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Job Details

Sr. Director, Centralized Credentialing Johns Hopkins Health System

Requisition #: 186033
Location: Johns Hopkins Hospital/Johns Hopkins Health System, Baltimore, MD 21201
Category: Leadership
Work Shift: Day Shift
Work Week: Full Time (40 hours)
Weekend Work Required: No
Date Posted: May 13, 2019

The Johns Hopkins Health System Corporation (JHHS) is a not-for-profit organization dedicated to providing the highest quality patient health care in the treatment and prevention of human illness. JHHS is an academically based health system. JHHSC and its wholly owned subsidiaries are referred to as the ‘Health System.’ It comprises of 7 entities;

  1. The Johns Hopkins Hospital, with 1,192 beds
  2. Johns Hopkins Bayview Medical Center, with 527 beds
  3. Howard County General Hospital, with 284 beds
  4. Suburban Hospital, with 236 beds
  5. Sibley Memorial Hospital, with 318 beds
  6. Johns Hopkins All Children’s Hospital, with 259 beds
  7. Johns Hopkins Community Physicians, a multispecialty physician organization with over 430 providers

POSITION SUMMARY:

Senior Director Credentialing – JHHS, Provides leadership and management of the Centralized Credentialing Office (CCO). He /She will Oversee and coordinate all functions associated with the verification, credentialing, and privileging of providers within The Johns Hopkins Health System. The individual will provide guidance and resources to the Medical Staff Office Directors and assist them in ensuring consistency across the health system. The Senior Director oversees the information system for credentialed staff and its interface with other information systems throughout Hopkins. Sr Director will be responsible for establishing appropriate credentialing policies and will monitor performance to ensure that providers’ credentials are verified as required by state and federal government requirements, by licensure and accreditation standards, and as dictated by hospital bylaws. Sr. Director will continuously review policies and operations to enhance and streamline the credentialing process.

Reporting Relationship

Senior Director, Johns Hopkins Health System Centralized Credentialing Office reports directly to Senior vice president Johns Hopkins Health System..

EDUCATION & EXPERIENCE

  • Position requires a minimum of a Bachelor’s degree in Healthcare Management or a related field. Master’s degree is highly preferred.
  • Minimum of Five years of managing and directing a centralized verification office or medical staff office in a large health care organization.
  • Thorough knowledge of credentialing, privileging, managed care, The Joint Commission and National Committee for Quality Assurance accreditation standards, and federal and state regulatory requirements related to professional staff and hospitals in general; quality improvement and data management functions and structure; and operating policies in a hospital setting
  • Certified Professional in Medical Services Management (CPMSM); or Certified Provider Credentialing Specialist (CPCS) is required OR able to acquire certification within first 12 months.

MAJOR ROLES & RESPONSIBILITIES

  1. Communicate effectively. Routinely provide others with the information they need to do their jobs. Effectively and consistently to superiors, peers, and employees.
  2. Sets goals, motivates and aligns the organization. Inspire staff and generates a commitment to program and project goals.
  3. Take the initiative to solve problems and make Decisions. Solve problems quickly and effectively.
  4. Builds relationships and fosters teamwork. Demonstrate the ability to build relationships across the organization and teamwork within their organization.
  5. Creates a Learning Environment; Develop staff and self through mentoring, continued education, and providing an opportunity to learn new skills.
  6. Respect diversity and practice inclusion; Ensure is compliant with federal and state regulations, foster a culturally diverse environment. Demonstrate cultural competence in interacting with team members and clients/patients.
  7. Manage change, Adapt to new challenges, embrace change, keep staff informed of changes and the impact to the department, prioritize and meet project deadlines.
  8. Develops and approves the JHHS Centralized Credentialing Office budget.
  9. Develops and approves policies for the department.
  10. Uses critical thinking, scientific inquiry, and other high-level processes to analyze complex problems. Uses a multidimensional knowledge base to seek ideal solutions.
  11. Uses complex data from systems, quality improvement initiatives, and other sources to direct and enhance the ongoing work of the department.
  12. Manage Service Excellence; Ensure employees deliver excellent customer service. Employee treats customers (guests, patients, clinicians, and all other employees) with courtesy, respect, and caring behaviors.
  13. Manages Operations; Develops and implements work plans and measures against established standards. Proactively monitors key performance indicators and makes real-time adjustments to ensure goal accomplishment. Consistently seeks to improve work processes, evaluate workflows, and improve workflow efficiencies.
  14. Manages Financial and Business Planning: Capability to interpret industry trends and analyze data possesses critical thinking skills to identify a corrective course of action. Monitors financial performance of their area of responsibility and ensures responsible use of resources.

Credentialing Operations

  1. Plans work schedules, develop policies, procedures, standards, and workflow to ensure the efficacy of the program. Oversees the general operations of the Centralized Credentialing Office
  2. Demonstrate the ability to have sound judgment and make appropriate decisions.
  3. Collaborate with JHHS entities to assure complete and properly-prepared credentialing files for new applicants and reappointments.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.

Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.

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