Director, Medical Staff Services - Full Time Days

Director, Medical Staff Services

Valley Presbyterian Hospital

Lead Medical Staff Excellence & Physician Governance

At Valley Presbyterian Hospital, our Medical Staff Services team plays a vital role in supporting physician leadership, regulatory compliance, and high-quality patient care. We're seeking an experienced Director of Medical Staff Services to provide strategic leadership for credentialing, privileging, medical staff governance, accreditation readiness, and physician engagement while serving as a trusted advisor to executive leadership and the Organized Medical Staff.

What You'll Do

• Lead all Medical Staff Services operations, including credentialing, privileging, appointments, reappointments, and provider enrollment


• Oversee Medical Staff governance, including Medical Executive Committee, Credentials Committee, Governing Board, and other physician committees


• Ensure compliance with Joint Commission, CMS, NCQA, DNV, state, and regulatory standards


• Provide strategic guidance on Medical Staff Bylaws, Rules & Regulations, policies, and governance processes


• Lead physician peer review, OPPE, FPPE, and professional practice evaluation programs


• Partner with physician leaders, executives, department chairs, and hospital leadership to strengthen physician engagement


• Oversee physician onboarding, orientation, and integration processes


• Drive process improvement initiatives that enhance operational efficiency, physician satisfaction, and regulatory compliance


• Optimize credentialing software, provider data management systems, and Medical Staff technologies


• Develop departmental budgets, performance metrics, and strategic initiatives

What You'll Bring

• 7+ years of progressive Medical Staff Services experience in an acute care hospital


• 3–5 years of leadership experience overseeing Medical Staff Services operations and personnel


• Expertise in managing credentialing, privileging, , appointment, and reappointment processes in accordance with regulatory and accreditation standards


• Experience interpreting, implementing, and administering Medical Staff Bylaws, Rules and Regulations, policies, and governance requirements.


• Demonstrated responsibility for medical staff governance, accreditation compliance, physician peer review, OPPE, FPPE, focused evaluations, and professional practice evaluation processes.


• Strong working knowledge of Joint Commission, CMS, NCQA, DNV, and California regulatory requirements related to medical staff operations and credentialing


• Experience supporting Medical Executive Committees, Credentials Committees, Governing Boards, and executive leadership teams


• Excellent leadership, communication, relationship-building, and change management skills


• Experience with credentialing software and provider data management systems

Requirements

• Bachelor's degree in Healthcare Administration, Business Administration, Nursing, Health Information Management, or a related field required (equivalent progressive Medical Staff Services leadership experience may be considered)


• Master's degree preferred


• Certified Professional Medical Services Management (CPMSM) required (or obtained within 12 months of hire)


• Certified Provider Credentialing Specialist  (CPCS) certification preferred


• Ability to obtain LA City Fire Card within 30 days

Why VPH

• Mission-driven healthcare organization


• Executive leadership role with significant organizational impact


• Opportunity to shape physician governance, accreditation, and Medical Staff excellence


• Collaborative environment partnering with physicians and hospital leadership


• Drive operational excellence while supporting exceptional patient care

Apply today to lead Medical Staff Services and help advance physician excellence and quality care at Valley Presbyterian Hospital.