Health System Specialist; Credentialing and Privileging Specialist

Position: Health System Specialist (Credentialing and Privileging Specialist)
The Health System Specialist (Credentialing and Privileging Specialist) is assigned to the Credentialing and Privileging Office, which is under the Chief of Staff and is responsible for providing administrative and technical direction and support to the credentialing and privileging (C&P) operations. The incumbent is responsible for collecting relevant data and making informed decisions to ensure qualified health care professionals are providing appropriate care in appropriate settings.

Major duties include, but are not limited to:

* Performing as the subject matter expert (SME) to Licensed Independent Providers (LIPs) and Service Chiefs regarding routine and complex matters related to C&P.

* Assisting the C&P Manager/Analyst in developing short- and long-term goals necessary to accomplish the mission of the C&P program.

* Assisting the C&P Manager/Analyst in drafting local credentialing processes and Medical Staff Bylaws in compliance with all applicable regulations.

* Receiving and reviewing Vet Pro reports detecting problem areas requiring further investigation.

* Informing the C&P Manager/Analyst of trends identified, audit results and identified problems that may affect a provider's privilege status.

* Providing guidance and instruction to hospital staff in completing the required documentation of establishing privileges for LIPs.

* Assuring application packages and other documents meet technical requirements per specialty of provider and assures application folder and database account (Vet Pro or other internal databases and spreadsheets) meet technical requirements.

* Serving as technical advisor to the Executive Committee of the Medical Staff (ECMS) and if applicable the Credentials Committee.

* Developing and providing routine and special reports as requested by the C&P Manager/Analyst.

* Establishing and maintains a variety of files and records pertaining to the C&P process.

Promotion Potential:
The selectee may be promoted to the full performance level without further competition when all regulatory, qualification, and performance requirements are met. Selection at a lower grade level does not guarantee promotion to the full performance level.

Work Schedule:

Monday-Friday, 8:00am-4:30am

Virtual:
This is not a virtual position.

Position Description Title/PD#:
Health System Specialist (Credentialing and Privileging Specialist)/PD99876A

Relocation/Recruitment

Incentives:

Not Authorized

Critical Skills Incentive (CSI):
Not approved

Permanent Change of Station (PCS):
Not Authorized

As a condition of employment for accepting this position, you will be required to serve a 1-year probationary 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 your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.