U.S. Department of Veterans Affairs · 13 hours ago
Health System Specialist (Credentialing and Privileging Analyst)
Los Angeles, CA
Full-time
Onsite
Entry, Mid Level
$72K/yr - $94K/yr
1+ years expThe U.S. Department of Veterans Affairs is seeking a Health System Specialist (Credentialing & Privileging Analyst) for the VA Long Beach Healthcare System. This role involves providing administrative and technical support to Credentialing and Privileging operations, applying analytical methods to assess program effectiveness, and making improvement recommendations to leadership.
GovernmentMedicalNational SecurityPublic Safety
No H1B
U.S. Citizen Only
Responsibilities
Conducting analytical reviews, managing and tracking data, and serving as an advisor to VAMC leadership on key processes related to the Credentialing and Privileging (C&P) program of the VAMC
Implementing, maintaining, 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 recommending 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 process improvements and changes
Providing technical guidance and supports program leadership by conducting and analyzing healthcare provider industry studies
Performing other duties within the C&P program as assigned
Qualification
Required
Undergraduate or graduate education in a major field of 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 following: Missions, organizations, programs, and requirements of health care delivery systems; Regulations and standards of various regulatory and credentialing groups; and Government-wide, agency, and facility systems and requirements in various administrative areas such as budget, personnel, and procurement
Successful completion of an agency-sponsored on-the-job training program that included a formal individualized training plan
One year of specialized experience (equivalent to the GS-07 grade level in the federal service); experience that equipped the applicant with the particular knowledge, skills and abilities (KSA's) and other characteristics to perform successfully the duties of the position
Specialized experience includes: Applying credentialing rules, regulations, policies, procedures, and compliance requirements
Analyzing credentialing database systems and processes to achieve data integrity
Managing multiple databases, tasks and competing priorities
Communicating and working with staff at various managerial levels
Managing budgets and purchase transactions
Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have Master's or equivalent graduate degree, or 2 full years of progressively higher level graduate education leading to such a degree, or LL.B. or J.D. if related
Combination: Applicants may also combine education and experience to qualify at this level. You must have a combination of specialized experience and education beyond one (1) full year of graduate level education
Benefits
Total Rewards VA Benefits
Company
U.S. Department of Veterans Affairs
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