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The Executive Director of Medical Staff Services provides strategic leadership and executive oversight for all credentialing, privileging, medical staff governance, and medical staff support functions, encompassing all Atlantic Health hospitals, ambulatory sites, and physician enterprises. This role ensures enterprise-wide compliance with the Joint Commission, CMS, NCQA, and applicable state and federal regulations, while optimizing operational performance, standardizing processes, and strengthening collaboration with hospital medical staff leaders, risk,legal, HR, and provider recruitment teams. Reporting to the Chief Clinical Officer, the Executive Director serves as the principal authority and policy leader for credentialing and privileging functions, overseeing the development of a centralized Credentialing Verification Office (CVO), medical staff services teams, and privileging infrastructure to support a culture of patient safety, provider accountability, and operational excellence.

Position Summary:

+ Provide system-level strategic leadership for all credentialing and privileging operations, including hospitals and ambulatory locations.

+ Ensure system-wide compliance with accrediting bodies (e.g., The Joint Commission, CMS) and licensure boards, and support compliance with NCQA and payer credentialing requirements.

+ Create, lead and manage the centralized Credentialing Verification Office (CVO), including team structure, resourcing, performance metrics, and staff development.

+ Oversee governance and coordination of Medical Staff Office functions at each hospital, ensuring alignment with medical staff bylaws, rules, and regulations.

+ Lead the design, implementation, and continuous improvement of standardized credentialing and privileging policies, procedures, and workflows.

+ Partner with the CMO, legal, compliance, HR, and IT teams to manage provider onboarding, recredentialing, privileging, and termination processes.

+ Direct the adoption and optimization of CredentialStream credentialing and privileging platform across the enterprise.

+ Serve as the executive liaison to Credentials Committees, Medical Executive Committees, chief medical officers and hospital presidents, and committees of the Board of Trustees regarding credentialing issues and risk mitigation.

+ Maintain data integrity and ensure robust reporting, analytics, and dashboards for leadership visibility and regulatory preparedness.

+ Support and evaluate delegated credentialing contracts and relationships with managed care organizations and insurers, if requested.

+ Lead change management and training efforts related to credentialing process improvements or system transitions.

+ Ensure the credentialing and privileging infrastructure is responsive, efficient, and aligned with organizational growth and physician recruitment strategies.

Salary range: $199,700 - $373,440 base only; excludes all incentives.

Education:

+ Bachelor’s degree in healthcare administration, Business, Nursing, or a related field required.

+ Master’s degree in healthcare administration (MHA), Public Health (MPH), Business (MBA), or related field strongly preferred.

Experience:

+ Minimum 10 years of progressive leadership experience in healthcare credentialing and privileging, with at least 5 years in a senior leadership or system-level role.

+ Experience leading credentialing for a large, complex, multi-entity hospital system required.

+ Deep understanding of medical staff governance, Joint Commission standards, CMS Conditions of Participation, NCQA requirements, and delegated credentialing processes.

+ Significant experience with the CredentialStream platform.

Certifications:

+ CPMSM (Certified Professional in Medical Services Management) required.

+ CPCS (Certified Provider Credentialing Specialist) preferred.

Key Competencies:

+ Executive presence with the ability to lead across diverse stakeholders and influence at all levels.

+ Advanced knowledge of credentialing software and systems (e.g., Echo, CredentialStream)

+ Exceptional analytical, communication, and problem-solving skills.

+ Ability to manage complex regulatory requirements and translate them into scalable operational processes.

+ Strategic thinker with experience driving enterprise transformation and standardization.

+ Proven ability to lead teams through change and performance improvement initiatives.

+ High integrity, discretion, and commitment to patient safety and provider quality.

+ Ability to negotiate contracts and manage budgets.

At Atlantic Health System, our promise to our communities is; Anyone who enters one of our facilities, will receive the highest quality care delivered at the right time, at the right place, and at the right cost. This commitment is also echoed in the respect, development and opportunities we give to our more than 20,000 team members. Headquartered in Morristown, New Jersey, we are one of the leading non-profit health care systems in the nation. Our facilities and sites of care include:

+ Morristown Medical Center, Morristown, NJ

+ Overlook Medical Center, Summit, NJ

+ Newton Medical Center, Newton, NJ

+ Chilton Medical Center, Pompton Plains, NJ

+ Hackettstown Medical Center, Hackettstown, NJ

+ Goryeb Children's Hospital, Morristown, NJ

+ CentraState Healthcare System, Freehold, NJ

+ Atlantic Home Care and Hospice

+ Atlantic Mobile Health

+ Atlantic Rehabilitation

We also have more than 900 community-based healthcare providers affiliated through Atlantic Medical Group. Atlantic Accountable Care Organization is one of the largest ACOs in the nation, and we are a member of AllSpire Health Partners.

We have received awards and recognition for the services we have provided to our patients, team members and communities. Below are just a few of our accolades:

+ 100 Best Companies to Work For ® and FORTUNE® magazine for 15 years

+ Best Places to Work in Healthcare - Modern Healthcare

+ 150 Top Places to work in Healthcare - Becker's Healthcare

+ 100 Accountable Care Organizations to Know - Becker's Hospital Review

+ Best Employers for Workers over 50 - AARP

+ Gold-Level "Well Workplace": Wellness Council of America (WELCOA)

+ One of the 100 Best Workplaces for “Millennials” Great Place to Work® and FORTUNE® magazine

+ One of the 20 Best Workplaces in Health Care: Great Place to Work® and FORTUNE® magazine

+ Official Health Care Partner of the New York Jets

+ NJ Sustainable Business

Atlantic Health System offers a competitive and comprehensive Total Rewards package that supports the health, financial security, and well-being of all team members. Offerings vary based on role level (Team Member, Director, Executive). Below is a general summary, with role-specific enhancements highlighted:

Team Member Benefits

+ Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members)

+ Life & AD&D Insurance.

+ Short-Term and Long-Term Disability (with options to supplement)

+ 403(b) Retirement Plan: Employer match, additional non-elective contribution

+ PTO & Paid Sick Leave

+ Tuition Assistance, Advancement & Academic Advising

+ Parental, Adoption, Surrogacy Leave

+ Backup and On-Site Childcare

+ Well-Being Rewards

+ Employee Assistance Program (EAP)

+ Fertility Benefits, Healthy Pregnancy Program

+ Flexible Spending & Commuter Accounts

+ Pet, Home & Auto, Identity Theft and Legal Insurance

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Note: In Compliance with the NJ Pay Transparency Act (effective Sunday, June 1, 2025), all job postings will include the hourly wage or salary (or a range), as well as this summary of benefits. Final compensation and benefit eligibility may vary by role and employment status and will be confirmed at the time of offer.

EEO STATEMENT

Atlantic Health System, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran status.