Interim Medical Staff Services Professional - Leadership or Staff Level | BS, CPCS, CPMSM Last Updated: February 8, 2018 (5 months ago)
Interim Medical Staff Services Professional - Leadership or Staff Level | BS, CPCS, CPMSM
Currently Available
Galileo Search is representing an experienced Medical Staff Services expert who is ready for his next assignment. This seasoned Contractor successfully develops and implements immediate actionable strategies and has proven success in concept-to-execution and turnaround. We’ve verified his credentials and I’ve included excerpts from his references. When you’ve had a chance to review the details below, please email or give me a call to discuss this outstanding interim professional.

REFERENCES & REVIEWS

• “He was able to assess the situation, understand what needed to be done, and in looking at the big picture was able to come up with a game plan to fix it.”
• "He is "all in" on his interim assignments, he puts all of his effort into the job as if it's a permanent position.”
• "He is an educator, we used a CVO to get our re-credentialing information and when he needed information he would just pick up the phone and get it.”
• “He put together a process to get through 100 files in a month! The system he developed is still in place today, it was so impressive to watch him take a giant mess and wrangle it into submission in such a short period of time.”
• "He is professional, calm under pressure, able to multi task and the most organized person I've ever met!

• Responsible for delegation of projects, budget preparation/analysis, reporting to facility administration, and participation in/facilitation of applicable facility meetings (e.g., Credentials Committee, Medical Executive Committee)
• Coordinated with Quality departments to extract and analyze practitioner data, review of FPPE/OPPE, and compliance with mandated core measures pertinent to the Medical Staff and clinical activities
• Input/collaborate with Information Systems staff to ensure provider information security and appropriate reporting in secure clinical systems
• Ensure that processes are compliant with TJC standards, CMS conditions of participation, state regulations, and other internal and external governance
• Participated in preparation, facilitation of TJC surveys, CMS surveys, delegated credentialing audits, and audits from state and other entities
• Ensure that Provider Enrollment functions are compliant with NCQA standards as adhered to by delegated payers
• Ensure that Medical Staff/credentialing processes are maintained and updated as relevant changes related to healthcare reform legislation, Accountable Care Organizations, and other governance are implemented as appropriate
• Input and facilitation of various aspects of facility Peer Review processes, including collection/management of data, integration of Medical Staff oversight into the process, analysis of data to determine compliance with mandated standards and governance, coordination with physician leaders and designated committees on appropriate review/action, and monitoring of performance improvement plans/corrective action for adverse issues
• Utilization of Lean management and production principles, as adapted and implemented within the organization, for daily operations and continuous process improvement
• TJC / CMS
• Initial / Reappointment Applications
• NCQA Standards
• Medical Staff Bylaws
• OPPE and FPPE Requirements
• Interim Medical Staff Coordinator – Remote Assignment | 800+ bed academic medical center
• Interim Medical Staff Coordinator |140+ bed acute care hospital
• Interim Consultant - Echo Database Special Project | 360+ bed acute care hospital
• Interim Consultant - FPPE/OPPE Assessment | 70+bed acute care hospital
• Interim Medical Staff Director | 320+ bed acute care hospital
• Bachelor of Science (BS)
• Certified Provider Credentialing Specialist (CPCS)
• Certified Professional Medical Staff Services Management (CPMSM)

Resume Content

Title:

Interim Medical Staff Services Professional - Leadership or Staff Level | BS, CPCS, CPMSM

Date Available:

Currently Available

Summary:

Galileo Search is representing an experienced Medical Staff Services expert who is ready for his next assignment. This seasoned Contractor successfully develops and implements immediate actionable strategies and has proven success in concept-to-execution and turnaround. We’ve verified his credentials and I’ve included excerpts from his references. When you’ve had a chance to review the details below, please email or give me a call to discuss this outstanding interim professional.

REFERENCES & REVIEWS

• “He was able to assess the situation, understand what needed to be done, and in looking at the big picture was able to come up with a game plan to fix it.”
• "He is "all in" on his interim assignments, he puts all of his effort into the job as if it's a permanent position.”
• "He is an educator, we used a CVO to get our re-credentialing information and when he needed information he would just pick up the phone and get it.”
• “He put together a process to get through 100 files in a month! The system he developed is still in place today, it was so impressive to watch him take a giant mess and wrangle it into submission in such a short period of time.”
• "He is professional, calm under pressure, able to multi task and the most organized person I've ever met!

Qualifications & Achievements:

• Responsible for delegation of projects, budget preparation/analysis, reporting to facility administration, and participation in/facilitation of applicable facility meetings (e.g., Credentials Committee, Medical Executive Committee)
• Coordinated with Quality departments to extract and analyze practitioner data, review of FPPE/OPPE, and compliance with mandated core measures pertinent to the Medical Staff and clinical activities
• Input/collaborate with Information Systems staff to ensure provider information security and appropriate reporting in secure clinical systems
• Ensure that processes are compliant with TJC standards, CMS conditions of participation, state regulations, and other internal and external governance
• Participated in preparation, facilitation of TJC surveys, CMS surveys, delegated credentialing audits, and audits from state and other entities
• Ensure that Provider Enrollment functions are compliant with NCQA standards as adhered to by delegated payers
• Ensure that Medical Staff/credentialing processes are maintained and updated as relevant changes related to healthcare reform legislation, Accountable Care Organizations, and other governance are implemented as appropriate
• Input and facilitation of various aspects of facility Peer Review processes, including collection/management of data, integration of Medical Staff oversight into the process, analysis of data to determine compliance with mandated standards and governance, coordination with physician leaders and designated committees on appropriate review/action, and monitoring of performance improvement plans/corrective action for adverse issues
• Utilization of Lean management and production principles, as adapted and implemented within the organization, for daily operations and continuous process improvement

Expertise:

• TJC / CMS
• Initial / Reappointment Applications
• NCQA Standards
• Medical Staff Bylaws
• OPPE and FPPE Requirements

Experience:

• Interim Medical Staff Coordinator – Remote Assignment | 800+ bed academic medical center
• Interim Medical Staff Coordinator |140+ bed acute care hospital
• Interim Consultant - Echo Database Special Project | 360+ bed acute care hospital
• Interim Consultant - FPPE/OPPE Assessment | 70+bed acute care hospital
• Interim Medical Staff Director | 320+ bed acute care hospital

Education:

• Bachelor of Science (BS)
• Certified Provider Credentialing Specialist (CPCS)
• Certified Professional Medical Staff Services Management (CPMSM)

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