With over 150 years of caring for our community and each other in the Washington DC area, Howard University Hospital has a world-renowned reputation for high-quality, patient-centric care. Howard University Hospital is the nation’s only teaching hospital located on the campus of a Historically Black University and has created a superior learning environment, with groundbreaking research and positive patient outcomes.

Howard University Hospital seeks to hire a Director of Medical Staff Services who will embrace our reach and historic tradition of excellence. If you want to make a difference in someone’s life every day, consider a position with a team of professionals who are doing just that, making a difference.

This position is full time, Monday-Friday 40 hour week, with some nights and weekends as needed.

As the Director of Medical Staff Services, you will:

• Directs and coordinates the activities of the Medical Staff Office to meet the needs of Adventist Health Care, the Medical Staff and Allied Health Professionals including development of budget, goals as well as human resource management.
• Develops and oversees the credentialing and privileging process for initial, reappointment, and all other credentialing aspects while ensuring use of standardized processes and business rules across the Adventist HealthCare System.
• Collaborates to develop and maintain a comprehensive credentialing database and prepares reports and summaries.
• Oversees regulatory compliance for all Medical Staff aspects of TJC, NCQA, URAQ, CMS, CARF and other Federal and State regulations as well as Urgent Care Center Accreditation.  This includes required Intra-cycle Monitoring.  Develops action plans, provides follow-up and problem resolution for any standard or regulation that is not met or has recently changed to ensure compliance.
• Oversees physician legal and risk management issues including disciplinary actions, fair hearings, and reports to regulatory bodies such as the National Practitioner Databank and the Maryland Board of Physicians.
• Provides guidance, support and serves as a resource to the Rockville Campus Chief Medical Officers, Medical Directors, and Senior Medical Staff Leaders.
• Develops and implements effective organizational and department goals and objectives for credentialing activities that meets regulatory, legal and Medical Staff Bylaws requirements as well as Malcolm Baldrige Award requirements.
• Oversees and ensures compliance, meeting preparation, submission of recommendations and reports from the Medical Staff Sections, Medical Staff Departments, Credentials Committee, Medical Executive Committee and Bylaws to the Hospital’s Governing Board.
• Develops and coordinates Focused Professional Practice Evaluation (FPPE) and Ongoing Professional Practice Evaluation (OPPE) processes used to access Medical Staff and Allied Health Professional Staff competency and compliance with AHC, Medical Staff and all other regulatory standards.
• Develops and revises Medical Staff Forms, Manuals and Policies including delineation of privileges, department/section rules and regulations, privileging criteria and other documents as well as Medical Staff Bylaws, Medical Staff Rules and Regulations and Credentials Manuals while ensuring regulatory compliance.
• Provides delegated credentialing services for the Adventist Health Care Managed Care Department for a variety of organizations, including IPA, PHOs, and health plans while ensuring NCQA and URAQ regulations
• Oversees the Undergraduate Medical Education Program for processing and registration of Medical and PA Students, Residents and Fellows.
• Oversees Maryland Department of Health electronic death certificate training and access, Federal Drug Enforcement Agency electronic prescribing of narcotics, and Maryland Board of Physicians fingerprinting and background check processes.
• Ensures Cerner & HIPPA training and compliance of EMR access process for all Physician Office Staff, Billers and Insurance Reviewers as well as deactivation of access including Medical and Allied Health Professional Staff.
• Oversees the Annual and Ongoing Requirements as well as submission of all Trainings and Documents, i.e. Flu, PPD, Computer and Classroom trainings for the Medical Staff and Allied Health Professional Staff.
• Assumes other duties and responsibilities that are related and appropriate to the position and area.  The above responsibilities are a general description of the level and nature of the work assigned to this classification and are not to be considered as all-inclusive.

Qualified Candidates will possess: 

• Bachelor’s degree in Business Administration or a HealthCare Administration is required
• Ten (10) years’ experience in Medical Staff Services required
• Minimum of five year’s progressive experience in Medical Staff management, credentialing, and privileging with a significant part of that serving as the primary point of contact for regulatory surveys required
• CPCS (Certified Provider of Credentialing Services) Certification by the National Association of Medical Staff Services required
• CPMSM (Certified Professional of Medical Staff Management) Certification by the National Association of Medical Staff Services required
• Certified in Business Project Management preferred

• Knowledge of regulatory agency requirements for medical staff, credentialing and privileging required

COVID-19 Vaccination:

Howard University Hospital requires all external applicants to be fully vaccinated for COVID-19 before commencing employment.  External Applicants may be required to furnish proof of vaccination and, if offered, may elect to be vaccinated at a designated Howard University Hospital location.