The incumbent serves as a Health Systems Specialist (Credentialing and Privileging Analyst) within the Chief of Staff Service Line and is responsible for conducting analytical reviews, managing and tracking data, and serving as an advisor to Truman VA leadership on key processes related to the Credentialing and Privileging (C&P) program. The C&P Analyst is aligned to and supervised by the C&P Manager.

Duties

Duties are but not limited to: Program Analysis and Support (40%) The incumbent is responsible for 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. The incumbent functions as the facility's subject matter expert (SME) for these areas. The incumbent applies knowledge of the C&P process and knowledge of medical terminology, medical specialties and core privileges and procedures to serve as the first line reviewer of the facility's FPPE and OPPE forms, plans, and processes. The incumbent analyzes 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). Coordinates and consults with medical care providers when plans lack specificity or other required information. Assembles complete packages for Medical Staff Committee Process. Identifies issues and recommends corrective actions to supervisor, VAMC leaders, or administrative support personnel as appropriate and estimates compliance timelines for resolution. Compliance (30%) The incumbent ensures initiation, completion and compliance of FPPE and OPPE clinical evaluations to include providing guidance and assistance in accordance with all requirements and standards and monitoring the evaluations' status. Implements tracking and monitoring systems for actions indicated by the Credentials Committee, such as licensed provider's exit review forms, Service Chief and supervisory requirements, state licensing board reporting requirements, and state licensing board reporting correspo"ndences. Reviews and participates in the development of privileging forms: provides local VA policy updates; manages two part folder reviews and processes and ensures they are federally archived in accordance with VHA System of records policy; performs VetPro access quarterly reviews; implements monitoring system for Our Provider database; manages facility Report Card data tracking system, tracks data trends, and serves as the primary consultant to the supervisor for the development and implementation of program operations that have a direct impact on data management and process improvements, Reviews and completes quarterly reports required by VA Central Office. Special Projects (30%) Manages special projects for new program initiatives and requirements and for process improvements and changes; provides data analysis support; leads in implementation practices and procedures. Collaborates with VAMC personnel and external medical professionals to ensure revisions are appropriately followed and documented. Provides technical guidance and supports program leadership by conducting and analyzing healthcare provider industry studies. Validates conclusions and recommendations, estimates, projects, or forecasts established from healthcare industry studies and participates in high level multi-functional teams to oversee the accomplishment of long ?term plans. Performs other duties within the C&P program as assigned. 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 - 4:30pm Telework: VA supports the use of telework as a way to help attract and retain talented individuals in public service, increase worker productivity, and better prepare the agency to operate during emergencies. This position may be authorized for telework. Telework eligibility will be discussed during the interview process. Virtual: This is not a virtual position. Position Description/PD#: Health System Specialist (Credentialing & Privileging Analyst)/PD99877A Relocation/Recruitment Incentives: Not 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, 09/11/2023. 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-7 position you must have served 52 weeks at the GS-5. For a GS-9 position you must have served 52 weeks at the GS-7. 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 Requirements: Undergraduate and Graduate Education: Major study -- hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration. OR Specialized Experience: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; Government-wide, agency, and facility. Special Provision for In-service Placement: Successful completion of an agency-sponsored on-the-job training program may be substituted for qualifying experience, provided it included a formal individualized training plan. Such a training program must have been conducted in an operating health care system and included: Assignments providing a knowledge of basic health system administration philosophies, practices, and procedures, and basic government administrative policies and requirements; 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 Oversight by an experienced health system administrator with periodic evaluation of the individual's progress and appropriate adjustment of the training program. AND After meeting the above required Individual Occupational Requirement, you must also meet the following specialized experience requirements. You may qualify based on your experience and/or education as described below: Specialized Experience (GS-7, developmental level): You must have one year of specialized experience equivalent to at least the next lower grade GS-5 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to: Knowledge of basic principles and practices of the credentialing and privileging (C&P) program in conducting analytical reviews, managing and tracking data, and serving as an advisor to VAMC leadership on key processes sufficient to: Perform highly structured, entry-level work designed to develop broader and more in depth knowledge and skill to perform higher-level assignments; Communicate factual and procedural information clearly, orally and in writing; Gather and analyze basic facts and draw conclusions. OR, Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have 1 full year of graduate level education or superior academic achievement. (TRANSCRIPT REQUIRED). OR, Combination: Applicants may also combine education and experience to qualify at this level. You must have an combination of specialized experience and education of 1 full year of graduate level education or superior academic achievement. Specialized Experience (GS-9, full performance level): You must have one year of specialized experience equivalent to at least the next lower grade GS-7 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to: Knowledge of the C&P process and knowledge of medical terminology, medical specialties and core privileges and procedures to serve as the first line reviewer of the facility's Focused Professional Practice Evaluations (FPPE) and Ongoing Professional Practice Evaluations (OPPE) forms, plans, and processes. Analyzes 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). Assembles complete packages for Medical Staff Committee Process. Conducts analytical reviews, manages and tracks data, and serves as an advisor to VAMC leadership on key processes related to the Credentialing and Privileging (C&P) program. OR, Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have a master's degree 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. (TRANSCRIPT REQUIRED). OR, Combination: Applicants may also combine education and experience to qualify at this level. You must have an combination of specialized experience and education of a master's degree 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. You will be rated on the following Competencies for this position: Analysis and Problem SolvingCritical ThinkingCustomer Service (Clerical/Technical)Information Management 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 require 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. 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

A transcript must be submitted with your application if you are basing all or part of your qualifications on 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. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Contacts

• Address Harry S Truman Memorial Veterans Hospital 800 Hospital Drive Columbia, MO 65201 US
• Name: Takhia Crawford
• Phone: 909-372-5409
• Email: [email protected]