The Greater Los Angeles VA Healthcare System is recruiting a Supervisory Health System Specialist (Credentialing & Privileging Manager) in the Office of the Chief of Staff in Los Angeles, CA. The incumbent oversees all functions related to healthcare providers' professional credentials supporting all divisions of the VAMC in accordance with VHA Credentialing and Privileging, Directives, VA Handbooks, Policies, Memos & Notices.

Duties

Duties include but are not limited to the following: Identify/present to leadership the resources necessary for accomplishing the mission and/or function of the facility's Credentialing and Privileging program. Demonstrate expertise in utilization of the VetPro credentialing system including knowledge of the credentialing and privileging process, documentation of primary source verifications, and how to audit credentialing files and/or reporting functions. Identify developmental and training needs of employees; provide or arrange for needed development and training; advocate to leadership and/or program officials for training resources. Utilize cost-effectiveness, cost-benefit, and cost-utility analyses in programmatic prioritization and/or decision making. Conduct supervisory reviews of completed tasks, present information, and make recommendations on how to improve. Develop statistical, graphical, and narrative reports justifying training or changes in processes to improve systems effectiveness/efficiency and/or customer service quality. Determine appropriate actions, including those resulting from VISN and local level reviews, initial and re-credentialing processes, reporting and data trends, identify issues that require further review, electronic credentialing database and/or clinical privilege maintenance. Monitor and audit the VAMC C&P program utilizing VetPro reports, mandatory auditing and reporting tools. Ensure national level reporting requirements are accurately completed, quarterly security reports, quarterly accuracy certification of the Our Provider's website, and accuracy of the VA/DoD shared provider registry. Ensure mandatory reviews and recommendations are documented in the electronic credentialing database; manage facility accounts; ensure appointed licensed providers maintain an active enrollment. Ensure information accuracy; review credentialing files for inaccuracies; manage troubleshooting efforts; take corrective actions; and conduct quarterly reviews and/or certifications. Manage enrollments, single queries and re-enrollments; prepare and submitting reports for adverse privileging actions. Work Schedule: 0800 - 1630 Telework: Not available. Virtual: This is not a virtual position. Position Description/PD#: Supervisory Health System Specialist (Credentialing and Privileging Manager)/PD99874A Relocation/Recruitment Incentives: May be authorized. Permanent Change of Station (PCS): Not authorized. Financial Disclosure Report: Not required

Requirements

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 09/01/2023. 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 a GS-12 position you must have served 52 weeks at the GS-11. 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. 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. INDIVIDUAL OCCUPATIONAL REQUIREMENT (IOR): An IOR is a basic requirement that must be met in order to qualify for entry into this job series, and it is something that can't be waived. The education must be accredited by an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. To qualify for the GS 0671 occupational series, applicants MUST possess one of the following: UNDERGRADUATE AND GRADUATE EDUCATION: undergraduate or graduate education in a major field of study hospital administration, public health administration, or related fields, such as business or public administration, with course work in health care administration. SPECIALIZED EXPERIENCE: specialized experience that is progressively responsible for analytical or administrative, or clinical management, or supervisory experience in the health care field performed in an operating health care facility or a higher organizational echelon with advisory or directional authority over such facilities with close working relationships with facility managers and analysis/coordination of administrative, clinical, or other service activities which provided knowledge in the following areas: 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. SPECIAL PROVISION FOR INSERVICE PLACEMENT: Completion of an agency-sponsored on-the-job training program, which included a formal individualized training plan. The training program should have been performed in an operating health care system and included: 1) Assignments providing a knowledge of basic health system administration philosophies, practices, and procedures, and basic government administrative policies and requirements; 2) Practical assignments providing an opportunity to apply health system administration skills and principles (as the individual progresses, work assignments must be characteristic of the grade level to which he or she is assigned); and 3) Oversight by an experienced health system administrator with periodic evaluation of the individual's progress and appropriate adjustment of the training program. In addition to meeting both the IOR and Time-In-grade, you may qualify based on your specialized experience as described below: Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-11 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to: demonstrated experience applying analytical and evaluative methods and techniques to issues or studies concerning the efficiency and effectiveness of the facility's medical staff functions and Credentialing & Privileging Program operations. Comprehensive knowledge of pertinent laws, regulations, policies and precedents; accreditation standards and guidelines, including, but not limited to: TJC, VHA Handbooks, Directives, Memos, and Notices; VetPro Policies/Standard Operating Procedures; and local medical center policies related to the principles, practices and program goals of the Credentialing & Privileging program. Comprehensive knowledge of VetPro policies. Extensive knowledge of medical specialties, medical terminology, and design and implementation of best practices for criteria based privileging systems for granting of clinical privileges and/or reduction and/or revocation of clinical privileges. Expert knowledge of the characteristics of credentialing/privileging and groups, adverse events, hearing and appeals committee actions and legal requirements. Ability to reconcile contradictory requirements in preparing staff recommendations and in coordinating clinical and administrative services. Knowledge of minimizing legal risks associated with adverse actions. You will be rated on the following Competencies for this position: Human Resources ManagementOrganizational AwarenessQuality AssuranceTechnical Competence 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. 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 requires normal safety precautions typical for offices and meeting rooms. The work area is adequately lighted, heated, and ventilated. The work may require travel. For more information on these qualification standards, please visit the United States Office of Personnel Management's website at https://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/.

Education

There is no educational substitution at this grade level.

A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Contacts

• Address Greater Los Angeles Healthcare System 11301 Wilshire Boulevard Los Angeles, CA 90073 US
• Name: Brandy Rivera
• Phone: (808) 433-0179
• Email: [email protected]