Test Manager-Practice Operations

Overview

Supports IU Health's patient safety and quality goals by performing credentialing and privileging activities in compliance with Medical Staff Bylaws, policies and procedures, accreditation, federal and state requirements, and organizational standards. Leads and manages medical staff credentialing, privileging, and peer review operations by establishing, implementing, and maintaining compliant, efficient processes. Oversees compliance with accreditation standards and applicable state and federal regulatory requirements by interpreting requirements, monitoring adherence, and guiding corrective actions, including oversight of regulatory and accreditation surveys, audits, and reviews. Manages departmental operations through workflow design, performance monitoring, and analysis of credentialing, privileging, and peer review data to support operational effectiveness and continuous improvement. Develops and supports staff capability through orientation, education, and training activities to ensure ongoing competence and collaborates with internal stakeholders to promote consistent, integrated credentialing and privileging processes. Conducts, participates in, and maintains clinical competency evaluations and peer review processes, including review of practitioner performance, sanctions, complaints, and adverse information, working directly with physician leaders to ensure fair, consistent, and compliant application of Medical Staff Bylaws and standards. Provides guidance to physician committee and administrative leadership and manages the maintenance, review, and revision of Medical Staff Bylaws. Demonstrates mastery‑level understanding of accreditation standards, regulatory requirements, and managed medical staff functions and collaborates with physician leaders to develop and maintain a facility‑specific, criteria‑based clinical privileging system aligned with regulatory, accreditation, and organizational standards. 

• Bachelor's Degree is required. Master's Degree is preferred.    
• Requires 5-7 years of relevant experience.    
• Certification in Professional Medical Services Management (CPMSM) is required, or must be obtained within 2 years of eligibility.    

Safeguarding our patients and each other is an important part of how we deliver the best care possible to the communities we serve. As a condition of employment, IU Health requires all new hires to receive various vaccinations, including the influenza and COVID-19 vaccines, barring an approved exemption. New hires will also be provided the option to submit proof of previous vaccination. The COVID-19 vaccine is not required to begin employment; however, all team members need to be fully vaccinated by September 1, 2021.

We are an equal opportunity employer and value diversity and inclusion at IU Health. IU Health does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.