Salary is commensurate with qualifications and experience.
As a UW employee, you will enjoy generous benefits and work/life programs. For detailed information on Benefits for this position, click here.
The University of Washington (UW) is proud to be one of the nation's premier educational and research institutions. Our people are the most important asset in our pursuit of achieving excellence in education, research, and community service. Our staff not only enjoys outstanding benefits and professional growth opportunities, but also an environment noted for diversity, community involvement, intellectual excitement, artistic pursuits, and natural beauty.
The School of Medicine has an outstanding opportunity for an Associate Director.
The Associate Director oversees medical staff services, including credentialing and privileging, within the Office of Medical Staff Appointments (OMSA) for UW Medicine Health System's three primary hospitals, including the University of Washington Medical Center, Harborview Medical Center and Seattle Cancer Care Alliance, as well as the UW Medicine Neighborhood Clinics and UW Hall Health. This includes establishing, implementing, and overseeing institutional procedures and systems to process new appointments, reappointments, and new privilege requests for all medical staff. This position advises medical staff leaders across the system in the development, implementation, and adherence to the medical staff organization governing structure; institutional policies and procedures; and adherence to accrediting bodies requirements, Washington State Department of Health (DOH) licensing regulations, and state/federal regulatory requirements. The Associate Director also ensures continuous compliance with medical staff privileging and oversight requirements as defined by The Joint Commission (TJC) and maintains continual accreditation readiness with TJC standards for the health system. This position, under the direction of the Vice Dean for Clinical Affairs, supports the OMSA Board, and reports on the review and approval of medical staff appointments accuracy and timeliness, and reappointments and privileging. Works with board/department chairs to develop, update, review and approve medical staff privileges, privilege training requirements and changes. The position supervises and encourages the professional development of 11 professional and classified staff, as well as develops and manages OMSA's $1.6 million administrative operations budget.
The position will be responsible for developing business metrics and ensuring a pro-active and iterative approach to meet these metrics. The position will engage in Continuous Process Improvement, developing goals and milestones to ensure that the OMSA is managed efficiently and professionally, with clear goals recognized nationally in this industry. The position will champion a continuous improvement approach throughout his/her office, developing base line data and team goals, which could be shared with the Board of Directors.
The Director works closely with the following constituents to ensure a high quality medical staff: Academic Departments, Medical Director's Offices, UW Medicine Compliance, UW Office of Risk Management, UW Attorney General's Office (AGO), SOM Director of Academic Appointment and Compensation (ACC) and the Vice President for Medical Affairs (VMPA). This position requires a comprehensive understanding of the policy requirements and bylaws of UW Medicine Health Systems and external regulatory bodies including the TJC, National Committee for Quality Assurance (NCQA), Center for Medicare & Medicaid Services (CMS), and DOH.
Medical Staff Credentialing
Develop and implement policies and procedures for the credentialing and re-credentialing of all medical staff members in compliance with internal (e.g. hospital by-laws, delegated contracts) and external (e.g.,TJC, DOH, NCQA) policies and requirements. Develop and maintain policies and procedures to document credentialing requirements. Monitor national trends in credentialing and incorporate national and local standards into OMSA credentialing process. Direct operations and assure that OMSA staff have a clear direction and operating platform from which to deliver effective and efficient services, including direction and oversight of the following activities:
Maintain credentialing verification and demographic data for all medical staff members in the online Medical Staff Office for the Web TM (MSOW) system.
Monitor all medical staff member expirables (e.g. licenses, certifications and insurance) and ensure currency of all required credentials.
Implement and oversee a single application process for medical staff membership and clinical privileges.
Plan and run the annual OMSA Education Conference for department administrators, coordinators and other individuals involved with medical staff credentialing and privileging.
Ensure compliance with OMSA policies and procedures and UW Medicine Health System by-laws.
Communicate status of initial and reappointment applications to stakeholders.
Maintain confidentiality of medical staff, especially with regard to negative actions by the DOH, OMSA Board and other regulatory/credentialing bodies.
Acquire and maintain state-of-the-art knowledge of national and local health care regulation, rules and requirements. Serve as consultant and adviser to institutional leadership on issues related to TJC, NCQA, DOH and other regulatory agencies and UW Medicine Health Systems bylaws. Provide guidance and serve as expert resource to medical staff leadership and OMSA Board. Direct, develop and maintain ongoing quality management program in accordance with regulatory requirements, OMSA policies and procedures and UW Medicine Health Systems by-laws, rules and regulations. This includes direction and oversight for the following activities:
Ensure timely reappointment of medical staff.
Ensure information from department peer review processes and performance improvement data collection is assessed and included in reappointment process.
Monitor operating performance and compliance with service contracts and applicable standards.
Participation in TJC readiness and audits, annual delegation audits, and DOH audits, and ensure compliance of all medical staff credentialing data.
Monitor and report DOH sanction actions to department chairs, medical directors and VPMA as appropriate.
Strategic and business Management
Under the direction of the Director of Business and Operations Management of the school of Medicine, and the OMSA Board:
Collaboratively develop implementation plans that convert strategy to operating tactics.
Provide oversight for implementation of strategic objectives within OMSA.
Ensure institutional leadership are current on evolving standards, technology and service options available in the industry at large.
Ensure efficient Continuing Process Improvement on all operational aspects of OMSA.
Bring innovative ideas and concepts to ensure Lean implementation.
Develop meaningful metrics to assess and measure efficiency of operations, report regularly on these metrics to the Board. Set target for improvement, and report on milestones made to attain these targets.
Financial and HR Management
Ensure that OMSA is managed in accordance with financial objectives, including but not limited to:
Budget development, monitoring and variance reporting, purchasing, compliance.
Oversee all aspects of human resources management for OMSA, including but not limited to:
Development and definition of new positions, professional development, succession plan, handling employee complaints/other concerns and all other HR aspects.
Bachelor's Degree in business or related field. Six years experience in medical staff and health plan credentialing and privileging.
National certification in medical staff credentialing - Certified Provider Medical Services Management (CPMSM), Certified Provider Credentialing Specialist (CPCS).
Five plus years experience in management of personnel.
Founded in 1861, the University of Washington is one of the oldest public institutions in the west coast and one of the preeminent research universities in the world. The University of Washington is a multi-campus university comprised of three different campuses: Seattle, Tacoma, and Bothell. The Seattle campus is made up of sixteen schools and colleges that serve students ranging from an undergra...duate level to a doctoral level. The university is home to world-class libraries, arts, music, drama, and sports, as well as the highest quality medical care in Washington State and a world-class academic medical center. The teaching and research of the University’s many professional schools provide undergraduate and graduate students the education necessary toward achieving an excellence that will serve the state, the region, and the nation. As part of a large and diverse community, the University of Washington serves more students than any other institution in the Northwest.