
Credentialing Specialist
Chinle, AZFull-time$50–80K/yrPosted 4 days ago
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Job overview
The Credentialing Specialist ensures that medical and dental staff, independent practitioners, and other providers meet credentialing standards set by IHS bylaws, regulations, and accrediting agencies, handling verification, documentation, and compliance for appointments and privileges.
Skills & qualifications
Skills
Qualifications
Full job description
Summary
This Credentialing Specialist position is located within the Indian Health Service, Chinle Service Unit, Division of Clinical Services, in Chinle, Arizona. The position ensures medical doctors, independently licensed practitioners, and non-physician providers meet credentialing requirements established by Service Unit Medical Staff Bylaws, government regulations, and accrediting agency standards. A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).
Duties
Manages credentialing and privileging for Medical and Dental Staff, Licensed Independent Practitioners, non-physician providers, residents, fellows, students, and volunteers; prescreens applications, verifies qualifications, licensure, competency, and required Indian Health Service documentation, and ensures privileges align with training and experience. Ensures compliance with applicable regulatory, accreditation,and facility requirements; monitors appointments, reappointments, temporary and modified privileges, and maintains accurate, confidential records with timely expiration notifications. Conducts background research and primary-source verification of references, hospital affiliations, licensure, disciplinary actions, suspensions, revocations, and privilege restrictions; performs investigations as directed and verifies qualifications before review. Coordinates credentialing, privileging, and appointment processes, including background clearances, affiliation and privilege verification, additional privilege requests, supporting documentation, and appointment and reappointment lists; ensures compliance with Medical Staff Bylaws and policies. Manages automated systems to track expirations, appointments, privileges, peer reviews, and provider access; coordinates provider rotations, enrollment, background clearances, system access, housing, and orientation with appropriate departments. Identifies and coordinates technical services, supplies, equipment, professional references, journals, and other resources needed to support program operations; provides technical assistance to supervisors, and preparing materials and presentations. Requirements
Selectee may be subject to a probationary period ESEP appointees typically serve a two year trial period U.S. Citizenship is required Selective Service Registration is required for males born after 12/31/1959 On-call hours or standby duty may be required. Travel to meetings and conferences may be required using government vehicles; the incumbent must possess a valid driver's license. Successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit www.dhs.gov/E-Verify/. You will need to set up direct deposit so we can pay you. Background Investigation Requirement: This position requires the successful completion of a federal background investigation as a condition of employment. A background investigation is a standard process used by the Federal Government to verify an individual's identity, employment history, education, and other relevant information to determine suitability for Federal service. Upon receipt of instructions, applicants must complete all required background investigation forms within five (5) calendar days of issuance. Timely completion is critical to avoid delays in processing or a determination of unsuitability. Applicants are strongly encouraged to prioritize this requirement and to maintain regular communication with their assigned Personnel Security Specialist throughout the process. Financial Suitability Requirement: This position requires a review of the applicant's financial history as part of the personnel security and suitability determination. Applicants must demonstrate financial responsibility, maintain good standing with creditors, and satisfy all legal financial obligations prior to applying. Individuals with substantial delinquent or unresolved financial obligations-including, but not limited to, delinquent federal or state tax liabilities, defaulted federal student loans, court-ordered fines or fees, or child support arrears-may be deemed unsuitable for employment with the Indian Health Service (IHS). Prior to the appointment, candidates must present two valid forms of identification. If one of the documents is a state-issued ID or driver's license, it must be REAL ID-compliant. Qualifications
To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying. 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; religious; spiritual; community; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week. MINIMUM QUALIFICATIONS: GS-07: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Performing and coordinating established credentialing processes. Processes credentialing and privileging applications, reviews provider qualifications and required documentation, verify licenses and clinical privileges, maintain confidential records, tracks appointments and expirations, coordinates background clearances, and prepares reports and files for committee review. Providing administrative and technical support to medical staff leadership. OR One full year of graduate level education or superior academic achievement. GS-09: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least GS-07 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Independently reviewing and analyzing applications using judgment and exercising responsibility in credentialing and privileging activities. Reviews complex provider applications and qualifications, applies credentialing standards, bylaws, regulations, and accreditation requirements, conducts primary-source verification and investigations, evaluates adverse actions and competency, and prepares recommendations for Medical Executive Committee and Governing Body review. Provides technical guidance and recommendations to medical staff leadership regarding credentialing and privileging requirements. OR 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. Time In Grade Federal employees in the competitive service are also subject to the Time-In-Grade Requirements: Merit Promotion (status) candidates must have completed one year of service at the next lower grade level. Time-In-Grade provisions do not apply under the Excepted Service Examining Plan (ESEP).
Education
If you are substituting education for experience; You are strongly encouraged to submit a copy of your transcripts or a list of your courses including titles, credit hours completed, and grades. Unofficial transcripts will be accepted in the application package. Official transcripts will be required from all selectees prior to receiving an official offer. Only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education may be credited. Applicants can verify accreditation at the following website: https://www.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/. How You Will Be Evaluated
This job announcement uses the USA Hire Assessment to evaluate applicants. There is no "pass/fail" outcome; results are used as part of the overall evaluation process to determine applicant qualifications. However, if you do not take the assessment within the assessment window timeframe you will be found ineligible for this position. For more information, visit the USA Hire Applicant Resource Center. You will be evaluated based on how well you meet the qualifications listed in this vacancy announcement. Your qualifications will be evaluated based on your application materials (e.g., resume, supporting documents), your responses on the application questionnaire, and your responses to all assessments required for this position. You will be assessed on the following competencies (knowledge, skills, abilities, and other characteristics): Attention to Detail Customer Service Decision Making Flexibility Integrity/Honesty Interpersonal Skills Learning Reading Comprehension Reasoning Self-Management Stress Tolerance Teamwork Overstating your qualifications and/or experience in your application materials or application questionnaire may result in your removal from consideration. Cheating on an assessment may also result in your removal from consideration. To preview the application questionnaire, click the following link: https://apply.usastaffing.gov/ViewQuestionnaire/13082753 Once the application process is complete, the first two pages of your resume and supporting documentation will be used to determine whether you meet the job qualifications. All documents above MUST be received by 11:59 pm (Eastern Standard Time) of the closing date of 10/19/2026, to be considered. Other Information
Reasonable Accommodation (RA) Requests: If you believe you have a disability (i.e., physical or mental), covered by the Rehabilitation Act of 1973 as amended that would interfere with completing the USA Hire Competency Based Assessments, you will be granted the opportunity to request a RA in your online application. Requests for RA for the USA Hire Competency Based Assessments and appropriate supporting documentation for RA must be received prior to starting the USA Hire Competency Based Assessments. Decisions on requests for RA are made on a case-by-case basis. If you meet the minimum qualifications of the position, after notification of the adjudication of your request, you will receive an email invitation to complete the USA Hire Competency Based Assessments, based on your adjudication decision. You must complete all assessments within 48 hours of receiving the URL to access the USA Hire Competency Based Assessments if you received the link after the close of the announcement. To determine if you need a RA, please review the Procedures for Requesting a Reasonable Accommodation for Online Assessments. (https://appsupport-usastaffing.opm.gov/hc/en-us/sections/45063131363475-Reasonable-Accommodation-Information) Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. IHS may offer newly-appointed Federal employees credit for their directly related previous non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. This position is covered by a Bargaining Unit. Recruitment or relocation incentives may be authorized. At least a 6 month service agreement will be required. This position has promotion potential to the GS-GS-9 grade level. Promotion to the next grade level is at management's discretion and is based on your demonstrated ability to perform the higher level duties, the continuing need for the higher level duties, and "Regulatory/Administrative" approval. Promotion to the next higher grade level is not guaranteed and no promise of promotion is implied. You will be evaluated for this position in accordance with the OPM Merit Hiring Plan. As part of the application process, you will be asked to provide short essay responses (200 words or less each) to the following four questions. How has your commitment to the Constitution and the founding principles of the United States inspired you to pursue this role within the Federal government? In this role, how would you use your skills and experience to improve government efficiency and effectiveness? In this role, you will be expected to professionally and efficiently implement executive direction. Provide an example where you implemented leadership direction on a strategy or policy decision that differed from your own recommendation. How has a strong work ethic contributed to your professional, academic or personal achievements? Your responses are optional and will not be scored. However, they may be reviewed by hiring managers and agency leadership (or designees) during the evaluation process. You will be asked to certify that your responses are written in your own words and that you did not use a consultant or artificial intelligence (AI) tool (such as ChatGPT or Copilot).
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