Medical Staff Coordinator I Full Time

The Alaska Native Tribal Health Consortium is a non-profit Tribal health organization designed to meet the unique health needs of Alaska Native and American Indian people living in Alaska. In partnership with the more than 171,000 Alaska Native and American Indian people that we serve and the Tribal health organizations of the Alaska Tribal Health System, ANTHC provides world-class health services, which include comprehensive medical services at the Alaska Native Medical Center, wellness programs, disease research and prevention, rural provider training and rural water and sanitation systems construction.

ANTHC is the largest, most comprehensive Tribal health organization in the United States, and Alaska’s second-largest health employer with more than 3,100 employees offering an array of health services to people around the nation’s largest state.

Our vision: Alaska Native people are the healthiest people in the world.

ANTHC offers a competitive and comprehensive Benefits Package for all Benefit Eligible Employees, which includes:

• Medical Insurance provided through the Federal Employee Health Benefits Program as a Tribal Employee, with over 20 plans and tiers.
• Cost-Share Dental and Vision Insurances
• Discounted Pet Insurance
• Retirement Contributions with Pre-Tax or Roth options into a 403(b).
• 401(a) ANTHC Retirement Plan: After one year of employment, ANTHC will begin making matching contributions of up to 5% of your eligible pay, based on your own contributions. In addition, you may be eligible for an annual discretionary contribution of up to 3% from the employer.
• Paid Time Off starts immediately, earning up to 6 hours per pay period, with paid time off accruals increasing based on years of service.
• Eleven Paid Holidays
• Paid Parental Leave or miscarriage/stillbirth eligibility after six months of employment
• Basic Short/Long Term Disability premiums, Accidental Death and Dismemberment (AD&D) Insurance, and Basic Life Insurance are covered 100% by ANTHC, with additional options for Short-Term Disability Buy-Up Coverage and Voluntary Life for yourself and your family members.
• Flexible Spending Accounts for Healthcare and Dependent Care.
• Ancillary Cash Benefits for accident, hospital indemnity, and critical illness.
• On-Site Child Care Facility with expert-designed classrooms for early child development and preschool.
• Employee Assistance Program with support for grief, financial counseling, mental/emotional health, and discounted legal advice.
• Tuition Discounts for you and your eligible dependents at Alaska Pacific University.
• On-Site Training Courses and Professional Development Opportunities.
• License and certification reimbursements and occupational insurance for medical staff.
• Gym Access to Alaska Pacific University includes a salt water pool, rock climbing, workout gym, and steep discounts for outdoor equipment rentals.
• Emergency Travel Assistance
• Education Assistance or Education leave eligibility
• Discount program for travel, gym memberships, amusement parks, and more.

Visit us online at www.anthc.org or contact Recruitment directly at HRRecruiting@anthc.org.

Alaska Native Tribal Health Consortium has a hiring preference for qualified Alaska Native and American Indian applicants pursuant to P.L. 93-638 Indian Self Determination Act.

Summary

Supports departmental activities to ensure quality in conducting, maintaining and communicating physician and provider credentialing, privileging and verifications, in compliance with both facility and accreditation requirements. Serves as a resource to, and collaborates with others to advance the quality of practitioners and patient safety.

Responsibilities

All levels

C onducts, participates in, and maintains credentialing and privileging Determines applicant’s initial eligibility for membership/participation. Compiles, evaluates, and presents the practitioner-specific data collected for review by one or more decision-making bodies. Analyzes application and supporting documents for completeness and informs the practitioner of the application status, including the need for any additional information. Performs initial or reappointment/re-credentialing for eligible practitioners. Processes requests for privileges .

C onducts, participates in, and maintains primary source verification Obtains and evaluates information from primary sources. Recognizes, investigates, and validates discrepancies and adverse information obtained from the application, primary source verifications, or other sources. Verifies and documents expirables using acceptable verification sources to ensure compliance with accreditation and regulatory standards. Provides responses to external queries regarding practitioners’ status.

M anages the credentialing or privileging process Collaborates with physician leaders to develop and maintain a facility-specific, criteria-based clinical privileging system in accordance with regulatory requirements, accreditation standards, and organizational policies. Applies clearly defined credentialing or privileging processes to all practitioners/providers. Directs initial or reappointment/re-credentialing processes for eligible practitioners/providers.

M anages provider enrollment. Oversees delegation process. Manages and complies with accreditation and regulatory standards Participates in an ongoing assessment of governing documents (bylaws, rules and regulations) to ensure continuous compliance. Obtains and evaluates practitioner sanctions, complaints, and adverse data to ensure compliance. Conducts a review of practitioners’ practice sites to ensure compliance with accreditation and regulatory standards.

M aintains credentialing database to ensure that accurate and current information is available to all stakeholders. Fosters good working rapport with members of the Medical Staff (i.e. Service Center Medical Directors, Medical Executive Committee), hospital executive/management team, other hospital personnel, representatives of regulatory agencies, Tribal Health Organizations (THOs), as well as other outside individuals (i.e. locums agencies, representatives from other facilities). Coordinates telemedicine services, including contracts, credentialing, privileging, and provider notifications with providers and administrators at ANTHC and THOs. Maintains working knowledge and compliance with departmental policies & procedures, Medical Staff Bylaws, Rules & Regulations, the Joint Commission (TJC), National Committee for Quality Assurance (NCQA), as well as regulatory and accrediting bodies as deemed necessary by administration. Participates in development and implementation of credentialing processes and procedures and advises supervisor of outstanding issues requiring management intervention.

M edical Staff Coordinator II

I ndependently performs Medical Staff Coordinator I job duties Acts as training resource and staff coverage for Medical Staff Coordinator I. Maintains current clinical competency evaluations and peer review Analyzes and prepares practitioner/provider performance improvement and quality/competence data in clear, concise, and structured reports. Recognizes, investigates, and validates discrepancies and adverse information obtained. Coordinates an appropriate evaluation by physician leaders of gathered data. Communicates findings and/or resulting actions to key stakeholders and the practitioner. Manages compliance with accreditation standards and regulatory requirements Develops and/or updates applicable governing documents (bylaws, credentialing policies, rules) that support and direct organizational practices and ensure compliance. Identifies and reports to department and physician leadership adverse actions taken against a practitioner/provider in accordance with applicable law and contractual requirements. Monitors and/or reports sanctions and complaints for all practitioners/providers to recommend action by medical staff and/or organizational leadership.

M edical Staff Coordinator III

I ndependently performs Medical Staff Coordinator II job duties Ability to assist GME Coordinator job duties Audits coworker’s files for compliance with departmental standards Facilitates medical staff functions Performs and coordinates meeting logistics, documentation preparation, and follow-up for practitioner-related activities. Coordinates and develops on-boarding processes (orientation, training activities) to assist practitioners/providers and meet education requirements. Development and improvement of departmental procedures

L ead Medical Staff Coordinator

I ndependently performs Medical Staff Coordinator I, II, and III job duties, as well as those of the GME Coordinator Acts as training resource and staff coverage for Medical Staff Coordinator I, II, and III, and the GME Coordinator. Audits coworker’s files for compliance with accreditation and departmental standards Development and improvement of departmental policies and procedures. Interpret and educate the Medical Staff on applicable laws and accreditation standards to ensure appropriateness of internal operations and responsiveness to external change. Creates and presents Medical Staff reports to Medical Staff Leadership and Regional Health Boards.

A ll levels perform other duties as assigned.

Other Information

KNOWLEDGE and SKILLS

A ll l evels

I nspires trust and confidence among stakeholders through reliability, authenticity, and accountability.

E xpresses thoughts clearly, concisely, and effectively both verbally and in writing.

E nsures a free flow of information and communication upward, downward and across the organization by actively listening and encouraging the open expression of ideas and opinions.

D isplays a credible presence and positive image.

U ses appropriate protocol for professional and social situations.

E stablishes productive, cooperative relationships with peers, management and stakeholders both internal and external to the organization.

A pplies knowledge, expertise, sound judgement and consults other references and resources as necessary to generate and evaluate solutions and recommendations.

O rganizes work, sets priorities and determines short or long term goals and strategies to achieve them.

A ligns communication, people, processes and resources to drive success.

D isplays knowledge of key functions, terminology and work products of legal, information technology, risk management and performance concepts.

M edical Staff Coordinator II

Knowledge of Alaska Tribal Health System, ANTHC, and Alaska Native culture(s) and organizations.

Knowledge of telehealth, CVO Services and GME procedures.

U nderstands concepts, key functions, terminology, and work products pertaining to legal, information technology, clinical competence evaluation, performance improvement, risk management, and human resources.

M edical Staff Coordinator III

E xhibits confidence and professional diplomacy while identifying, organizing, facilitating and /or sustaining mutually beneficial partnerships and alliances with people at all levels internally and externally.

O rganizes information and data to identify/explain trends, problems and their causes.

C ompares, contrasts and combines information to determine underlying issues.

S ees associations between seemingly independent problems or events to recognize trends, problems and possible cause-effect relationships.

L ead Medical Staff Coordinator

V alues and models integrity and honesty by acting in a just, fair and ethical manner and encouraging ethical behavior among others.

I nspires trust and confidence among stakeholders through reliability, authenticity, and accountability.

E xpresses thoughts clearly, concisely, and effectively both verbally and in writing.

E nsures a free flow of information and communication upward, downward and across the organization by actively listening and encouraging the open expression of ideas and opinions.

F acilitates positive, professional, and constructive dialogue with the goal of motivating others to accept recommendations, cooperate, change behavior or find mutually acceptable solutions.

P resents in a confident, clear, and enthusiastic manner when addressing people in a large or small group.

D emonstrates a sound knowledge of the subject matter.

U nderstanding of the various accreditation agencies that impact the processes; ability to revise and develop processes and policies to be compliant with these accreditation requirements.

MINIMUM EDUCATION QUALIFICATION

M edical Staff Coordinator I-II

A ssociate’s Degree in a discipline relevant to the scope of this position. Progressively responsible professional work experience may be substituted on a year for year basis.

M edical Staff Coordinator III & Lead

B achelor’s Degree in a discipline relevant to the scope of this position. Progressively responsible professional work experience may be substituted on a year for year basis.

mInimum Experience Qualification

M edical Staff Coordinator I Non-supervisory – Three (3) years’ of relevant work experience

M edical Staff Coordinator II Non-supervisory – F our (4) years’ of professional office work experience to include 1 year of medical staff services experience.

M edical Staff Coordinator III and Lead Medical Staff Coordinator Non-supervisory – Three (3) years of experience in the medical staff service profession.

MINIMUM CERTIFICATION QUALIFICATION

M edical Staff Coordinator III & Lead

C ertified Provider of Credentialing Services (CPCS) by the National Association of Medical Staff Services (NAMSS) at time of hire.

PREFERRED EDUCATION QUALIFICATION

M edical Staff Coordinator I-II Bachelor’s Degree

M edical Staff Coordinator III and Lead Medical Staff Coordinator Masters Degree

Preferred Experience Qualification

L evel II – including experience in the medical staff services profession

PREFERRED CERTIFICATION QUALIFICATION

C ertified Professional Medical Services Management (CPMSM) by the National Association of Medical Staff Services (NAMSS).