Medical Policy Manager jobs in Kansas City, KS

Introduction

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Manager Medical Staff Services with Overland Park Regional Medical Center you can be a part of an organization that is devoted to giving back!

Benefits

Overland Park Regional Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
  
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  
• Family support through fertility and family building benefits with Progyny and adoption assistance.
  
• Referral services for child, elder and pet care, home and auto repair, event planning and more
  
• Consumer discounts through Abenity and Consumer Discounts
  
• Retirement readiness, rollover assistance services and preferred banking partnerships
  
• Education assistance (tuition, student loan, certification support, dependent scholarships)
  
• Colleague recognition program
  
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Overland Park Regional Medical Center family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Manager Medical Staff Services to help us reach our goals. Unlock your potential!

Job Summary and Qualifications

• Develop facility credentialing policies in accordance with accreditation/regulatory standards, HCA Healthcare policies, and medical staff bylaws.
• Facilitate meetings (develop agendas, maintain meeting minutes, coordinate follow-up) for various committees
• Maintain the official emergency call schedule and records for call compensation payments.
• Manage correspondence between facility and individual medical staff members, not related to credentialing matters.
• Collaborate and coordinate with Market Director, on the review of eligibility criteria for each clinical privilege or grouping of clinical privileges that require the same qualifications and competencies.
• Facilitate the review of requests for clinical privileges using the approved eligibility criteria.
• Facilitate any required regulatory agency reporting of adverse actions taken against a practitioner’s medical staff membership or clinical privileges, as directed by facility leaders.
• Complete a summary of FPPE, OPPE, and peer review results for evaluation by medical staff leaders as part of the R-RFC process as noted in 4e above, and ongoing as required by policy.
• Ensure timely and proper notification of the risk manager regarding possible malpractice or other liability concerns.
• Coordinate all medical staff disciplinary actions (e.g., formal investigations, professional review actions).

What qualifications you will need:

• Bachelor’s degree in medical staff services science, business, or related field of study or an equivalent combination of training and experience preferred.
• Certified Professional Medical Services Management and/or Certified Provider Credentialing Specialist preferred.
• Minimum of 2 years comprehensive credentialing experience in an acute care hospital or CVO setting.
• Minimum of 1 year supervisory/management experience

HCA Midwest Health is Kansas City's largest network and recognized pioneer in healthcare. Our network includes doctors, hospitals, emergency rooms (ERs), urgent care centers, outpatient centers, physician practices, and surgery centers across more than 150 locations. We offer access to a network of board-certified or board-eligible physicians. This includes 2,000 experts trained in 80 medical specialties. We are professionals bound together by one mission—to deliver exceptional, personalized care. People are our core and at the very heart of our family-centered system of world-class healthcare.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times.  In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

Be a part of an organization that invests in you! We are reviewing applications for our Manager Medical Staff Services opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.