Overview

Our leaders shape strategic initiatives, develop passionate teams, and work to improve health outcomes. They advance our mission and exemplify excellence, compassion, teamwork and purpose in all that they do. Indiana University Health is seeking individuals who embody these values to join our leadership team in the role of Director, Medical Staff Office

This position exists to facilitate planning, development and oversight of the operations of IU Health's Medical Staff Services and Quality and direct operational leadership for the Medical Staff Peer Review process and Medical Staff committee functions for the Metro region. You will serve as the key consultant and support IU Health's system Medical Staff officers and leaders in the completion of the official duties by facilitating communication and active involvement within IU Health. Overseeing the processing and analysis of quality and performance data through the organizational committee structure by utilizing information management techniques such as data collection, analysis and trending and by serving as a conduit for the dissemination of relevant focused and ongoing performance review information. Serve to assist the regional Chief Medical Officers, Medical Staff officers, and as a leader with active oversight and management of ongoing Peer Review processes, implementation of evidence based medicine, compliance with regulatory requirements, and the organization's implemented best practices in order to support the organization's emphasis on quality and safety. Trains and supervises staff to perform essential functions of facilitating the application for appointment and reappointment for the Metro region. This position reports to the regional Chief Medical Officer and has direct leadership responsibility for the outlined services at the local level. This position is also supported through an indirect reporting relationship and receives consultative guidance from Accreditation & Regulatory Compliance leadership regarding regulatory and legal requirements for the areas of Credentialing and Peer Review within Medical Staff Services. This position is responsible for providing administrative decision making, leadership and strategic planning including the efficient and productive use of personnel, materials and financial resources. Establishes policy and direction (programs and services) for department and is accountable for department results. This position is also responsible for the efficient and purposeful integration of services with other areas and emerging delivery systems. Accountable for driving preeminence throughout the assigned areas. Preeminence is being acknowledged as a leader in quality, clinical care, education and research by your peers. Acts as a partner of the organization leadership team and participates in the strategic planning and the attainment of goals for area of responsibility. the incumbent serves as the System Best Practices team leader and provides system-wide guidance and consultation for Medical Staff Services, Quality and Peer Review. Works in collaboration with IU Health's General Counsel & system-wide CMO's to develop one system Medical Staff Office, Quality & Peer Review process for all entities.

Key Relationships

Reports to: Vice President, Chief Medical Officer - Adult Academic Health Center

Candidate Qualifications

Candidates for the position will be evaluated according to the following criteria and competencies.

• Bachelor's Degree is required. Master's Degree is preferred.
• Requires 5-7 years of relevant experience.
• Masters degree in business or healthcare associated field, or waived if candidate possesses five (5) or more years experience working directly with Medical Staff credentialing and quality monitoring services. Requires an active license for any licensed individual. RN or other clinical licensed preferred.
• CPHQ (Certified Professional in Health are Quality) or CPMSM (Certified Professional in Medical Staff Management) required or must be obtained within first year of employment. Prior experience in healthcare management preferred; previous Medical Staff credentialing or Medical Staff quality monitoring and Peer Review experience highly desirable.
• Requires demonstrated leadership skills (inspiring, problem solving, communication across multiple organizations, executing).
• Requires strong communication and relationship-building skills with all levels of employees and management.
• Requires experience managing multiple complex projects involving multiple customers.
• Requires the ability and skill sets to champion Leading to Preeminence.
• Requires superior people management and leadership competencies with proven problem resolution and facilitation skills.
• Requires the ability to facilitate and lead work groups.
• Requires a blend of management skills with technical expertise proven by superior planning, decision-making, negotiation, leadership and financial management skills/knowledge with a focus to adding value to the bottom line of the business fostering a preeminent healthcare environment.
• Requires interpersonal; negotiation, including problem solving and analytical skills, and presentation skills; with the ability to lead groups and programs.
• Requires knowledge of state and national regulatory agency guidelines.
• Requires the ability to pioneer effective quality improvement initiatives that reflect on the corporate scorecard.
• Requires experience preparing and adhering to Service Level Agreements with stakeholders/customers.
• Requires knowledge of state and federal laws relative to assigned area.

Indiana University Health is unlike any other healthcare system and we're looking for team members who share the things that matter most to us. IU Health leaders play a crucial role in advancing the mission of our organization and inspiring teams to make a meaningful difference in the lives of patients. As one of Indiana's largest employers and the most comprehensive medical system in the state, our vision is to lead the transformation of healthcare through quality, innovation and education, and make Indiana one of the nation's healthiest states.

IU Health is the largest health system in Indiana with nearly 40,000 team members, 15 hospitals and $8.64 billion in operating revenue. The system's programs in cancer, cardiovascular, neuroscience, orthopedics, pediatrics and transplants have received national recognition for quality patient care. IU Health, in partnership with the Indiana University School of Medicine, bring together highly skilled physicians, researchers, and educators into close collaboration to provide world-class care for children and adults and improve the health of patients and communities across Indiana.

Indiana University Health is dedicated to a fair hiring process and is committed to equal opportunity and nondiscrimination for all individuals, regardless of age, color, disability, ethnicity, marital status, national origin, race, religion, gender identity, expression, sexual orientation, or veteran status.