VP - Medical Staff Affairs

The Vice President of Medical Staff Affairs leads our multi-hospital system in standardizing process for quality improvement, peer review credentialing and privileging of the medial staff. The VP also supports hospital based CMOs and MECs providing coaching, mentoring, and systems thinking to solve problems and improve care as it relates to Medical Staff Affairs functions. You will also oversee our Central Delivery System Medical Staff office operations and peer relationships with Service Line Medical Directors, Independent Medical Staff Leaders, and Medical Staff leadership. This person will lead enterprise standardization of credentialing and privileging, peer review, and hospital-based quality improvement initiatives and collaborate with Regional Delivery System facilities and leaders in centralizing MSA functions over the first twelve months establishing standardization where possible and creating oversight and assigning accountability to best practices in MSA function across the delivery system.

 

Objectives will include:

• Strengthen collaboration and standardization across hospitals.
• Ensure consistency and efficiency in provider credentialing and onboarding.
• Ensure effectiveness of OPPE/FPPE.
• Improve system CMO skills and process in driving hospital performance in partnership with CHE and CNE.
• Advance capabilities of all Medical Staffs to drive quality improvements.
• Support core initiatives to reduce cost of care through value analysis leadership.

Presbyterian Healthcare Services exists to improve the health of patients, members and the communities we serve. We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1,600 providers and nearly 4,700 nurses.

Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

• M.D. or D.O. degree with board certification
• Currently licensed to practice in NM without restriction.
• Maintain medical membership on Medical Staff
• Seven years clinical practice experience, with strong clinical background.
• Five years experience in progressive physician Leadership roles
• Prior experience in a Medical Staff leadership role preferred.
• Experience with Medical Staff credentialing and peer review.

MANAGEMENT RESPONSIBILITY

• Direct oversight of the CDS Medical Staff office and operations including credentialing and provider enrollment for newly hired PMG providers. Oversees and guides hospital approach to Medical Staff and their elected leadership in the areas of quality, peer review and credentialing and privileging. In conjunction with CDS MSA office, provides at least annual education to new MEC members about credentialing and privileging responsibilities and best-in-class standardized processes.
  
• Partners with risk management and legal as a Medical Staff expert pertaining to credentialing, privileging, FPPE and OPPE activities, peer review with shared goal of unifying processes, Medical Staff bylaws, rules and regulations and performance across all PHS hospitals.
  
• Design, test and implement innovative, evidence-based solutions to improve quality, access and affordability of the communities served. Partners with the Quality Institutes highlighting lessons learned from actual or near-miss events, root cause analyses, care trends or concerns, sentinel events and other patient harm or safety events. Champions patient safety and co-leads, along with the VP of the Quality Institute a revised system-wide patient safety learning session monthly.
  
• Builds relationships with Program Medical Directors, PMG providers and Independent Providers to collaborate on strategic initiatives regarding MSA functions. Directs or directly coordinates Medical Staff committee roles, functions and charters which meet regulatory, facility and Medical Staff needs
  LEADERSHIP AND SYSTEM INTEGRATION
• Directly leads progress to continuously improve credentialing, peer review, and operations across all hospitals while enhancing standardization and best practices.
  
• Establishes and enforces processes and criteria for use of contracted call coverage. Interfaces with other systems and/or providers to assist in negotiations for call coverage when needed. Establishes and advances relationships with UNM to improve overall collaboration, call coverage, and seamless patient experience. Acts as a spokesperson to support community relations or advocacy activities when asked
  
• Coordinates the efforts of the individual physicians, PMG, other participating medical groups, PHP, and the other PHS operating entities to achieve common and global organizational goals and standardization of best practices for MSA functions system-wide.
  PHYSICIAN RELATIONS
• Becomes a champion in physician and advanced practice provider behavioral standards, annually reviews and updates disruptive physician behavior policy; educates peers, CMOs and MECs on dealing with disruptive behavior.
  
• Tracks, trends and follows through to completion any and all reported disruptive providers
  REPORTING STRUCTURE
• Direct oversight of Director of Medical Staff Affairs
• Under the direction of the system CMO and Transformation Officer, takes on other duties as assigned as they pertain to the various MECs, CMOs and Medical Staff at each acute care facility across PDS
• Serves as a resource to PDS Hospital CMOs and MECs on matters pertaining to the Medical Staff. PDS Hospital CMOs have indirect reporting structure to VP, MSA role.
  
• Directly reports to the System Chief Medical and Clinical Transformation Officer for PDS Medical Staff Functions and Directly reports to the PH CHE for local PH CMO function.

We offer more than the standard benefits!

Presbyterian employees gain access to a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more!

Learn more about our employee benefits:

https://www.phs.org/careers/why-work-with-us/benefits

Why work at Presbyterian?

As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans. For our employees, we offer a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more.

Presbyterian's story is really the story of the remarkable people who choose to work here. The hard work of our physicians, nurses, employees, board members and volunteers grew Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system that serves more than 875,000 New Mexicans.

 

About Our Regional Delivery System

Presbyterian's Regional Delivery System is a network of six hospitals and medical centers throughout rural New Mexico including locations in Clovis, Espanola, Ruidoso, Santa Fe, Socorro and Tucumcari. Our regional facilities are home to more than 1,600 clinical and non-clinical employees who help make Presbyterian the state's largest private employer with nearly 14,000 statewide employees. With a variety of services ranging from general surgery to pediatrics to heart and cancer care, our regional employees are proud to provide close-to-home care for their communities.

We are part of New Mexico's history - and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.

About New Mexico

New Mexico continues to grow steadily in population and features a low cost-of living.

Varied landscapes bring filmmakers here from around the world to capture a slice of the natural beauty New Mexicans enjoy every day. Our landscapes are as diverse as our culture - from mountains, forests, canyons, and lakes, to caverns, hot springs and sand dunes.

New Mexico offers endless recreational opportunities to explore and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.

USD $191.92/Hr.
The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.