Health System Specialist - Credentialing and Privileging Analyst jobs in United States
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USAJOBS · 2 months ago

Health System Specialist - Credentialing and Privileging Analyst

USAJOBS is seeking a Health System Specialist - Credentialing and Privileging Analyst for the Harry S Truman Memorial Veterans Hospital. This role involves conducting analytical reviews, managing and tracking data, and advising VAMC leadership on key processes related to the Credentialing and Privileging program.

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Responsibilities

Implementing, maintenance, and updating of Focused Professional Practice Evaluations (FPPE) and Ongoing Professional Practice Evaluations (OPPE) monitoring systems in support of all divisions of the VAMC
Working collaboratively with VAMC leadership, healthcare providers, the C&P administrative specialists, and other administrative teams in managing the FPPE and the OPPE for the C&P Program
Analyzing clinical evaluation plans to assure that they meet standards and are thorough and appropriate to measure and document the clinical competence of the Licensed Independent Practitioner (LIP)
Gathering, analyzing, documenting and tracking program data from beginning to end ensuring program compliance. Lead consultant for the VAMC Report Card data related to the C&P Program
Identifying issues and recommends corrective actions to supervisor, VAMC leaders, or administrative support personnel as appropriate
Ensuring initiation, completion and compliance of FPPE and OPPE clinical evaluations to include providing guidance and assistance in accordance with all requirements and standards
Reviewing and completing quarterly reports required by VA Central Office
Managing special projects for new program initiatives and requirements and for process improvements and changes
Providing technical guidance and supports program leadership by conducting and analyzing healthcare provider industry studies
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
Performs other duties within the C&P program as assigned

Qualification

CredentialingPrivilegingData ManagementAnalytical SkillsHealthcare AdministrationRegulatory KnowledgeCustomer ServiceInformation ManagementCommunication SkillsProblem Solving

Required

You must be a U.S. Citizen to apply for this job
Selective Service Registration is required for males born after 12/31/1959
Subject to background/security investigation
Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements
Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP)
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-7 position you must have served 52 weeks at the GS-5
For a GS-9 position you must have served 52 weeks at the GS-7
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
Applicants must meet the Individual Occupational Requirement (IOR)
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: Major study -- hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration
Specialized Experience: Progressively responsible analytical or administrative, or clinical management or supervisory experience in the health care field
Work must have involved a close working relationship with facility managers and analysis and/or coordination of administrative, clinical, or other service activities
Knowledge of the missions, organizations, programs, and requirements of health care delivery systems
Knowledge of regulations and standards of various regulatory and credentialing groups
Knowledge of government-wide, agency, and facility systems and requirements in various administrative areas such as budget, personnel, and procurement
Specialized Experience (GS-7, developmental level): You must have one year of specialized experience equivalent to at least the next lower grade GS-5
Specialized Experience (GS-9, full performance level): You must have one year of specialized experience equivalent to at least the next lower grade GS-7
Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications

Benefits

A career with the U.S. government provides employees with a comprehensive benefits package.
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent.

Company

USAJOBS

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USAJOBS enables federal job seekers to access job opportunities across hundreds of federal agencies and organizations.

Funding

Current Stage
Late Stage
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