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Credentialing Program Assistant

Veterans Health Administration

San Diego, CAFull-time$52–67K/yrPosted 1 day ago

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At a glance

Compensation
$52–67K/yr
Location
San Diego, CA
Schedule
Full-time
Work Authorization
US work authorization required

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Job overview

The Credentialing Program Assistant supports the Medical Staff Office’s Credentialing and Privileging program at a VA Medical Center. The role reviews FPPE and OPPE materials, assesses clinical evaluation plans, analyzes program processes and datasets, manages reporting and tracking systems, and audits credentialing records and monitoring systems. The assistant works with VAMC leadership, healthcare providers, administrative teams, and external medical professionals.

Skills & qualifications

RequiredNice to have

Skills

CredentialingMedical TerminologyMedical SpecialtiesCore PrivilegesAccreditation StandardsRegulatory ComplianceVetPro PoliciesData IntegrityAccess ControlPrivacy TrainingTechnical CommunicationWord ProcessingDatabase ApplicationsInternet DatabasesData EntryFile MaintenanceData RetrievalData AnalysisCredentialing RulesDatabase AnalysisElectronic SystemsCommunication

Qualifications

One Year Specialized ExperienceU.S. CitizenshipBackground InvestigationSelective Service RegistrationOne-Year Probationary Period

Benefits

Paid Time Off

Full job description

Summary

The incumbent serves as a Credentialing Program Assistant and is assigned to the Medical Staff Office, which is under the Chief of Staff at a VA Medical Center (VAMC) and is responsible for 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.

Duties

Major duties include, but are not limited to: Works 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. Applies knowledge of the C&P process and knowledge of medical terminology, medical specialties and core privileges and procedures to serve as the first line reviewer of the facility's FPPE and OPPE forms, plans, and processes. Analyzes 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). Conducts analytical assessments for program processes and procedures, and manages data collection and reporting outcomes. Applies technical skills to extract and analyze large datasets in a variety of formats (i.e. Access, Excel, Power Point, etc.), and manages and organizes information from various VA repositor to present data in reports and presentations to supervisors and managers. Implements tracking and monitoring systems for actions indicated by the Credentials Committee, such as licensed provider's exit review forms, Service Chief and supervisory requirements, state licensing board reporting requirements, and state licensing board reporting correspondences. Conducts audits on provider time-limited credentials, provider C&P two- part folders, the provider exit review monitoring system, privileging documents, the FPPE and OPPE tracking systems, credentialing program training requirements, telehealth providers monitoring system, and any Committee recommended actions. Collaborates with VAMC personnel and external medical professionals to ensure revisions are appropriately followed and documented. Validates conclusions and recommendations, estimates, projects, or forecasts established from healthcare industry studies and participates in high level multi-functional teams to oversee the accomplishment of long term plans. Performs other related duties as assigned. Work Schedule: Monday through Friday, 7:30AM to 4:00PM Position Description Title/PD#: Credentialing Program Assistant/PD99868A Physical Requirements: None. Requirements

You must be a U.S. citizen to apply for this job Subject to a background/suitability investigation Selective Service Registration is required for males born after 12/31/1959 A complete application package; Resume, Transcripts, etc. is required 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. Upon completion of your probationary period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest. 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 or trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest. Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement. GS-06 grade level: One year of specialized experience (equivalent to the GS-05 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, and that is typically in or related to the work of the position to be filled, in the normal line of progression for the occupation in the organization. Specialized experience includes: Knowledge of pertinent laws, regulations, policies and precedents, accreditation standards and guidelines. Knowledge in VHA Handbooks, Directives, Memos, and Notices; VetPro Policies/Standard Operating Procedures, and local VAMC policies related to the principles, practices and program goals of the C&P program. Basic principles, provisions and practices of credentialing, privileging, medical staff process/personal, accreditation and regulatory issues/updates such as from the TJC, Office of Inspector General and Government Accountability Office activity. Medical terminology, medical specialties and core privileges and procedures to assure competence/appropriateness of credentials and privileging requested. Extensive knowledge of VetPro policies, including but not limited to, VetPro Data Integrity, Facility level access control, mandatory annual VetPro security and confidentiality training, and mandatory annual privacy act training. Communicate complex and highly technical information to a diverse group of managers, clinical providers, administrative personnel, and outside contacts with varying levels of understanding about the C&P program requirements. Using software applications such as word processing and data bases and internet database applications for data entry, file maintenance and data retrieval and analysis. Preferred Experience: Applying credentialing rules, regulations, policies, procedures, and compliance requirements. Analyzing credentialing database systems and processes to achieve data integrity. Utilizing various databases and electronic systems. Communication and works with staff at various managerial levels. Administrative experience within healthcare. 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; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

Education

There is no educational substitution for the GS-06 level. How You Will Be Evaluated

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE WILL NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Applicants will be referred in the order in which they were received. Other Information

Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act. A supports the use of telework as a way to help attract and retain talented individuals in public service, increase worker productivity, and better prepare the agency to operate during emergencies. This position may be authorized for telework. Telework eligibility will be discussed during the interview process. The Interagency Career Transition Assistance Plan (ICTAP) and Career Transition Assistance Plan (CTAP) provide eligible displaced VA competitive service employees with selection priority over other candidates for competitive service vacancies. To be well-qualified, applicants must possess experience that exceeds the minimum qualifications of the position including all selective factors if applicable, and must be proficient in most of the requirements of the job. Information about ICTAP and CTAP eligibility is on OPM's Career Transition Resources website which can be found at https://www.opm.gov/. Receiving Service Credit for Earning Annual (Vacation) Leave: 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. VA may offer newly-appointed Federal employee's credit for their job-related 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. Such credit must be requested and approved prior to the appointment date and is not guaranteed. This job opportunity announcement may be used to fill additional vacancies. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

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