Job opening: Health Systems Specialist
Salary: $71 995 per year
Published at: Dec 20 2023
Employment Type: Full-time
About the Position: This position is located within the Womack Army Medical Center in Fort Bragg, NC. Incumbent will be responsible for monitoring the credentialing process for trends/patterns and the oversight of providers and staff compliance with license/registration/certification, education, and prime source verification within the medical network facility (MNF).
This is a Direct Hire Solicitation
Duties
Track the credential files for assigned providers and staff.
Utilize credentialing programs such as Impaired Healthcare Provider Program (IHPP) to confirm providers have completed all required actions or documents.
Track adverse actions against providers within the medical network facility (MNF).
Monitor peer reviews to confirm they are being completed and conducted within established regulations, polices, and guidelines.
Train lower-level employees in the department on the credentialing process.
Utilize healthcare systems to analyze the credentialing process for the MNF.
Conduct continuous audits of files for the development of quarterly reports to confirm compliance ratings.
Requirements
- Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
- This position has mandatory seasonal influenza vaccination requirements and is subject to annual seasonal influenza vaccinations unless otherwise exempted for medical or religious reasons (documentation of exemption must be provided upon hire).
Qualifications
Who May Apply: US Citizens
In order to qualify, you must meet the education and/or experience requirements described below. 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; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document.
Specialized Experience: One year of specialized experience which includes processing credentialing files for providers within a medical network facility (MNF) or clinic such as verifying license is valid, reviewing file for adverse actions, or verifying all certifications are up to date; utilizing automated healthcare systems to enter and retrieve data; reviewing the credentialing process to determine compliance with established regulations, policies, and/or procedures; and identifying trends and/or patterns within the credentialing process of a MNF or clinic to draft reports.
This definition of specialized experience is typical of work performed at the second lower grade/level position in the federal service (GS-09).
OR
Education: Ph.D or equivalent doctoral degree or 3 full years of progressively higher level graduate education leading to such a degree with a major study in hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration.
OR
Combination of Education and Experience: A combination of education and experience may be used to qualify for this position as long as the computed percentage of the requirements is at least 100%. To compute the percentage of the requirements, divide your total months of experience by 12. Then divide the total number of completed graduate semester hours (or equivalent) beyond the second year (total graduate semester hours minus 36) by 18. Add the two percentages.
Education
FOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. For further information, visit:
http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.
Contacts
- Address JT-DHA-DDAAFN DHA CENTRAL NC MARKET
DO NOT MAIL
Fort Liberty, NC 28310
US
- Name: Army Applicant Help Desk
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