Health System Specialist (Credentialing & Privileging) Drafts local credentialing processes and Medical Staff Bylaws in compliance with all regulations. Receives and reviews correspondence and communications for the C&P function and determines any items requiring immediate attention. Receives and reviews VetPro reports detecting problem areas requiring further investigation. Position is assigned to the Chief of Staff office. Develops short-and long-term goals necessary to accomplish the mission

Duties

Duties include but not limited to: Attention to detail. Manage multiple projects and priorities and meet deadlines. Analyzing applications, documents, files and other material pertaining to the C&P program. Correspond effectively via emails, letters, reports, committee minutes, report card responses, issue briefs and State Licensing Boards. Communicating complex and highly technical information to group of managers, clinical providers, administrative personnel, and outside contacts regarding C&P program requirements. Applying analytical and evaluative methods and techniques to issues or studies concerning the efficiency and effectiveness of the C&P operations. 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 VA personnel and external medical professionals to ensure revisions 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. Completes other duties as assigned. Position Description Title/PD#: Health System Specialist (C&P)/PD99876-S and PD99876-S Physical Requirements: The work is mostly sedentary, although some slight physical effort may be required. 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.

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. Individual Occupational Requirements - Health System Administration Series, 0671 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; and Government-wide, agency, and facility systems and requirements in various administrative areas such as budget, personnel, and procurement. or, 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/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. Preferred Experience: At least 2 years of experience in a Healthcare facility; knowledge of medical terminology; proficient in Microsoft office and excel; previous experience as admin support of a clinical service (at least 1 year); knowledge of regulatory and governing board requirements such as The Joint Commission (TJC) Medical Staff Standards, CARF Standards, and various state practice acts. GS-07 grade level: One year of specialized experience (equivalent to the GS-05 grade level in the federal service); experience that equipped the applicant with the particular knowledge, skills and abilities (KSA's) and other characteristics to perform successfully the duties of the position, and that is typically in or related to the work of the position to be filled, in the normal line of progression for the occupation in the organization. Specialized Experience Includes: Attention to detail. Manage multiple projects and priorities and meet deadlines. Analyzing applications, documents, files and other material pertaining to the Credentialing and Privileging (C&P) Program. Corresponding via emails, letters, reports, committee minutes, report card responses, issue briefs and State Licensing Boards. Communicating complex and highly technical information to group of managers, clinical providers, administrative personnel, and outside contacts regarding C&P program requirements. Proficient in Microsoft office and excel for memos, policy and procedures, correspondence, letters, reports, spreadsheets, etc. 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 one full year of graduate level education or superior academic achievement. if related to position. Or, Combination: Applicants may also combine education and experience to qualify at this level. You must have an appropriate combination of specialized experience and education. GS-09 grade level: One year of specialized experience (equivalent to the GS-07 grade level in the federal service); experience that equipped the applicant with the particular knowledge, skills and abilities (KSA's) and other characteristics to perform successfully the duties of the position, and that is typically in or related to the work of the position to be filled, in the normal line of progression for the occupation in the organization. Specialized Experience Includes: Applying analytical and evaluative methods and techniques to issues or studies concerning the efficiency and effectiveness of the Credentialing and Privileging (C&P) operations. Implements tracking and monitoring systems for action indicated by the Credential Committee. Determines baselines for complex assessments and determines which issues require tracking and further analysis. Development and implementation of program operations with direct impact on data management and process improvements. Manages special projects for new program initiatives and requirements and for process improvements and changes. Primary consultant to the supervisor for the development and implementation of program operations that have a direct impact on data management and process improvements. Applies technical skills to extract and analyze large datasets in a variety of formats (i.e. Access, Excel, PowerPoint, etc.). Experience with governing board requirements such as The Joint Commission (TJC) Medical Staff Standards, and various state practice acts. Determines processes for coordination of incoming data and documents from a variety of sources such as primary source verifications of education and training, peer recommendations, licensure, DEA license, board certification, NPDB CQ reports and personal history, and malpractice claims, FPPE, OPPE, etc. Reviews documents and applications for omissions and inconsistencies and assures data entry is complete and accurate to meet VHA policy and regulation, and TJC standards. 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 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., related to position. Or, Combination: Applicants may also combine education and experience to qualify at this level. You must have an appropriate combination of specialized experience and education. 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 Bruce W Carter Department of Veterans Affairs Medical Center 1201 Northwest 16th Street Miami, FL 33125 US
• Name: Sally Jordan
• Phone: 813-919-9130
• Email: [email protected]