Job Description

N orthern Light Radiology Associates is seeking an experienced Medical Staff Services Director to join our growing team. We are a successful hospital-based medical management company dedicated to operational excellence and collaborative teamwork. We’re looking for a driven professional who values partnership, leadership, and high-quality outcomes to support our continued growth.

The Medical Staff Services Director is responsible for overseeing all medical staff services functions for a large multi-state radiology practice, ensuring compliance with regulatory and accreditation requirements. This role leads credentialing, privileging, and ongoing compliance activities for radiologists. The Director serves as a key liaison between physicians, practice leadership, hospitals, and regulatory bodies, supporting high-quality, compliant, and efficient clinical operations. 

Key Responsibilities

Medical Staff Services & Governance  

• Direct all medical staff services operations for the radiology practice, including credentialing, privileging, reappointment, and peer review support.
• Develop, implement, and maintain medical staff policies, bylaws, rules, and procedures in alignment with best practices and regulatory standards.
• This position oversees the medical staff office staff of four credentialing coordinators

Credentialing & Privileging  

• Oversee initial and ongoing credentialing and privileging for radiologists across hospitals, imaging centers, and practice locations.
• Ensure compliance with state specific licensure, supervision, scope of practice and telemedicine requirements.
• Ensure timely completion of reappointments, license renewals, board certifications, CME tracking, and sanction monitoring.
• This position is responsible for streamlining the credentialing and state licensing process. 

Regulatory & Accreditation Compliance  

• Ensure compliance with applicable regulations and standards, including CMS Conditions of Participation, Joint Commission, NCQA, URAC, and state medical board requirements.
• This position must have a complete and full understanding of the Joint Commission standards and guidelines.
• Monitor changes in regulatory requirements affecting radiology and medical staff services; update policies and processes accordingly. 

Quality, Risk & Peer Review Support  

• Ensure appropriate documentation, confidentiality, and due process for professional practice evaluations.
• This position interacts with hospital medical staff offices, Clinical Operations, Physician Scheduling, Revenue Cycle Management, Project Management, Market Expansion, Quality and Legal departments. 

Leadership & Operations  

• Lead, mentor, and develop medical staff services and credentialing team members.
• Establish performance metrics, workflows, and service-level expectations to ensure timely, accurate processing.
• Collaborate with operations, compliance, HR, legal, and IT teams to streamline provider onboarding and ongoing management. 

Required Qualifications  

• Bachelor’s degree in healthcare administration, business administration, or a related field; Master’s degree preferred.
• Minimum of 5-8 years of progressive experience in medical staff services, credentialing, or provider management, preferably in a large multi-site and specialty radiology practice.
• Demonstrated leadership experience managing teams and complex credentialing operations.
• In-depth knowledge of medical staff bylaws, credentialing standards and privileging requirements. 

Preferred Certifications (not required)  

• Certified Provider Credentialing Specialist (CPCS)
• Certified Medical Staff Services Professional (CPMSM) 

Skills & Competencies  

• Strong understanding of radiology practice operations and hospital-based medical staff relationships.
• Exceptional organizational skills with the ability to manage multiple deadlines and high provider volumes.
• Excellent written and verbal communication skills, including interaction with physicians and executives.
• High attention to detail with a strong commitment to confidentiality and compliance.
• Proficiency with credentialing and provider data systems (e.g., Cactus, MD-Staff, Echo, VerityStream) and Microsoft Office/Excel.
• Must be organized, able to proactively identify the needs of practice, well spoken, an excellent writer, logical, tactical and must at all times represent NL in a positive light. 

Working Conditions  

• On site
• Occasional extended hours during audits, surveys, or peak onboarding periods. 

Reporting Relationship  

• Reports to the Chief Administrative Officer or equivalent senior leader.

This role requires onsite presence at either our Tampa or Hollywood, Florida location.

To learn more about Northern Light we encourage you to visit our website:

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