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USAJOBS · 1 month ago

Supervisory Health System Specialist - Credentialing and Privileging Manager

Bronx, New York, USA

Full-time

Onsite

Mid, Senior Level

$104K/yr - $136K/yr

1+ years exp

The Bronx VA Health Care System is part of the Department of Veterans Affairs, and they are seeking a Supervisory Health System Specialist - Credentialing and Privileging Manager. This role involves overseeing all functions related to healthcare providers' professional credentials and ensuring compliance with regulatory requirements and standards at the James J. Peters VA Medical Center in Bronx, NY.

ConsultingGovernmentHuman ResourcesInformation TechnologyInternetStaffing Agency

No H1B

U.S. Citizen Only

Responsibilities

Providing direct technical and administrative supervision to employees

Responsible for 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 presents providers' credentials, clinical practice histories and red flags

Serving as the primary consultant for the facility's C&P program; analyzes program audit results; interprets facility quarterly report card data; researches provider credentialing requirements; and identifies 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

Qualification

CredentialingPrivilegingQuality AssuranceHealthcare AdministrationRegulatory ComplianceTechnical CompetenceLeadershipInterpersonal Skills

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-12 position you must have served 52 weeks at the GS-11

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 as 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: (1) Missions, organizations, programs, and requirements of health care delivery systems; (2) Regulations and standards of various regulatory and credentialing groups; and (3) Government-wide, agency, and facility systems and requirements in various administrative areas such as budget, personnel, and procurement

At this level, applicants would have obtained this experience working within a health care setting, working directly with clinicians and local leadership to solve problems in support of the delivery of patient care; applying organizational and system-wide strategies for continuous quality improvement; and experience running and supervising an administrative component of a health care credentialing and privileging program

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

You will be rated on the following Competencies for this position: Administration and Management, Interpersonal Skills, Leadership, Quality Assurance, Technical Competence