Health System Specialist-Credentialing and Privileging Specialist
The position is located at the Chalmers P. Wylie VA ACC within Credentialing. The incumbent is responsible for collecting relevant data and making decisions to ensure that qualified healthcare professionals provide appropriate care in the appropriate settings. Please be advised that this position is currently subject to an OPM consistency review, which may result in a change in grade. If the review results in a reduction in grade, you could be eligible for grade and/or pay retention.
Major duties
Major duties include, but are not limited to: Assist the Credentialing and Privileging Manager/Analyst in developing short- and long-term goals necessary to accomplish the mission of the C&P program. Keeps leadership and appropriate administrative staff informed of program changes, new regulatory requirements, and policies and procedures about the C&P process. Drafts local credentialing processes and Medical Staff Bylaws in compliance with all applicable regulations. Ensures accurate provider data is entered into and maintained in the VetPro computer program Work Schedule: Monday through Friday, 7:30am-to 4:00pm Position Description Title/PD#: Health System Specialist-Credentialing and Privileging Specialist/PD91698VS Physical Requirements: The work is performed in an office setting, which requires normal safety precautions typical for offices and meeting rooms. The work area is adequately lit, heated, and ventilated.
Qualifications
To qualify for this position, applicants must meet all requirements by the closing date of this announcement. Time-In-Grade Requirement: Applicants who are current Federal employees and have held a GS grade any time in the past 52 weeks must also meet time-in-grade requirements by the closing date of this announcement. For GS-09 you must have served 52 weeks at the GS-07. The grade may have been in any occupation, but must have been held in the Federal service. An SF-50 that shows your time-in-grade eligibility must be submitted with your application materials. If the most recent SF-50 has an effective date within the past year, it may not clearly demonstrate you possess one-year time-in-grade, as required by the announcement. In this instance, you must provide an additional SF-50 that clearly demonstrates one-year time-in-grade. If the above SF-50 does not show you meet the 52-week (one-year) time-in-grade requirement, you must submit an additional SF-50 that shows you held the next lower grade for at least one year. Note: Time-In-Grade requirements also apply to former Federal employees applying for reinstatement as well as current employees applying for Veterans Employment Opportunities Act of 1998 (VEOA) appointment. Grade Determination GS- 9: You may qualify based on your experience and/or education as described below: Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-07 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to: Progressively responsible analytical or administrative, or clinical management or supervisory experience in the health care field. This work may have been performed in an operating health care facility or a higher organizational echelon with advisory or directional authority over such facilities. Work must have involved a close working relationship with facility managers and analysis and/or coordination of administrative, clinical, or other service activities, and provided knowledge of the following: Missions, organizations, programs, and requirements of health care delivery systems; Regulations and standards of various regulatory and credentialing groups; and Government-wide, agency, and facility systems and requirements in various administrative areas such as budget, personnel, and procurement. OR, Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have master's or equivalent graduate degree or 2 full years of progressively higher level graduate education leading to such a degree or LL.B. or J.D., if related OR Combination: Applicants may also combine education and experience to qualify at this level. You must have a combination of successfully completed graduate level (beyond a master's degree) and specialized experience as described above to meet total experience requirements. The education portion must include graduate courses that demonstrate the knowledge, skills, and abilities necessary to do to the work of this position (i.e., hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration). You may qualify based on your experience and/or education as described below: You will be rated on the following Competencies for this position: Compliance Technical Competence Quality Assurance Communications Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. Note: A full year of work is considered to be 35-40 hours of work per week. Part-time experience will be credited on the basis of time actually spent in appropriate activities. Applicants wishing to receive credit for such experience must indicate clearly the nature of their duties and responsibilities in each position and the number of hours a week spent in such employment.
Education
Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/.If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education.
Requirements
- You must be a U.S. citizen to apply for this job
- Subject to a background/suitability investigation
- Selective Service Registration is required for males born after 12/31/1959
- A complete application package; Resume, Transcripts, etc. is required
- Selected applicants will be required to complete an online onboarding process.
- Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents).
- Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
- Upon completion of your probationary period (OR INSERT "trial period"), your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.
- As a condition of employment for accepting this position, you will be required to serve a 1-year probationary period (OR INSERT "2-year trial period") during which we will evaluate your fitness and whether your continued employment advances the public interest.
- In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service
- Upon completion of your probationary period or trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.