Job opening: Health System Specialist - (Credentialing & Privileging)
Salary: $69 107 - 89 835 per year
Published at: Dec 11 2023
Employment Type: Full-time
The Robert J. Dole VA Medical Center is committed to Diversity and Inclusion. Together, we strive to create and maintain a working and learning environment that promotes professional growth and teamwork. We offer an inclusive, equitable, and welcoming environment where we celebrate our individual differences and unite as a team toward a common goal of providing outstanding service to our Nation's Veterans.
Duties
The incumbent serves as a Lead Health Systems Specialist - C&P Specialist. They are assigned to the
Credentialing and Privileging (C&P) Office at a VA Medical Center (VAMC) and is responsible for
providing lead administrative, consulting, technical direction and support to the C&P Specialists, C&P
Manager and to program operations.
They perform a variety of C&P duties in an extremely complex VAMC or Health Care System (HCS) environment which is constantly evolving.
Duties include, but may not be limited to the following:
Providing oversight and input regarding compliance with VHA policies, directives, memos, notices, The Joint Commission (TJC) standards, recommendations by the Office of Inspector General (OIG) and Government Accountability Office (GAO) and other internal or external auditors and reviewers as appropriate.
Collecting relevant data and making informed decisions to ensure qualified health care professionals are providing appropriate care in appropriate settings.
Considered a subject matter expert (SME) to providers and service chiefs regarding routine and complex matters related to C&P including provider competence for the ongoing provider practice evaluation (OPPE) and focused provider practice evaluation (FPPE).
Serves as lead specialist over a group of C&P Specialists. Responsible for assigning, monitoring, and reviewing the work performed by subordinate team members.
Trains or arranges for the training of team members in methods and techniques of technical skills and team building and working in teams to accomplish tasks or projects.
Maintains reference materials, project files and relevant background documents and makes available policies, procedures, and written instructions from the C&P manager.
Serves as a first level point of contact for the offices specialists by providing high-level consultation advice and guidance and serves as a first level diffuser in difficult situations.
Participates in policy and decision-making initiatives.
Ensures quality assurance in the VAMC's C&P program.
Utilizes evaluation results to make suggestions and improve organization/program performance.
Conducts and oversees internal controls and audits.
Serves as a consultant and provides guidance to VAMC leadership and C&P Office Specialists on all matters pertaining to the facility's C&P program.
Work Schedule: 8am-4:30pm M-F
Telework: This position regularly teleworks 1-2 days in a pay period.
Virtual: This is not a virtual position.
Position Description/PD#: Health System Specialist - (Credentialing & Privileging)/PD99418S
Financial Disclosure Report: Not required
Qualifications
To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 12/19/2023.
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-11 position you must have served 52 weeks at the GS-09.
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.
You may qualify based on your experience and/or education as described below:
This occupational series has an Individual Occupational Requirement (IOR). An IOR is a basic requirement that must be met to qualify for entry into this job series, and it is something that can't be waived.
Individual Occupational Requirement: Undergraduate and Graduate Education in a Major study of hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration.
OR
Experience of 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 ALL 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.
Special Provision for Inservice 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.
Grade Determinations:
GS-11:
Specialized Experience: You must have at least one (1) full year of specialized experience equivalent to at least the next lower grade level GS-09 in the Federal Service, that is directly related to the work of the position and has equipped you with the particular knowledge, skills and abilities to successfully perform the duties as a Health System Specialist - (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.
Prior experience in credentialing as well as in leading teams and projects.
Assigning, monitoring, and reviewing said credentialing and privileging work performed by team members.
Training or arranging for the training of team members.
Knowledge of data tracking as well as managing and assessing data.
Maintaining reference materials, project files, and relevant background documents.
Utilization of reports to make suggestions and improve organizational/program performance.
Experience in serving as a SME and consultant to leadership on policies and procedures.
Participating in policy and decision-making initiatives.
Providing oversight and input on program policies, directives, memos, and standards.
OR
Education: Applicants may substitute education for the required experience. The major field of study must be in hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration. To qualify based on education for this grade level you must have a master's or equivalent graduate degree, or 3 full years of progressively higher level graduate education leading to such a degree, or LL.B. or LL.M., if related. TRANSCRIPTS ARE REQUIRED IF SUBSTITUTING EDUCATION FOR EXPERIENCE
OR
Combination: Applicants may also combine education and experience to qualify at this level. You must have a combination of specialized experience and education beyond one year of graduate level education. (TRANSCRIPT REQUIRED)
You will be rated on the following Competencies for this position:
Compliance
Critical Thinking
Leadership
Quality Assurance
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 sedentary. Typically, the employee may sit comfortably to do the work; however, there may be some walking, standing, bending, and carrying of light items. No special physical demands are required to perform the work.
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 Robert J Dole VA Medical and Regional Office Center
5500 East Kellogg Drive
Wichita, KS 67218
US
- Name: Eduardo Alva
- Phone: 316-469-0922
- Email: [email protected]
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