable with presenting to Medical Directors and other physicians. An Associates degree or equivalent years of experience may be substituted on a two-for-one basis. Must have certification by the National Association of Medical Staff Services, or be actively pursuing these requirements to achieve certification based on eligibility.

Lead Credentialing SpecialistFranklin Square Hospital CenterWhite Marsh area, Baltimore, MDIn 2010, Franklin Square Hospital, a member of the esteemed MedStar Health, will open a beautiful new $175 million, seven-story tower with 291 private patient rooms, expanded emergency department, and 50-bed critical care unit. Due to unprecedented growth throughout our organization, we have exciting new job opportunities for the following position:Lead Credentialing Specialist(Full Time)Description:Performs the initial and reappointment credentialing process and related credentialing functions to ensure compliance with Medical Staff Bylaws and state, federal, and other outside regulatory agencies. Requirements include:5 years hospital credentialing experienceMust have excellent communication skills and be proficient with computer software Experience in credentialing software HS diplomaAA degree is preferredIn return for your skills, we offer a competitive salary and comprehensive benefits, along with FREE parking!

St. Vincent´s Healthcare is currently seeking a Vice President, Physician & Business Development

Vice President, Physician & Business Development Provides senior leadership at the system level, responsible for leadership and growth of the physician integration strategies, including but not limited to: physician recruitment and retention, ambulatory care development, physician referral development, physician joint ventures, and the facilitation of network services to support the organizational goals. Has overall responsibility for the strategic planning and operations of the practices and ancillary services in the First Coast Primary Care Network, Spine & Brain institute and other current and future hospital-based practices.Position Requirements-Masters degree in Healthcare Administration or related field, FACHE certification preferred. 7-10 years of healthcare management experience required. Minimum of 5 years experience over a major group of 25 physicians, multi site. Experience in physician recruitment and retention, practice acquisitions, complex negotiations, contracts, program development, interpret and use complex data. Understands and is committed to the philosophy, mission and core values of Ascension Health.

Why Work at Children´s.... Are you interested in working with a team that has been recognized, both locally and nationally, for providing excellence in pediatric health care? If so, The Children´s Hospital is a leading pediatric health-care network dedicated 100 percent to caring for kids. It has been designated one of the nations top ten outstanding childrens hospitals by U.S.News & World Report and Child Magazine. With more than 600 experienced experts representing the full spectrum of pediatric specialties, Children´s is home to many nationally and internationally recognized medical and research programs. Childrens provides complete pediatric care at its main campus and through a network of care that includes eleven Childrens Care Centers and more than 400 outreach clinics. A career at The Children´s Hospital will challenge your skills, stimulate your emotions and make you proud of your accomplishments.Qualifications: Bachelors required; MHA or MBA strongly preferred, or related graduate degree desirable.Previous transplant experience a plus, not required. Needs to be a creative individual with strong business skill who is comfortable working and can excel in a highly matrixed environment. Strong ability to organize and prioritize.This position will coordinate transplant activities at TCH: Heart, Liver, Kidney, BMT. Top candidates should have minimum of five years work experience in a complex health care environment: Academic medical center experience preferred. Minimum of three years of leadership experience. Experience working with physicians - incorporating unique needs of physicians into the practice Strong relationship building skills Strong business acumen (financial analysis, business development, marketing, planning, and services) and strategic planning skills Ability to understand and implement change management processes Able to effectively operate in a matrix organization Leadership skills in team development, goal setting and execution, problem identification and solution development. Demonstrated knowledge of applicable best practices Excellent interpersonal and organizational skills to present, communicate, and interact effectively with clinical and laboratory medical staff and management at all levels of the organization.Physical Requirements:Ability to Perform Essential Functions of the Job Job Overview: TCH is a center of excellence in pediatric research, education, advocacy and clinical programs and services. This person will report directly to the Chief Medical Officer and maintain a matrixed accountability to multiple hospital VPs and senior physician leadership. Responsibilities include strategic and operational leadership including marketing and business development, contracting, philanthropic activities, clinical management to ensure best outcomes and consistent patient experience, and research coordination. Will have primary responsibility for ensuring 100% regulatory compliance. Will need to prioritize and allocate financial and human resources for the service line, and facilitate collaborative initiatives around shared transplant issues. Will work collaboratively with UNOS and University CCTCARE. Will manage transplant service line budgetEqual Employment Opportunity:It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors. We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, or any other status protected by law or regulation. Be aware that none of the questions are intended to imply illegal preferences or discrimination based on non-job-related information. Additional Information:Department Name: Gastro Service Line Administration. This position will coordinate transplant activities at TCH: Heart, Liver, Kidney, BMT. Job Status: 40 hours per week, Benefit Eligible Shift: Monday through Fridaym 8am-4:30pm