Related skills
cms governance accreditation regulatory compliance physician_performance📋 Description
- Advise on medical staff bylaws, rules, regulations, and policies
- Assess and optimize peer review processes and documentation standards
- Align with regulatory/accreditation requirements (Joint Commission, CMS, NCQA)
- Design fair, defensible physician performance evaluation systems
- Facilitate medical staff committees and provide governance guidance
- Conduct bylaws and peer review audits to identify gaps and risks
🎯 Requirements
- Bachelor’s degree required; Master’s degree preferred
- 5+ years in medical staff services, peer review, healthcare consulting, or hospital administration
- Strong knowledge of medical staff bylaws, credentialing, privileging, and peer review
- Familiarity with accreditation/regulatory standards (Joint Commission, CMS COP, etc.)
- Experience working with physician leadership and hospital executives
- Preferred certifications: CPMSM, CPCS, JD
🎁 Benefits
- Medical, dental, and vision insurance
- HSA and FSA options
- Disability and life insurance
- 401(k) match
- Paid time off
- Wellness stipend
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