Health System Specialist (Credentialing and Privileging)

Health System Specialist - Credentialing And Privileging Specialist

The Health System Specialist - Credentialing and Privileging Specialist is assigned to the Medical Staff Office, which is under the Chief of Staff at the Roseburg VA Medical Center and is responsible for providing administrative and technical direction and support to the credentialing and privileging (C&P) operations. The C&P Specialist is aligned to and supervised by the C&P Manager. Responsibilities include ensuring compliance with VHA policies, directives, memos and notices of 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. The incumbent is responsible for collecting relevant data and making informed decisions to ensure qualified health care professionals are providing appropriate care in appropriate settings. Major duties include, but are not limited to :

• Performing as the subject matter expert (SME) to Licensed Independent Providers (LIPs) and Service Chiefs regarding routine and complex matters related to C&P.
• Assisting the C&P Manager / Analyst in developing short- and long-term goals necessary to accomplish the mission of the C&P program.
• Assisting the C&P Manager / Analyst in drafting local credentialing processes and Medical Staff Bylaws in compliance with all applicable regulations.
• Receiving and reviewing VetPro reports detecting problem areas requiring further investigation.
• Informing the C&P Manager / Analyst of trends identified, audit results and identified problems that may affect a provider's privilege status.
• Providing guidance and instruction to hospital staff in completing the required documentation of establishing privileges for LIPs.
• Assuring application packages and other documents meet technical requirements per specialty of provider and assures application folder and database account (VetPro or other internal databases and spreadsheets) meet technical requirements.
• Serving as technical advisor to the Executive Committee of the Medical Staff and if applicable the Credentials Committee.
• Developing and providing routine and special reports as requested by the C&P Manager / Analyst.
• Establishing and maintaining a variety of files and records pertaining to the C&P process.
• Performs other related duties 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 PST

Position Description Title / PD# : Health System Specialist (Credentialing and Privileging) / PD99876S and PD99620S

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. 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.

Requirements Conditions of Employment As a condition of employment for accepting this position, you will be required to serve a 1-year probationary period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider : your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service. Upon completion of your probationary period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest. You must be a U.S. citizen to apply for this job Subject to a background / suitability investigation 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. Acceptable form(s) of identification will be required to complete pre-employment requirements.

Qualifications To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 10 / 27 / 2025. Applicants must meet the Individual Occupational Requirement (IOR). An IOR is a basic requirement that must be met in order to qualify for the GS 0671 occupational series. Education must be accredited by an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. To qualify for this occupational series, applicants must have one of the following listed below :

In addition to meeting the Individual Occupational Requirement, applicants may qualify based on their experience and / or education as described below :

You will be rated on the following Competencies for this position :

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.

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 EDUCATION SUBSTITUTION : (Transcripts are required with your application package) GS-7 Education Substitution : Education : Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have successful completion of one (1) full year of graduate education. Such education must demonstrate the knowledge, skills, and abilities necessary to do the work of this position (i.e., hospital administration, public health administration, or related fields such as business