Medical Staff Services Practice Evaluation Specialist

About Chartis

Chartis comprises 1,000 professionals who value working for a purpose-driven organization, people who have committed their careers to helping providers, payers, technology innovators, retail companies, and investors create and embrace solutions that reshape healthcare for the better. We work with over 900 clients annually to help make US healthcare more affordable, accessible, safe, and human.

Through our family of brands—Chartis, Jarrard, Greeley, and HealthScape Advisors—we have created a culture that prioritizes respect for our clients, commitment to each other, and unwavering integrity. From physicians, nurses, healthcare executives, and community health leaders to strategists, digital advisors, transactions experts, and healthcare futurists, we bring a diverse set of perspectives to assess healthcare challenges from every angle.

Believing in what we do helps us attract and retain the best and brightest because the work we do every day makes a meaningful impact. This theme of believing in a better way forward is woven into our brand, Believe in better.

Chartis has offices in Boston, Chicago, New York, San Francisco, Washington D.C., and Nashville. Remote work is allowed. #LI-Remote

Role Overview

Under the general direction of the Director of Medical Staff Services, this position utilizes hospital operational knowledge to administer the Focused Professional Practice Evaluation (FPPE) Program, the Ongoing Professional Practice Evaluation (OPPE) Program and coordination of the Peer Review Program reporting, auditing, and maintenance requirements. 

Responsibilities

• Exemplifies Chartis as well as client values and Service Excellence standards. Commits to making every encounter with our patients, patients’ family, co-workers, physicians, and other customers the best that it can be. 
• Complies with all Hospital policies and the Code of Business Conduct.  Maintains current tuberculosis testing.  Takes responsibility for own safety as well as the safety of patients, patients’ family, co-workers, physicians, and other customers.
• Focused Professional Practice Evaluation (FPPE) activity:

• • Initiates the FPPE process on all new initial applicants, re-applicants requesting additional clinical privileges, and for any provider in need of a triggered review.      

• • Maintains FPPE reports in MDStaff.  Keep accurate up to date FPPE log for each provider.

• • Analyzes data to assess trends, performance improvement opportunities and strengths and makes recommendations as it pertains to the OPPE program.

• • Tracks variances in required information and follows up on discrepancies and/or outstanding forms/plans, etc., ensuring deadlines are met.

• • Educates providers under a FPPE as well as Department Chairs, Section Chiefs and Medical Staff Leaders and assessors of the FPPE process as needed. 

• • Submits completed FPPE to Department Chair for evaluation and signature.  Forwards information to the Credentials/Interdisciplinary Practice Committee, Medical Executive Committee and Board of Director’s for final approval. 

• • Forwards notification of approval for release from FPPE to the provider via a letter from the Board of Director’s.

• Ongoing Professional Practice Evaluation (OPPE) activity:

• • Coordinates the policy process and execution of the OPPE program under the general supervision and guidance of the Director Medical Staff Services and Chief Medical Officer.

• • Collaborates with Department Chairs and Section Chiefs to develop specialty specific indicators/measures, to align with OPPE standards and Hospital operations and system capabilities.  Periodically reviews measures to assess feasibility, appropriateness, and achievement.

• • Coordinates retreival of indicator data with Quality Department through various Hospital sources,

• • Collaborates with the Department Chair/Section Chief in analyzing data to assess for trends, performance improvement opportunities and strengths and makes recommendations as is pertains to the OPPE program.

• •     Copies, distributes, and files OPPE reports and any pertinent OPPE paperwork in each provider’s credential file. 

• • In coordination with the Director of Medical Staff Services and Chief Medical Officer, follows up with medical staff leaders, medical staff services staff and providers to keep the OPPE process and documentation current and proceeding as necessary to meet deadlines and reporting requirements.

• Collaborates and coordinates with the Peer Review Nurse to support an effective and continuously improving medical staff peer review program.

• • Maintains information in a secure file for timely retrieval.

• • Prepares reports for any trends, and for evaluation at time of reappointment or when requested by Department Chair, Section Chief or Medical Staff Leaders.

• • Ensures timely communication of findings are made to providers.

• Meets department standards and turnaround times for volume of work processed and accuracy of data entered.

• Maintains minutes of all peer review meetings.

• Keeps abreast of (TJC/CMS) Medical Staff Standards in relation to FPPE, OPPE and peer review.Educates medical staff leaders, medical staff services staff and providers, fostering a commitment to compliance to these programs throughout the hospital.

• Participates in the following:
  • Mandatory training requirements as per hospital/unit policy and Chartis policies.
  • Continuing education/in-services to enhance knowledge
  • Performance improvement initiatives
  • Staff meetings
  • Orientation of new staff, students, and/or volunteers

Qualifications and Desired Skills

l          Strong knowledge of clinical practice and/or hospital operations required.

l          High School Diploma required.  Associate degree in healthcare or business preferred.

l          Knowledge of Microsoft Word, Excel, and Outlook; credentialing database management.

l          Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) preferred but not required.

Salary range: $75,000 to $85,000,. The salary range for this role takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to, skills, experience, training, licensure and certifications, practice area, and other business and organizational needs. In addition, Chartis offers several benefits including medical, dental, vision, HSA, FSA, disability insurance, life insurance, 401(k) match, paid time off, wellness stipend, and additional voluntary benefits.

At Chartis, we pride ourselves on having a diverse workforce. We value and celebrate the uniqueness of individuals and the different perspectives the provide. We offer equal opportunity employment regardless of race, color, religion, gender identity or expression, sexual orientation, national origin, genetics, disability status, age, marital status, or protected veteran status.