Director, Credentialing & Accreditation
Core
Provides operational and regulatory leadership for enterprise credentialing, recredentialing, clinical privileging, accreditation, and medical staff compliance activities across UR Medicine hospitals and affiliated organizations.
Role type
Director of Credentialing & Accreditation
Builds
Operational plans, policies, and controls for practitioner onboarding and regulatory readiness
Domain
Healthcare administration / Medical Staff Services
Deliverable
dashboards & analysis
Required skills
Operational leadership, regulatory compliance, policy development, staff management, risk management, audit preparation, stakeholder partnership
Preferred skills
Knowledge of The Joint Commission, CMS, NCQA standards, Ongoing Professional Practice Evaluation (OPPE), Focused Professional Practice Evaluation (FPPE)
Technologies
Credentialing systems, NPDB, CMS databases
Responsibilities
Translate senior leadership direction into operational plans and performance expectations; Lead, coach, and evaluate managers and staff responsible for credentialing and privileging; Direct operational readiness for accreditation surveys and regulatory reviews; Develop and maintain credentialing, privileging, and accreditation policies; Provide oversight of OPPE and FPPE processes; Review and guide management of complex, high-risk credentialing matters.
Seniority
Director, strategic & operational leadership