Director of Medical Staff Services

Memorial Care Saddleback Medical Center Provided Pay Range

This range is provided by Memorial Care Saddleback Medical Center. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

$/yr - $/yr

Title: Medical Staff Director

Department: Medical Staff Services

Status: Full-time

Shift: Day

Pay Range: $139,859 - $192,327/annually

Memorial Care is a nonprofit integrated health system that includes four leading hospitals, award‑winning medical groups – consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient‑centric, affordable, and high‑quality healthcare; your personal contributions are integral to Memorial Care's recognition as a market leader and innovator in value‑based and other care models.

Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork.

This position is a management position with accountability for the daily operations and evaluations of the Medical Staff Services at Saddleback Medical Center. This position effectively creates the medical staff’s operational, programmatic and other policies, bylaws, and rules and regulations related to achieving the Mission and Vision of Saddleback and MHS. Directs the Medical Staff leaders in ensuring compliance with regulatory, accreditation, and hospital bylaws while supporting the medical staff in proper credentialing, privileging, governance and quality/performance improvement activities/issues.

Maintains the CME Program. Director serves as a key liaison between the medical staff, hospital administration, and external regulatory bodies. Develops and monitors the Medical Staff budget. Researches variances and identifies opportunities to reduce costs.

• Accountable for the development, direction, planning, and evaluation of the Medical Staff Services at Saddleback.
• Creates the medical staff’s strategic, operational, programmatic, and policy frameworks to align with the mission and vision of Saddleback and MHS.
• Oversees daily operations of the Medical Staff Office, including credentialing, privileging, and reappointment processes.
• Leads and mentors a team of medical staff professionals, ensuring high performance and engagement.
• Develops and implements departmental policies and procedures aligned with hospital bylaws and regulatory standards.
• Develops and ensures adherence to departmental and Medical Executive Committee budgets.
• Ensures compliance with Joint Commission or other accreditation bodies, CMS, California Department of Public Health, and other regulatory requirements.
• Reviews and updates all medical staff manuals to reflect changes in state and federal laws or physician/hospital practice modifications.
• Maintains accurate and timely documentation for audits and surveys.
• Monitors changes in laws and regulations affecting medical staff governance and credentialing.
• Supports medical staff leadership in organizing meetings, elections, educational activities, and committee functions.
• Advise on interpretation and application of medical staff bylaws, rules, and regulations.
• Facilitates communication between medical staff and hospital administration.
• Administers and coordinates formal and informal resolution processes, including fair hearings and allied health grievance procedures.
• Oversees initial and reappointment credentialing processes, ensuring accuracy and timeliness.
• Manages privileging and scope‑of‑practice verification for all practitioners.
• Utilizes credentialing software and maintains secure provider records.
• Collaborates with Quality and Risk Management teams on peer review and performance improvement initiatives.
• Tracks and reports key metrics related to credentialing and compliance.

* Placement in the pay range is based on…