Salary Range: $108,147-$155,461/year. The starting salary for this position would be determined with consideration of the successful candidate’s relevant education and experience, and would be in alignment with the provincial compensation reference plan. Salary will be prorated accordingly for part time roles.

Job Summary:

In accordance with the Mission, Vision and Values, and strategic directions of Provincial Health Services Authority patient safety is a priority and a responsibility shared by everyone at PHSA, and as such, the requirement to continuously improve quality and safety is inherent in all aspects of this position. Reporting to the Executive Director, Medical Affairs and Physician Services, the Manager, Medical Affairs, is responsible and accountable for the provision of leadership in all aspects of medical affairs across PHSA, including legislative, legal, and province-wide, intra-Health Authority operations, and Accreditation Canada requirements pertaining to credentialing and privileging in accordance with the Medical Staff Bylaws, Rules and PHSA policies for 1,700 members of the medical staff, as well as an average of 300 educational staff per annum.  Medical Staff are defined as the physicians, dentists, midwives and nurse practitioners who have been appointed to the Medical Staff and have been granted privileges by the Board of Directors to practice in the facilities and programs operated by the PHSA.

The Manager, Medical Affairs, is responsible and accountable for the development and implementation of strategic initiatives to support all aspects of credentialing and privileging, and related issues, in accordance with the Medical Staff Bylaws and Rules, policies and procedures, to support safe and quality health care. The Manager represents PHSA on a number of provincial working groups providing expertise in development and implementation of provincial initiatives. This includes the maintenance and enhancement of the provincial medical staff credentialing and privileging system and associated modules used for leader approval, committee reports and data verification. The Manager recognizes the environment in which medical staff practice adds an additional layer of complexity due to the influence of many external factors such as the role of Doctors of BC, the current political climate, local municipalities, the influence of the Ministry of Health and the Physician Master Agreement. This position develops, fosters and maintains strong collaborative working relationships with senior medical administrators, site medical leads, medical staff, and other Health Authorities regarding credentialing and privileging and interpretation of Medical Staff Bylaws and Rules.  Establishes effective working relationships with the BC Medical Quality Initiative Office, licensing bodies, regulatory agencies, University of BC, and national and international organizations

Duties/Accountabilities:

• Oversees the implementation, management, timely completion, and reporting of all credentialing activities for medical staff in accordance with the PHSA Medical Staff Bylaws and Rules.  Liaises with the respective Chairs of the Health Authority Medical Advisory Committee, Site Medical Advisory Committees and Site Credentialing Committees, managing credentialing reports for the Quality and Access Committee of the PHSA Board. Provides advice and consultation regarding the investigation of medical staff disciplinary issues, including the limitation and suspension of privileges, in collaboration with the
  Senior Legal Counsel and Executive Director, Medical Affairs and Physician Services.

•  Provides oversight for the maintenance and enhancement of the provincial electronic credentialing, privileging and reappointment system, to illustrate credentialing comparatives across provincial health authorities in order to maintain standardized provincial credentialing and privileging processes.

• Responsible for ensuring the management, timely completion, and reporting of in-depth reviews, including a multi-source feedback survey of medical staff and their allied health colleagues. Members of medical staff must submit to the in-depth review process prior to promotion from the Provisional to Active medical staff category, and every third year thereafter.
  
  
• Responsible for organization, logistics and timely completion of Departmental and/or Department Head Reviews for BC Children's Hospital, BC Women's Hospital and Health Centre, and BC Cancer. Facilitate a multi-day External Review of the department to assess performance in: departmental and hospital administration; medical staff management including human resource planning and mentoring; quality of care and resource utilization management; academic and research responsibilities. Oversees the final report including a recommendation on whether to reappoint the Department Head is presented to the Medical Advisory Committee and PHSA Board for approval.

•  Provides leadership and expertise in the development and refinement of policies, procedures and decision support tools for medical staff human resource planning, recruitment, onboarding, credentialing and privileging. This includes comprehensive updates as required to the PHSA Medical Staff Bylaws as approved by the PHSA Board and the Ministry of Health, and updates required to the PHSA Medical Staff Rules as approved by the PHSA Board. Once revisions are approved, provides oversight for the implementation of changes including the potential onboarding of new groups of medical staff.

• Works directly with Medical Leaders to confirm adequate, up-to-date training is received by medical staff as a credentialing requirement. This includes Respectful Workplace, Privacy and Security, Disclosure of Adverse Events, Safe Medication Order Writing, Infection Prevention and Control Practices and the Provincial Physician Violence Prevention training. Provide recommendations for course development, updates and training implementation strategies.

•  Ensures Medical Leaders are provided with toolkits and appropriate training specific to their leadership responsibilities i.e. evaluation of credentials; recommendation of medical staff categories; use of provincial privileging dictionaries; reappointment of medical staff and disciplinary procedures related to the limitation or suspension of privileges.

• Provides comprehensive leadership and coaching to a team of Credentialing Coordinators as well as local site administrative professionals who facilitate numerous site-specific and Health Authority medical staff committees.  Responsible for the organization and coordinated function of the Health Authority Medical Advisory Committee (HAMAC) in conjunction with the HAMAC Chair and full Committee. Develops and implements tracking tools to ensure the Medical Advisory Committees and the Quality of Care committees fulfill the requirements of the Medical Staff Bylaws and Rules, including ensuring reporting between the Medical Advisory Committees and the PHSA Board. Oversees maintenance of a confidential electronic file management system of current and historical documentation relating to credentialing and privileging in alignment with provincial data collection and sharing policies and guidelines.

• Prepares and presents policies, briefing notes, business cases and reports on decisions or actions arising to a wide variety of stakeholders including oversight bodies such as the Medical Advisory Committees, Governance and Leadership Advisory Group or Quality and Access Committee of the PHSA Board.

• Responsible for preparing and managing the annual operating budget for the department including the interpretation and reporting of financial information. Liaises with and provides decision-making expertise to Leaders in Legal, Risk Management, and Quality when required, and manages special projects at the discretion of the Executive Director, Medical Affairs and Physician Services.

Qualifications:

• A level of education, training, and experience equivalent to a Master's degree in Business Administration, Health Care Administration or a related field of study, plus a minimum of seven (7) years' experience in a senior administrative/managerial position in a related field with progressively increasing responsibility.
• Ability to build strategic internal and external partnerships and alliances to inform best practice and influence change.
• Ability to function autonomously and within political environments exercising a high level of judgment to facilitate consensus and negotiate with a variety of local, provincial and global stakeholders.
• Comprehensive knowledge of medical credentialing and privileging processes and management.  
• Knowledge of medical terminology, and specific provincial and university legislation.  
• Broad knowledge of the credentialing regulatory requirements relevant to hospital and health authorities.  
• Proficient in computer skills including word processing, spreadsheet, database, presentation, online survey tools and web-based systems.  
• Excellent time management, organization, and planning skills.  
• Demonstrates sound leadership and judgment in taking initiative and decision making, with excellent problem-solving skills, both individual and collaborative.
• Ability to lead, participate and facilitate teamwork across a multi-disciplinary group of stakeholders.
• Demonstrates ability to initiate, co-ordinate, organize and complete multiple tasks within specified timelines, and work under pressure, prioritizing multiple competing demands. 
•  Ability to manage conflict effectively and foster positive working relationships with a multi-disciplinary audience.
• Strong oral and written communication skills with the ability to prepare and deliver concise analyses, reports, briefing notes and recommendations to multidisciplinary audiences.  
• Experienced in working with highly confidential information and maintaining confidentiality.  
• Direct experience working collaboratively and effectively with medical staff and leadership.
• Demonstrated experience in managing complex regulatory or legal issues.
• Physical ability to perform the duties of the job.