Over 1 Million Paying Vacancies Available. Discover Your Dream Vacancy with Us!

Are you looking for a Health System Specialist (Credentialing & Privileging Analyst)? We suggest you consider a direct vacancy at Veterans Health Administration in Detroit. The page displays the terms, salary level, and employer contacts Veterans Health Administration person

Job opening: Health System Specialist (Credentialing & Privileging Analyst)

Salary: $66 126 - 85 963 per year
City: Detroit
Published at: Mar 22 2024
Employment Type: Full-time
Responsible for conducting analytical reviews, managing and tracking data, and serving as an advisor on key processes related to the Credentialing and Privileging (C&P) program. Applies analytical and evaluative methods and techniques for assessing the effectiveness, efficiency, and compliance of key program processes and makes recommendations to leadership for improving policies, processes and procedures.

Duties

Responsible for the implementation, maintenance, and update of Focused Professional Practice Evaluations (FPPE) and Ongoing Professional Practice Evaluations (OPPE) monitoring systems in support of all divisions of the VAMC; for providers in full-time, part-time, temporary, intermittent, contract, without compensation (WOC) and fee basis appointments in accordance with VHA C&P directives, handbooks and policies; Joint Commission (TJC) Standards; and State and Federal Regulations. Duties include, but are not limited to:

Requirements

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 04/02/2024. 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-09 position you must have served 52 weeks at the GS-07. 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. Individual Occupational Requirement: To meet the basic qualification of the 0671 Health System Administration Occupational Series: Possess an undergraduate or graduate level 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, Possess 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, Completed an agency-sponsored on-the-job training program that was a formal individualized training plan within a 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. *Proof of successful completion of an agency-sponsored on-the-job training program is required. In addition to meeting the Individual Occupational Requirement (IOR), you may qualify based on your experience and/or education as described below: GS-09 Experience and/or Education: Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-07 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 and understanding of joint commission standards related to credentialing and privileging; evaluate and explain policy and handbooks related to healthcare standards; advising providers and management on required documentation for credentialing and privileging; tracking compliance for healthcare standards; reviewing credentialing and privileging documentation for accuracy and compliance; compiling and reviewing data for discrepancies; managing special projects; analyzing reports to ensure they meet standards. Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have a masters or equivalent graduate degree or 2 full years of progressively higher-level graduate education leading to such a degree, OR, a related LL.M or J.D to the work of the position. Combination Experience/Education: Applicants may also combine education and experience to qualify at this level. You must have an combination of specialized experience and education beyond one (1) year of graduate education. To calculate, first identify the percentage of required education you have earned (when substituting, you cannot use the first year of graduate education). Then identify the percentage of required experience you possess. Add the two percentages. The total percentage must equal at least 100 percent to qualify. 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. 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.

If you are basing your qualifications on education (or a combination of education and experience) or if the position requires a college education to qualify, you must submit a copy of your transcripts with your application. Your official or unofficial transcript must reflect: name of the college or university, full address of the college or university, your name, class title(s) with the number of credits earned/completed, the degree received, if applicable, and date degree conferred. A copy of your certificate/degree or screenshot of your current classes are not a replacement of your transcript and they will not be used in the qualifying process.

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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Contacts

  • Address John D Dingell Department of Veterans Affairs Medical Center 4646 John R Street Detroit, MI 48201 US
  • Name: Sandra Barber
  • Phone: 313-310-9915
  • Email: [email protected]

Map

Similar vacancies

Health System Specialist Oct 03 2023
$91 270 - 118 651

Responsible for establishing processes and ensuring compliance with directives and related SOPs. Administers tasks and procedures required between the VA and the affiliate including establishing DAs, ...

Health System Specialist (Innovation Specialist) Aug 21 2023
$91 270 - 118 651

The major duties of the Health System Specialist (Innovation Specialist), include, but are not limited to: Develops and leads recommendations for administrative and general management decisions rega...

Health System Specialist Sep 15 2023
$91 270 - 118 651

Major duties include, but are not limited to: Provide planning and analysis support to facility leadership for development and implementation of strategic, tactical and operational plans. Develo...

Health System Specialist Sep 07 2023
$91 270 - 118 651

***THIS IS NOT A VIRTUAL POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION*** The Health System Specialist provides assistance and support to ...

Health System Specialist (Innovation Specialist) Aug 18 2023
$91 270 - 118 651

The major duties of the Health System Specialist (Innovation Specialist), include, but are not limited to: Develops and leads recommendations for administrative and general management decisions rega...