Director , Medical Staff Services
Job Description
Position Summary
Regional Role | 9 Hospitals + 2 Ambulatory Surgery Centers
Trinity Health Michigan is seeking an experienced and visionary Director of Medical Staff Services to lead Medical Staff Services (MSS) operations across our 9 hospitals and 2 ambulatory surgery centers. This is a high‑impact, system‑level leadership role responsible for driving standardization, regulatory excellence, and operational performance across the region.
In this role, you will report to the Chief Clinical Officer and partner with Chief Medical Officers from each health ministry to advance Medical Staff governance, credentialing, peer review processes, and administrative standard work. You will lead regional initiatives, ensure consistent application of harmonized policies and bylaws, and guide MSS teams in delivering efficient, compliant, and high‑quality services.
Key Responsibilities
- Provide strategic and operational leadership for Medical Staff Services across the Michigan region.
- Ensure high‑quality, compliant credentialing, recredentialing, and data management processes.
- Maintain harmonized Medical Staff Bylaws, Rules & Regulations, and Credentialing Policies across all sites.
- Lead regional peer review oversight, including OPPE, FPPE, and peer review workflows.
- Support Medical Staff governance and serve as the administrative liaison to regional Credentialing Committees.
- Develop and maintain a regional dashboard for MSS operational performance.
- Lead process‑improvement initiatives to enhance efficiency, accuracy, and consistency.
- Collaborate with CMOs, hospital leadership, and regional councils to advance system goals.
- Monitor and implement regulatory, legal, and accreditation requirements (CMS, TJC, DNV, etc.).
Education & Certification
- Advanced degree required (Healthcare Administration, Business Administration, or related field).
- Comprehensive knowledge of credentialing and Medical Staff Services typically gained through a bachelor’s degree or equivalent experience.
- CPMSM or CPCS certification preferred.
Experience
- 5-10 years of progressive management experience in Medical Staff Services.
- Must possess comprehensive knowledge of medical staff credentialing, peer review and the delivery of medical staff services.
- Demonstrated success in leading teams, managing complex workflows, and driving organizational improvement.
- Experience overseeing multiple hospitals or a central verification office (CVO) strongly preferred
Required Skills & Abilities
- Strong communication and interpersonal skills to collaborate across clinical and administrative teams.
- Advanced analytical and problem‑solving capabilities.
- Deep knowledge of contemporary healthcare management practices.
- Ability to lead through influence in a large, matrixed environment.
- Commitment to regulatory compliance and operational excellence.
Why Join Trinity Health Michigan?
- Influence MSS operations across a major regional system
- Lead meaningful work that directly supports clinical quality and patient safety
- Collaborate with top clinical and administrative leaders
- Shape the future of Medical Staff Services statewide
- Hybrid reporting structure with travel to sites across the state of Michigan.
