Health System Specialist (Credentialing & Privileging)

The Health System Specialist (Credentialing & Privileging) is assigned to the Medical Staff Office, which is under the Chief of Staff, and is responsible for providing administrative and technical direction and support to the C&P operations. The C&P Specialist is aligned to and supervised by the C&P Manager. The incumbent is responsible for collecting relevant data and making informed decisions to ensure qualified health care professionals are providing appropriate care in appropriate settings. To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 08/28/2026. You may qualify based on your experience and/or education as described below: Health System Administration Series, 0671, has an Individual Occupational Requirement (IOR): Undergraduate and Graduation Education: Major study -- Hospital Administration, Public Health Administration, or related fields such as business or public administration with course work in health care administration. A transcript must be submitted with your application if you are basing all or part of your qualifications on education. OR Specialized Experience: 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: 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. Special Provision for In-service Placement: Successful completion of an agency-sponsored on-the-job training program may be substituted for qualifying experience, provided it included a formal individualized training plan. Such a training program must have been conducted in an operating health care system and included: Assignments providing a knowledge of basic health system administration philosophies, practices, and procedures, and basic government administrative policies and requirements; Practical assignments providing an opportunity to apply health system administration skills and principles (as the individual progresses, work assignments must be characteristic of the grade level to which he or she is assigned); and Oversight by an experienced health system administrator with periodic evaluation of the individual's progress and appropriate adjustment of the training program. OR, Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have successfully completed a master's or equivalent graduate degree or successfully completed two (2) full years of progressively higher level graduate education leading to such a degree, or an LL.B. or J.D., if related. NOTE: Transcripts (unofficial or official) must be submitted with your application materials. Education cannot be credited without documentation. OR, Combination: Applicants may also combine education and experience to qualify at this level. You must have an combination of specialized experience and education beyond graduate-level education (beyond the first year). NOTE: Transcripts (unofficial or official) must be submitted with your application materials. Education cannot be credited without documentation 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/. Duties include but are not limited to: Performing credentialing and privileging functions for licensed independent practitioners (LIPs) and/or other healthcare providers in accordance with applicable laws, regulations, accreditation standards, and healthcare policies. Reviewing credentialing applications for completeness and ensuring required primary source verifications are obtained, including education, licensure, certifications, training, work history, references, malpractice history, and adverse actions. Utilizing credentialing databases and electronic systems (e.g., VetPro, NPDB, FSMB, ECFMG, FCVS, AMA, or similar credentialing systems) to process and maintain credential files. Coordinating the appointment, reappointment, privileging, and clinical privileging process while ensuring compliance with established timelines and regulatory requirements. Preparing credentialing and privileging files for review by Credentialing and Privileging Committees, Medical Executive Committees (MEC), Professional Standards Boards, or other governing bodies. Interpreting and applying policies, directives, medical staff bylaws, Joint Commission standards, VHA directives, and credentialing requirements related to provider appointments and clinical privileges. Communicating with providers, service chiefs, credentialing staff, Human Resources, and external organizations to obtain required documentation and resolve credentialing deficiencies. Maintaining accurate credentialing records, tracking provider appointments and expirations, monitoring required documentation, and ensuring confidential handling of sensitive information. Assisting with audits, accreditation surveys, quality assurance reviews, and reporting activities related to credentialing and privileging programs. Preparing correspondence, reports, meeting agendas, minutes, and other administrative documents supporting Medical Staff Office operations. Qualifying experience must demonstrate the ability to independently organize work, manage multiple priorities, exercise sound judgment, maintain attention to detail, and communicate effectively both orally and in writing. Preferred Experience with the following is highly desirable: Veterans' Health Administration (VHA) credentialing and privileging processes. Experience working at a Medical Staff Office. VHA Directive 1100.19, Medical Staff Bylaws, Joint Commission accreditation standards. VetPro, VistA, Microsoft Office Suite, SharePoint, and other credentialing systems. Managing multiple provider actions while meeting established processing timelines. Interpreting healthcare regulations and providing guidance to providers, supervisors, and leadership regarding credentialing and privileging requirements. Work Schedule: Monday - Friday 8:00am - 4:30pm Telework: Not Authorized Virtual: This is not a virtual position Position Description/PD#: Health System Specialist (Credentialing & Privileging)/PD99876S Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Conditions of Employment You must be a U.S. Citizen to apply for this job To be considered for this position, you must complete all required steps in the process. In addition to the application and questionnaire, this position requires an online assessment. The online assessment measures critical general competencies required to perform the job. Selective Service Registration is required for males born after 12/31/1959 Physical Requirements: The work required does not inherently include any physical requirements essential for successful job performance that could not otherwise be performed with accommodation or workplace adjustment. A pre-placement physical examination is not required. 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 (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). 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. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP) As a condition of employment for accepting this position, you will be required to serve a 1-year probationary period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service. Upon completion of your probationary period period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest. Education A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.