JOB RESPONSIBILITIES
Project Administration- Oversee projects and processes pertaining to Medical Staff functions including enrollment, delegation, licensing, credentialing, system performance, etc. Support and/or administer all credentialing and other regulatory audits. Develop the planning and design, to include a gap assessment, outcome measurement, and impact of each audit. Develop training materials and checklists. Develop systems to meet the requirements of accrediting bodies in regards to the credentialing process and performance improvement initiatives. Serve as a content expert for credentialing, privileging, delegation, licensing and/or enrollment.
Compliance- Manage, develop and maintain policies and practices at CCHMC to ensure adherence to requirements from state and federal entities such as FCVS, CMS, Joint Commission, NCQA, etc. Review contract amendments and update policies and procedures accordingly.
Systems Management- Oversee, maintain and trouble-shoot software system (i.e. Cactus, Verity) as well as the interface with other systems (i.e. EPIC). Oversee the flow of information from intake to final output, to ensure quality, efficiency and data integrity. Partner with stakeholders such as division leaders, Revenue Cycle Management, IT, and Planning and Business Development, and others, in response to system and data requests.
Communication/Collaboration- Partner and communicate with key internal and external stakeholders, including vendors, collaborative institutions, etc. Build strong relationships between Medical Staff Services and internal and external partners such as providers, internal revenue cycle, divisions, government entities, State Medical Boards, MCOs and Commercial contracts representatives. Develop, maintain and monitor reporting systems to be shared with various divisions/departments.
Process Improvement- Develop and seek opportunities to improve Medical Staff processes (i.e. application process, licensing, credentialing, enrollment, reporting, etc.). Serve as a project consultant for quality improvement projects. Oversee and/or assist with data collection, management and reporting of data. Find innovative ways to improve efficiency of various tasks and processes.
JOB QUALIFICATIONS
Bachelor's degree in a related field or equivalent combination of education and experience
2+ years of work experience in a related job discipline.
Certified Professional Credentialing Specialist OR Certified Professional Medical Staff Management (CPMSM)
Primary Location
South Campus
Schedule
Full time
Shift
Day (United States of America)
Department
Physician Services
Employee Status
Regular
FTE
1
Weekly Hours
40
$74,297.60 - $94,744.00
About Us
At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children's.
Cincinnati Children's is:
Recognized by U.S. News & World Report as a top 10 best Children's Hospitals in the nation for more than 15 years
Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH) Funding
Recognized as one of America's Best Large Employers (2025), America's Best Employers for New Grads (2025)
One of the nation's America's Most Innovative Companies as noted by Fortune
Consistently certified as great place to work
A Leading Disability Employer as noted by the National Organization on Disability
Magnet designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC)
We Embrace Innovation-Together. We believe in empowering our teams with the tools that help us work smarter and care better. That's why we support the responsible use of artificial intelligence. By encouraging innovation, we're creating space for new ideas, better outcomes, and a stronger future-for all of us.
Comprehensive job description provided upon request.
Cincinnati Children's is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability