Job opening: Health Systems Specialist- Credentialing & Privileging Analyst
Salary: $57 118 - 74 250 per year
Published at: Aug 03 2023
Employment Type: Full-time
The Health System Specialist -Credentialing and Privileging Analyst is assigned to the Medical Staff Office, which is under the Chief of Staff at a VA Medical Center (VAMC) and is responsible for conducting analytical reviews, managing and tracking data, and serving as an advisor to VAMC leadership on key processes related to the Credentialing and Privileging (C&P) program of the VAMC.
Duties
The C&P Analyst is aligned to and supervised by the C&P Manager. The incumbent applies analytical and evaluative methods and techniques for assessing the effectiveness, efficiency, and compliance of key program processes and makes recommendations to leadership for improving policies, processes and procedures.
Major duties include, but are not limited to:
Implementing, maintenance, and updating of Focused Professional Practice Evaluations (FPPE) and Ongoing Professional Practice Evaluations (OPPE) monitoring systems in support of all divisions of the VAMC.
Working collaboratively with VAMC leadership, healthcare providers, the C&P administrative specialists, and other administrative teams in managing the FPPE and the OPPE for the C&P Program.
Analyzing clinical evaluation plans to assure that they meet standards and are thorough and appropriate to measure and document the clinical competence of the Licensed Independent Practitioner (LIP).
Gathering, analyzing, documenting and tracking program data from beginning to end ensuring program compliance.
Lead consultant for the VAMC Report Card data related to the C&P Program.
Identifying issues and recommends corrective actions to supervisor, VAMC leaders, or administrative support personnel as appropriate.
Ensuring initiation, completion and compliance of FPPE and OPPE clinical evaluations to include providing guidance and assistance in accordance with all requirements and standards.
Reviewing and completing quarterly reports required by VA Central Office.
Managing special projects for new program initiatives and requirements and for process improvements and changes.
Providing technical guidance and supports program leadership by conducting and analyzing healthcare provider industry studies.
Performs other duties within the C&P program as assigned.
Work Schedule: Monday through Friday 8:00am-4:30pm
Position Description Title/PD#: Health Systems Specialist- Credentialing & Privileging Analyst/PD99877S
Physical Requirements: The work is mostly sedentary. Occasionally, light physical effort may be required, such as that involved with walking, stair climbing, and carrying of light office items. The work is performed in an office setting which require normal safety precautions
typical for offices and meeting rooms. The work area is adequately lighted, heated, and ventilated.
Requirements
- You must be a U.S. citizen to apply for this job
- Subject to a background/suitability investigation
- May serve a probationary period
- Selective Service Registration is required for males born after 12/31/1959
- A complete application package; Resume, Transcripts, etc.
- Selected applicants will be required to complete an online onboarding process
Qualifications
To qualify for this position, applicants must meet all requirements by the closing date of this announcement.
To qualify for this position at the GS-9 level, you must meet one of the following:
Specialized Experience: You must have at least one (1) full year of specialized experience, equivalent to the next lower grade level (GS-7) in Federal Service, that equipped you with the particular knowledge, skills, and abilities to successfully perform the duties of a Health System Specialist - C&P Analyst, and includes performing duties associated with healthcare credentialing and privileging. Qualifying specialized experience is defined as 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: (1) Missions, organizations, programs, and requirements of health care delivery systems; (2) Regulations and standards of various regulatory and credentialing groups; and (3) Government-wide, agency, and facility systems and requirements in various administrative areas such as budget, personnel, and procurement.
~OR~
Education: Successful completion of a master's or equivalent graduate degree, successfully completed two (2) full years of progressively higher level graduate education leading to such a degree, LL.B or J.D if related. Such education must demonstrate the knowledge, skills, and abilities necessary to do 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). NOTE: Copies of transcripts must be submitted with your application materials. Education cannot be credited without documentation.
~OR~
Combination: Combinations of successfully completed graduate level education (beyond the first year) and specialized experience, as described above, to meet the total 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 course work in health care administration). NOTE: Copies of transcripts must be submitted with your application materials. Education cannot be credited without documentation.
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.
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.
Contacts
- Address Lexington VA Health Care System
2250 Leestown Road
Lexington, KY 40511
US
- Name: Michael Helton
- Phone: 615-582-2884
- Email: [email protected]
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