About this role
Company Overview
HealthStream is the leader in healthcare workforce solutions. We help organizations work better by helping their people work smarter.
HealthStream provides the leading learning, clinical development, credentialing, and scheduling applications delivered on healthcares #1 platform. We streamline everyday tasks while improving performance, engagement, and safety – fostering a workplace where people flourish, and care thrives.
Why Join Us
At HealthStream, youll have the opportunity to make a meaningful impact on the future of healthcare by collaborating with a team of talented professionals dedicated to innovation and excellence. We offer competitive compensation, comprehensive benefits, and a supportive work environment where creativity and collaboration thrive.
Our shared vision is to enhance the quality of healthcare by empowering the people who deliver care – a commitment we have upheld for over 30 years through providing innovative solutions and driving constant growth. Join us in revolutionizing the healthcare industry and shaping the future of patient care. As a HealthStreamer, you will be at the forefront of healthcare technology innovation, making a recurring impact on the industry.
Were proud of our values-forward culture that offers our people:
- Mission-oriented work
- Diverse and inclusive culture
- Competitive Compensation & Bonuses
- Comprehensive Insurance Plans
- Mental and Physical Health Support
- Work-from-home flexibility
- Fitness Center Reimbursements
- Streaming Good time off for volunteering
- Wellness workshops
- Buddy Program for new HealthStreamers
- Collaborative work environment
- Career growth opportunities
- Continuous learning opportunities
- Inspiring workspaces to collaborate and connect with other HealthStreamers
- Free employee parking at our Resource Centers in Nashville and San Diego
At HealthStream, our thriving culture encourages collaboration and values contributions, allowing our team members to continuously solve big problems and grow. We offer flexibility and paid time off to support work-life integration for all employees, including a hybrid work environment and Streaming Good volunteer day. For team members in commutable distance, HealthStream has Resource Centers in Nashville, TN and San Diego, CA. Our resource centers provide an inspiring workspace to collaborate and recharge as well as company-sponsored onsite social events for development, connection, and celebration.
We are committed to driving innovation in healthcare and ensuring that patients receive competent care from qualified professionals. As a HealthStream team member, you will help bring this vision to life. If you want to work for a company committed to its values and vision, HealthStream is the place for you!
HealthStream is an equal opportunity employer. HealthStream prohibits employment practices that discriminate against individual employees or groups of employees on the basis of age, color, disability, national origin, race, religion, sex, sexual orientation, pregnancy, veteran or military status, genetic information or any other category deemed protected by state and/or federal law.
Position Information
Position Overview
We are seeking an experienced and detail-oriented consultant, to support healthcare organizations utilizing the solutions within our SaaS-based platform, which support the overarching Peer Review/Professional Practice Evaluation (PPE) processes for managing the providers competency lifecycle. This role serves as a subject matter expert for provider Peer Review/PPE processes, including Clinical Privileging, Focused Professional Practice Evaluation (FPPE) for New Privileges, Ongoing Professional Practice Evaluation (OPPE), Focused Professional Practice Evaluation (FPPE) for Cause, and Case Review workflows.
The ideal candidate is a Medical Services Professional (MSP) and/or Professional in Healthcare Quality who combines extensive Peer Review/PPE experience with strong regulatory and accreditation knowledge to guide clients in implementing best practices, optimizing workflows, and ensuring regulatory and accreditation alignment within the platform. This position works collaboratively with healthcare leaders, physicians, medical staff offices, quality departments, technical/EHR resources, medical coding professionals, implementation teams, and product stakeholders to drive successful adoption and continuous improvement initiatives.
Key Responsibilities
You will be responsible for adhering to all HealthStream security policies, procedures, and assigned training.
- Serve as a clinical solutions consultant and subject matter expert for Peer Review/PPE, including Clinical Privileging, FPPE for New Privileges, OPPE, FPPE for Cause, and Case Review processes within the SaaS platform.
- Assist healthcare clients with workflow design, implementation, and optimization of provider Peer Review/PPE) programs.
- Interpret and apply regulatory and accreditation standards from organizations such as:
Centers for Medicare & Medicaid Services (CMS)
- The Joint Commission (TJC)
- Det Norske Veritas (DNV)
- Accreditation Association for Ambulatory HealthCare (AAAHC)
- Accreditation Commission on Healthcare (ACHC)
- State and organizational Peer Review/Professional Practice Evaluation (PPE) standards
- Assist clients with developing and implementing clinical privilege forms and quality metrics related to provider privileges,
- Guide clients through the patient data validation process, including review of coding attribution and alignment with coding in privilege forms.
- Collaborate with physician leadership, medical staff offices, quality departments, and clinical teams to assess processes and identify operational and performance improvement initiatives.
- Provide education, training, and ongoing support to platform users and client stakeholders.
- Translate clinical and operational requirements into platform recommendations and enhancement feedback for internal product teams.
- Analyze privileging process, clinical quality data and performance metrics trends to support informed decision-making.
- Develop documentation, including best practice recommendations for workflow guides, training materials, and webinar and conference presentations.
- Participate in client meetings, implementation calls, and strategic advisory sessions.
- Maintain current industry knowledge of Peer Review/PPE processes, standards, methodologies, and best practices
Qualifications
Requirements
Bachelor degree in related discipline; or equivalent professional experience in Peer Reviewe/PPE processes
- Nursing (BSN), Healthcare Administration, Public Health, Information Technology or related field preferred.
- A minimum of - 7+ years industry experience, specifically in Peer Review/PPE.
- Certified Professional in Healthcare Quality (CPHQ) preferred.
- Certified Provider Credentialing Specialist (CPCS) preferred.
- Certified Professional Medical Services Management (CPMSM) preferred.
- Prior consulting or client-facing experience strongly preferred.
Qualifications
- Extremely well organized, direct, honest, patient, and reliable
- Pragmatic problem solver, strategic thinker, and creative troubleshooter
- Energetic leader with solid people and rapport building skills
- Independent, decisive and self-confident professional who excels under pressure
- Excellent verbal, written communication skills; professional poise.
- Excellent computer skills and an affinity for technology.
- Requires initiative, flexibility, excellent interpersonal skills, and the ability to work well with all levels of internal management and staff, as well as with clients at all levels of the client organization.
- Ability to establish, maintain relationships and manage communications effectively with clients, consultants, and Provider Solutions teams.
- Manages activities for multiple concurrent projects with multiple clients with appropriate prioritization and focus.
- Ability to understand client goals, manage their expectations, and recognize additional opportunities for assistance via company products/services.
- Ability to demonstrate industry knowledge and knowledge of the challenges faced by our clients.
- Ability to travel 30% of the time.
- This position is primarily sedentary in a normal office environment.
- Extensive computer usage and use of the phone.
- Could lift up to 20 lbs.
- Ownership - Serving as a role model for ethical behavior and fostering an environment where others are empowered and expected do the same.
- Communication & Positive Presence - Conveying information with confidence, passion, authenticity, and poise; tailoring ones message to be suitable and impactful for the audience.
- Building Relationships - Treating others with respect, cultivating relationships, and negotiating solutions.
- Strategic Thinking - Taking a long-term view of possibilities and understanding the impact to the organization when assessing situations.
- Managing Change - Being adaptable and positive in the face of change; inspiring others to embrace and realize the benefits of change.
- Learning Agility - Exhibiting an entrepreneurial spirit, keeping an open mind, and seeking new ideas and ways of doing things.
- Developing Others - Providing advice, training, and feedback to employees for the purpose of enhancing performance, developing potential, and preparing them for advancement.
- Execution Focus - Identifying, prioritizing, and acting on opportunities that create and maximize value.
- Driving Results - Seeking opportunities to increase ones contribution to the organization; persevering to achieve quantifiable and measurable results.
- Delegating & Motivating Others - Trusting others to perform; empowering them to take on new challenges and solve problems while providing sufficient resources to support their efforts.
- Business Savvy - Synthesizing in-depth knowledge of business and financial terms and concepts, the industry, the organizations major competitors, and how ones area fits within the larger organization in order to maximize results
Compensation
- The salary range for this position is $$89,637 - $111,456. Salary will be determined by the candidates level of experience and qualifications. Compensation will be commensurate with skills, relevant experience, and performance in similar roles.
Benefits
HealthStream offers a comprehensive benefits package to eligible employees, including:
- Medical, Dental and Vision insurance
- Paid Time Off
- Parental Leave
- 401k and Roth
- Flexible Spending Account
- Health Savings Account
- Life Insurance
- Short- and Long-Term Disability
- Medical Bridge Insurance
- Critical Illness Insurance
- Accident Insurance
- Identity Protection
- Legal Protection
- Pet Insurance
- Employee Assistance Program
- Fitness Reimbursement
Are you passionate about enhancing healthcare outcomes and empowering healthcare professionals? Join the HealthStream team and become a HealthStreamer! Together, we can make a difference in the world of healthcare.
Recruitment Fraud Notice: HealthStream is committed to protecting job seekers from recruitment fraud. All legitimate communications from HealthStreams Talent Acquisition team will come from an official HealthStream email address. HealthStream will never ask candidates to pay fees, purchase equipment, provide banking information, or share sensitive personal information outside of our secure hiring and onboarding process. If you receive a suspicious message claiming to be from HealthStream, please proceed with caution and report it to the appropriate authorities.
Req #48861