Horizon Health Network - 112 Jobs
Miramichi, NB
Job Details:
This is the life-changing opportunity you've been looking for.
Horizon Health Network in beautiful New Brunswick is looking for a Privileging Advisor to join our team!
Horizon Health Network (Horizon) is seeking a driven, and detail-oriented individual to join our team as a Privileging Advisor. The ideal candidate will have experience in credentialing, privileging, medical affairs, health administration, regulatory compliance, professional affairs, or a related healthcare environment.
Why you should work here
Working for Horizon gives you a career that provides an east coast lifestyle and the chance to make a big difference in the lives of New Brunswickers.
This position comes with competitive salary, paid time off, sick benefits, employer paid contributions into our government pension plan and a remote work policy.
Horizon is committed to enhancing our diverse and inclusive environment for our employees and patients. We believe in a healthcare system that equally supports all people regardless of race, ethnicity, national origin, social background, religion, gender identity or expression, age, disability, or sexual orientation. An environment based on a commitment to diversity and inclusion supports our goal of safe and quality patient care.
Who you are
You have a worked in health care administration or a related field for a minimum of 2-4 years. You have an excellent proficiency level in Microsoft Office applications.
Experience
- Minimum two to four years of experience in credentialing, privileging, medical affairs, health administration, regulatory compliance, professional affairs, or a related healthcare environment.
- Experience interpreting policies, by-laws, regulations, and professional practice standards.
- Experience working with physician leadership, governance committees, and senior stakeholders.
- Demonstrated experience managing multiple complex files and competing priorities in a high-volume environment.
Education
- Bachelor's degree in Health Administration, Business Administration, or a related discipline.
- An equivalent combination of education and job experience may be considered.
Preferred Qualifications
- Certification related to provider credentialing, medical staff services, regulatory affairs, project management, or healthcare administration.
- Experience within a regional healthcare system.
- Experience supporting medical staff governance and credential review processes.
- Knowledge of Accreditation Canada standards and healthcare regulatory frameworks.
Written and spoken competence in English is required at an advanced level.
What you will do
Credentialing and Privileging Leadership
- Lead the end-to-end credentialing, privileging, appointment, and reappointment processes for incoming medica/dental staff.
- Conduct initial assessment and verification of education, training, licensure, certifications, professional references, work history, and professional standing.
- Evaluate credentialing information to identify potential risks, concerns, inconsistencies, or compliance issues requiring escalation or further review.
- Ensure practitioner appointments and privileges align with organizational by-laws, professional standards, scope of practice requirements, and departmental needs.
- Interpret and apply complex credentialing standards, policies, procedures, and governance frameworks.
- Provide expert guidance to leadership regarding eligibility, appointment requirements, privileging criteria, and credentialing risks.
Medical Staff Governance Support
- Serve as a strategic resource to Department Heads and Medical Leadership throughout credential review and privileging decision making processes.
- Support medical staff governance activities by preparing, analyzing, and presenting complex credentialing information for review by credentialing and governance committees.
- Ensure credentialing recommendations are supported by complete, accurate, and validated practitioner information.
- Facilitate compliance with Medical Staff By-laws, Rules and Regulations, and organizational governance expectations.
- Support implementation of new privileging frameworks, policies, standards, and governance initiatives.
Risk Management and Regulatory Compliance
- Identify, investigate, and resolve credentialing, regulatory, or compliance concerns that may affect practitioner appointments or privileges.
- Conduct risk assessments related to practitioner qualifications, professional conduct findings, licensure restrictions, malpractice history, and other credentialing indicators.
- Escalate significant risks and provide recommendations to appropriate leadership for consideration.
- Maintain ongoing compliance with applicable legislation, accreditation standards, professional regulatory bodies, and organizational policies.
- Participate in audits, investigations, accreditation activities, and quality reviews as required.
Stakeholder Consultation and Relationship Management
- Build and maintain collaborative relationships with internal and external stakeholders involved in the credentialing and privileging process.
- Provide education and consultation to physicians, medical leaders, and administrative partners regarding credentialing requirements and governance processes.
- Act as the primary point of contact for complex credentialing inquiries and interpretation of privileging requirements.
- Facilitate resolution of sensitive and confidential issues while maintaining professionalism and discretion.
Information Management and Confidentiality
- Maintain highly confidential practitioner information and ensure integrity of credentialing records and databases.
- Ensure documentation standards support organizational accountability, transparency, legal defensibility, and audit readiness.
- Generate reports and analyses to support medical leadership decision making.
- Maintain accuracy and completeness of credentialing and privileging information across multiple systems and repositories.
Horizon Competency
Core competencies for non-bargaining positions are based on the LEADS in a Caring Environment leadership capabilities framework: Lead Self, Engage Others, Achieve Results, Develop Coalitions, and System Transformation.
In addition to LEADS, all positions need to demonstrate compassion, patience, and professionalism in all interactions, consistently upholding a respectful and supportive environment for patients, clients, families, and colleagues. Proactively addresses concerns and responds to emerging needs with empathy and diligence, contributing to high-quality, patient/client centered care.
Interested? Apply Today!
To learn more, visit MyHorizonCareer.ca/management-business-professionals/
Horizon Health Network (Horizon) only accepts on-line applications.
About Horizon's Recruitment Process
We thank all applicant who apply; however, only those selected for further consideration will be contacted. All interested applicants are encouraged to apply as an equivalent combination of education, training and experience may be considered.
Horizon's recruitment screening process may include language proficiency testing, clerical testing and/or behavioral assessment. If you are selected for testing, you will be contacted via the email address provided on your application. The official results will be shared with the candidate, Human Resources and the requesting manager electronically and language results will be placed on the personnel file for Horizon's hiring purposes.
Diversity Statement
Horizon is committed to enhancing our diverse and inclusive environment for our employees and patients. We believe in a healthcare system that equally supports all people regardless of race, ethnicity, national origin, social background, religion, gender identity or expression, age, disability, or sexual orientation. An environment based on a commitment to diversity and inclusion supports our goal of safe and quality patient care.