Health System Specialist (Credentialing & Privileging)

Health System Specialist (Credentialing & Privileging)

The Health System Specialist ensures compliance with VHA policies, directives, memos, and notices, as well as The Joint Commission (TJC) standards, recommendations by the Office of Inspector General (OIG) and the Government Accountability Office (GAO), and other internal or external auditors and reviewers as appropriate.

Responsibilities include :

• Assisting the C&P Manager / Analyst in developing short- and long-term goals necessary to accomplish the mission of the C&P program.
• Assisting in identifying the resources required for accomplishing the mission and function of the credentials and privileging program.
• Assisting C&P Manager / Analyst in drafting local credentialing processes and Medical Staff Bylaws in compliance with all applicable regulations.
• Receiving and reviewing correspondence and communications for the C&P function and determining which items require immediate attention and which are confidential.
• Ensuring accurate provider data is entered into and maintained in the VetPro computer program.
• Managing provider applications (initial and renewals) for LIPs C&P within the VAMC.
• Creating an automated system of program-specific data to track suspense on items such as project milestones, progress reports, and compliance strategies.
• Serving as technical advisor to the Executive Committee of the Medical Staff (ECMS) and, if applicable, the Credentials Committee.

Physical Demands : The work is primarily sedentary, although some slight physical effort may be required.

Work Schedule : 7am-3 : 30pm; Monday thru Friday

Position Description / PD# : Health System Specialist (Credentialing & Privileging) / PD99876S

Relocation / Recruitment Incentives : Not Approved

Requirements

You must be a U.S. Citizen to apply for this job.

Selective Service Registration is required for males born after 12 / 31 / 1959.

Must be proficient in written and spoken English.

You may be required to serve a probationary period.

Subject to background / security investigation.

Selected applicants will be required to complete an online onboarding process.

Must pass pre-employment physical evaluation.

Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).

Selected applicants will be required to complete an online onboarding process.

Acceptable form(s) of identification will be required to complete pre-employment requirements.

Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.

As a condition of employment for accepting this position, you will be required to serve a 1-year probationary period or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest.

Upon completion of your probationary period or trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 10 / 29 / 2025.

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-9 position you must have served 52 weeks at the GS-7.

You may qualify based on your experience or education as described below :

GS-9 : Experience : You must have one year of specialized experience equivalent to at least the next lower grade (GS-7) in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to :

OR Education : Applicants may substitute education for the required experience.

Major study must be hospital administration, public health administration, or related fields.

OR Combination : Applicants may also combine education and experience to qualify at this level.

Additional Information

This job opportunity announcement may be used to fill additional vacancies.

VA Healthcare System Serving Ohio, Indiana and Michigan (VISN 10) advocates for a Whole Health System of care in each of the Medical Centers.