Supervisory Health System Specialist - Credentialing and Privileging Manager

Supervisory Health Systems Specialist - Credentialing and Privileging Manager

The incumbent serves as a Supervisory Health Systems Specialist - Credentialing and Privileging Manager. They oversee all functions related to healthcare providers' professional credentials supporting all divisions of the James J. Peters VA Medical Center (VAMC), Bronx, NY.

Responsibilities include :

• Working collaboratively with local and VISN leadership to identify and implement best practices and advising VAMC leadership of all program requirements pertaining to the C&P program.
• Ensuring quality assurance and providing oversight for the VAMC C&P program and ensuring that the Medical Staff Bylaws / Rules and Regulations are reviewed and updated annually (or as needed) to reflect regulations or accreditation standards.
• Providing direct technical and administrative supervision to employees.
• Ensuring that employees are efficiently and effectively accomplishing quality work that is compliant with regulatory requirements and procedures, TJC standards, laws, and VHA C&P policies and requirements, as well as assuring implementation and accomplishment of the goals and objectives of the C&P Program.
• Identifying and presenting to leadership the resources necessary for accomplishing the mission and function of the facility's C&P program.
• Providing guidance to local leadership and C&P employees on all matters pertaining to the facility's C&P program.
• Attending committee meetings and presenting providers' credentials, clinical practice histories, and red flags.
• Serving as the primary consultant for the facility's C&P program; analyzing program audit results; interpreting facility quarterly report card data; researching provider credentialing requirements; and identifying potential privileging issues.
• Coordinating with Service Chiefs and service level administrative teams for annual Committee(s) review of clinical privileges and scope of practice.
• Serving as the Point of Contact (POC) and SME (Subject Matter Expert) for credentialing updates, Human Resources, providers, and hiring services.
• Monitoring and auditing the VAMC C&P program utilizing VetPro reports, mandatory auditing and reporting tools.
• Ensuring national level reporting requirements are accurately completed including, but not limited to, quarterly security reports, quarterly accuracy certification of the Our Provider's website, and accuracy of the VA / DoD shared provider registry.
• Monitoring C&P program resources to ensure programs are appropriately staffed.
• Serving as a liaison and partner with Human Resources Service programs for common program goals and issues including, but not limited to, provider onboarding, provider exit reviews, and assessments, privileging actions, and guidance related to clinical performance concerns.
• Responsible for ensuring quality assurance in the facility's C&P program; applying organizational and system-wide strategies for continuous quality improvement as they relate to C&P processes and procedures.
• Serves as the administrator for the National Practitioner Data Bank, Federation of Medical Boards, and Our Providers Database.

Work Schedule : Monday to Friday, 8 : 00am - 4 : 30pm Virtual : This is not a virtual position.

Position Description / PD# : Supervisory Health System Specialist - Credentialing and Privileging Manager / PD99874S

Relocation / Recruitment Incentives : May Be Authorized

Requirements Conditions of Employment :

Qualifications :

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 11 / 24 / 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-12 position you must have served 52 weeks at the GS-11. 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.

In addition to time-in-grade requirement, for the GS-12 grade level you may qualify based on your experience as described below :

Specialized Experience : You must have at least one (1) full year of specialized experience equivalent to at least the next lower grade level (GS-11) in the Federal Service, that is directly related to the work of the position and has equipped you with the particular knowledge, skills and abilities to successfully perform the duties of a Health System Specialist.

Qualifying specialized experience is defined as 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 :

NOTE : Such experience MUST be well represented in resume. Failure to do so will result in a Non-Qualification Determination.

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.

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 requires normal safety precautions typical for offices and meeting rooms. The work area is adequately lighted, heated, and ventilated.

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 : There is no educational substitution at the GS-12 grade level.

Additional Information :

This job opportunity announcement may be used to fill additional vacancies. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.