Mia Mastromatteo, MBA, CPMSM, CPCS
Summary
Healthcare credentialing expert with a career trajectory from coordinator to system manager, enhancing credentialing operations across expansive health systems. Leads teams of up to 20, ensuring compliance with NCQA, CMS, DNV, and state mandates while optimizing workflows, technology utilization, and audit preparedness.
Overview
1
1
Certification
13
13
years of professional experience
Work History
SYSTEM MANAGER, CVO (CREDENTIALING VERIFICATION ORGANIZATION)
UNIVERSITY HOSPITALS HEALTH SYSTEM
CLEVELAND, OH
06.2025 - Current
- Support credentialing verification operations for major health system, maintaining accuracy, efficiency, and compliance across primary source verification workflows.
- Resolve complex credentialing issues and provide subject matter guidance to internal partners.
- Support risk mitigation by credentialing qualified, vetted providers to protect patient safety and organizational reputation.
- Maintain compliance with NCQA, CMS, DNV, state regulations, and payor credentialing requirements, supporting readiness for accreditation audits.
- Enhanced credentialing workflows through process updates and technology changes, ensuring alignment with best practices.
- Defined and managed credentialing software user access and security protocols, identifying vulnerabilities and implementing effective solutions.
- Oversaw a team of 20 staff members, promoting collaboration and efficiency in credentialing operations, including supervisor and team lead.
MARKET MANAGER, MEDICAL STAFF SERVICES & CREDENTIALING
UNIVERSITY HOSPITALS HEALTH SYSTEM
CLEVELAND, OH
11.2022 - 06.2025
- Managed daily medical staff operations and led special projects to ensure seamless service delivery.
- Addressed and resolved medical staff issues involving physicians, staff, and senior leadership to promote a collaborative environment.
- Oversaw daily operations of a team of 10 direct reports to ensure effective performance.
- Set productivity goals and tracked quality output to support completion of work tasks within identified timeframes.
- Enhanced operational efficiency through collaboration with cross-functional teams.
- Reviewed and reported on team quality of work to support accountability.
- Worked with medical staff leaders to develop policies, evaluation standards, and privilege forms.
- Maintained data quality and integrity for web-based applications through regular audits.
SUPERVISOR, MEDICAL STAFF SERVICES & CREDENTIALING
UNIVERSITY HOSPITALS HEALTH SYSTEM
CLEVELAND, OH
04.2021 - 11.2022
- Ensured compliance with hospital, Joint Commission, CMS, NCQA, and DNV requirements.
- Managed team of 5 direct reports, fostering collaboration and improving performance.
- Coached and trained staff through ongoing education sessions, enhancing knowledge and skills.
- Guided staff through regulatory updates and process revisions.
- Handled disciplinary actions, performance improvement plans, and annual reviews.
COORDINATOR, MEDICAL STAFF SERVICES & CREDENTIALING
UNIVERSITY HOSPITALS HEALTH SYSTEM
CLEVELAND, OH
03.2018 - 04.2021
- Collaborated with clinical leaders to evaluate and select potential medical staff candidates based on established criteria.
- Reviewed and processed initial and reappointment applications through investigative review and record interpretation to ensure compliance and quality.
- Facilitated evaluations of candidate qualifications during Credentials Committee meetings, Medical Executive Committee, and Hospital QPAC Board to support informed decision-making.
- Reviewed primary source verification data and documents for initial appointments and reappointments.
- Supported provider performance evaluation process (OPPES) in alignment with accreditation standards.
MEDICAL STAFF COORDINATOR
PROMEDICA FLOWER HOSPITAL
TOLEDO, OH
10.2016 - 03.2018
- Coordinated support for 1000 credentialed providers, ensuring seamless access to medical staff resources.
- Facilitated communication between medical staff services and outside institutions.
- Conducted primary source verifications and managed processing of initial and reappointment applications to maintain compliance.
- Scheduled medical staff meetings, committee sessions, and physician onboarding tasks to facilitate effective communication and collaboration.
- Prepared credentialing packets, licenses, and verification requests for review.
HEALTHCARE ADMINISTRATION INTERN
PROMEDICA FLOWER HOSPITAL
TOLEDO, OH
10.2015 - 10.2016
- Developed foundational knowledge in hospital administration and healthcare management through hands-on experience.
- Assisted with budgeting processes, contributing to financial planning for hospital departments.
- Collaborated with other departments to develop new policies and procedures.
- Supported multiple departments, gaining insights into hospital systems and daily operations.
- Converted from trainee status to permanent hire after degree completion.
BUSINESS MANAGER
CLINIQUE LABS
TOLEDO, OH
09.2013 - 10.2016
- Led budget reviews and expense tracking for business operations.
- Set budget plans and daily sales goals to guide store performance.
- Coordinated daily direction, coaching, and workload management for team of 10 associates.
- Led special projects and initiatives from inception to completion, ensuring alignment with business objectives.
- Facilitated recruiting planning and development to address staffing needs.
Education
MBA - Healthcare Management Specialization
YOUNGSTOWN STATE UNIVERSITY
YOUNGSTOWN, OH01-2023
Bachelor of Science - HEALTHCARE ADMINISTRATION (Minor in Business Administration)
THE UNIVERSITY OF TOLEDO
TOLEDO, OH12-2016
Skills
- Corporate compliance and regulatory standards (HIPAA, TJC, CMS, DNV, NCQA)
- Accreditation readiness
- Credentialing Software (Cactus, MSOW, MDStaff)
- Kronos, Oracle, and Epic
- Operational project management
- Microsoft Office Suite (Excel, Outlook, PowerPoint, Word, OneNote, Teams)
- Conflict resolution and analytical skills
- Medical terminology
Certification
- Certified Professional Medical Services Manager (CPMSM)
- Certified Provider Credentialing Specialist (CPCS)
Affiliations
- National Association of Medical Staff Services (NAMSS)
- Ohio Association of Medical Staff Services (OAMSS)
- American College of Healthcare Executives
Timeline
SYSTEM MANAGER, CVO (CREDENTIALING VERIFICATION ORGANIZATION)
UNIVERSITY HOSPITALS HEALTH SYSTEM
06.2025 - Current
MARKET MANAGER, MEDICAL STAFF SERVICES & CREDENTIALING
UNIVERSITY HOSPITALS HEALTH SYSTEM
11.2022 - 06.2025
SUPERVISOR, MEDICAL STAFF SERVICES & CREDENTIALING
UNIVERSITY HOSPITALS HEALTH SYSTEM
04.2021 - 11.2022
COORDINATOR, MEDICAL STAFF SERVICES & CREDENTIALING
UNIVERSITY HOSPITALS HEALTH SYSTEM
03.2018 - 04.2021
MEDICAL STAFF COORDINATOR
PROMEDICA FLOWER HOSPITAL
10.2016 - 03.2018
HEALTHCARE ADMINISTRATION INTERN
PROMEDICA FLOWER HOSPITAL
10.2015 - 10.2016
BUSINESS MANAGER
CLINIQUE LABS
09.2013 - 10.2016
MBA - Healthcare Management Specialization
YOUNGSTOWN STATE UNIVERSITY
Bachelor of Science - HEALTHCARE ADMINISTRATION (Minor in Business Administration)
THE UNIVERSITY OF TOLEDO