Health System Specialist - Credentialing and Privileging Specialist

Health System Specialist - Credentialing and Privileging Specialist

Department: Department of Veterans Affairs

Location(s): Detroit, Michigan

Salary Range: $67407 - $87627 Per Year

Job Summary: The John D. Dingell VA Medical Center is recruiting for a Health System Specialist - Credentialing and Privileging Specialist for the The Medical Staff Office. Incumbent is responsible for the Credentialing and Privileging (C&P) process of VAMC clinical services providers, including full-time, part-time, temporary, intermittent, contract, without compensation (WOC), fee basis, and telehealth Licensed Independent Providers (LIPs), as defined in the VAMC Medical Staff Bylaws.

Major Duties:

• Duties include, but are not limited to: Program Analysis and Support - 25% Assists the Credentialing and Privileging (C&P) Manager/Analyst in developing short- and long-term goals necessary to accomplish the mission of the C&P program Assists C&P Manager/Analyst in drafting local credentialing processes and Medical Staff Bylaws in compliance with all applicable regulations The incumbent ensures accurate provider data is entered into and maintained in the VetPro computer program. The incumbent holds the credit card and is responsible for maintaining records, reconciling monthly charge statements and verifying legitimacy of requests for National Practitioner Data Bank - Continuous Query (NPDB-CQ) enrollments/ renewals, licensure verification (if applicable), Educational Commission for Foreign Medical Graduates, American Medical Association, Federation of State Medical Boards (FSMB), National Student Clearing House, Work Number and, board certification (if applicable). Compliance - 25% Manages provider applications (initial and renewals) for Licensed Independent Practitioners (LIPs) C&P within the Medical Center. Provides guidance and instruction to hospital staff in completing the required documentation for establishing privileges for LIPs Quality Assurance - 25% Ensures that application packages and other documents meet the technical requirements specific to the provider's specialty and verifies that the application folder and database account (VetPro or other internal databases and spreadsheets) comply with these requirements. Communicates with LIPs to assure timely completion of applications and VetPro requirements Coordinates incoming data from a variety of sources; establishes protocols for incoming data; organizes computerized data sets; and retrieves computerized data Participates in the required annual C&P self-assessment and, if opportunities for improvement are identified, is involved in efforts to implement these improvements. Program Advisor - 25% Serves as technical advisor to the Executive Committee of the Medical Staff (ECMS) and, if applicable, the Credentials Committee Refers to current issues, trends, problem areas, as well as recommended program revisions to Credentials and Privileging functions through the C&P Manager/Analyst. Prepares agendas for credential-related meetings, ensures those involved are notified of expectations, and ensures that all necessary paperwork is completed and accurately prepared for committee action Conducts final appointment into the VetPro database, after thoroughly researching, analyzing, and validating all data, information, documents, and signature authorities Develops and provides routine and special reports as requested by the C&P Manager/Analyst. Composes correspondence requiring Clinical Service Chiefs, Chief of Staff, and Medical Center Director signatures for privileging actions NOTE: The position is under Classification Consistency Review and the grade may change once the person is hired into the role. Work Schedule: Monday - Friday, 8:00am-4:30pm Telework: This position may be authorized for as needed (Ad-Hoc) telework. Telework eligibility will be discussed during the interview process. Virtual: This is not a virtual position. Position Description/PD#: Health System Specialist - Credentialing and Privileging Specialist/PD91698VS Relocation/Recruitment Incentives: Not Authorized Critical Skills Incentive (CSI): Not Approved Permanent Change of Station (PCS): Not Authorized

Qualifications: To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 12/12/2025. 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-9 position you must have served 52 weeks at the GS-7. The grade may have been in any occupation, but must have been held in the Federal service. An SF-50 that shows your time-in-grade eligibility must be submitted with your application materials. If the most recent SF-50 has an effective date within the past year, it may not clearly demonstrate you possess one-year time-in-grade, as required by the announcement. In this instance, you must provide an additional SF-50 that clearly demonstrates one-year time-in-grade. Individual Occupational Requirement (IOR): This occupational series has an Individual Occupational Requirement (IOR). To meet the IOR/basic qualification of the 0671 Health System Administration Occupational Series, you must possess one of the following: Possess an undergraduate or graduate level degree with a major study in hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration; OR, Possess 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; OR, Completed an agency-sponsored on-the-job training program that was a formal individualized training plan within a 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. *Proof of successful completion of an agency-sponsored on-the-job training program is required. In addition to meeting the Individual Occupational Requirement (IOR), you may qualify based on your experience and/or education as described below: Specialized Experience: You must have at least one year of specialized experience equivalent to the GS-07 level in the Federal service. Examples of specialized experience would be experience that provided you with the particular knowledge, skills, and abilities to successfully perform the duties of the position and which is typically related to the work of the position to be filled. Examples of specialized experience include, but is not limited to: knowledge and understanding of joint commission standards related to credentialing and privileging; evaluating and explaining policy and handbooks related to healthcare standards; advising providers and management on required documentation for credentialing and privileging; tracking compliance for healthcare standards; reviewing credentialing and privileging documentation for accuracy and compliance; compiling and reviewing data for discrepancies; managing special projects; analyzing reports to ensure they meet standards. OR, Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have a masters or equivalent graduate degree or 2 full years of progressively higher-level graduate education leading to such a degree, OR, a related LL.M or J.D to the work of the position. Transcripts must be provided. 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 one (1) year of graduate education. To calculate, first identify the percentage of required education you have earned (when substituting, you cannot use the first year of graduate education). Then identify the percentage of required experience you possess. Add the two percentages. The total percentage must equal at least 100 percent to qualify. Transcripts must be provided. You will be rated on the following Competencies for this position: Compliance Technical Competence Quality Assurance Communications NOTE: The position is under Classification Consistency Review and the grade may change once the person is hired into the role. 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. Note: A full year of work is considered to be 35-40 hours of work per week. Part-time experience will be credited on the basis of time actually spent in appropriate activities. Applicants wishing to receive credit for such experience must indicate clearly the nature of their duties and responsibilities in each position and the number of hours a week spent in such employment. Physical Requirements: The work is mostly sedentary. Occasionally, light physical effort may be required, such as that involved with walking, stair climbing, and carrying of light office items. 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/.

How to Apply: All applicants are encouraged to apply online. To apply for this position, you must complete the questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 12/12/2025 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/12844696. To begin, click Apply Online to create a USA JOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire. Click Submit My Answers to submit your application package. NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date. Beginning September 27, 2025, Federal agencies will only accept resumes up to two pages in length to comply with the Merit Hiring Plan. Resumes longer than two pages will result in ineligibility for further consideration for the position. USAJOBS will not allow you to upload or build resumes longer than two pages, and you will need to update the resumes in your profile before applying for a job. Resumes should include information relevant to the knowledge, skills, abilities, and competencies of the position to which you are applying. VA is unable to make assumptions about qualifications if not clearly listed. Resumes must be legible so they can be reviewed for eligibility, minimum qualifications and other position requirements listed in the job announcement. If initial application submission is updated and resubmitted with a new resume, only the most current resume will be reviewed for consideration. Your resume must be 5MB or less. We recommend saving and uploading your resume as a PDF to maintain formatting and number of pages. We also accept GIF, JPG, JPEG, PNG, RTF, TXT, PDF, ODT or Word (DOC or DOCX). We do not accept PDF portfolio files. We recommend using a sans-serif font size like Lato, if available. Other widely available options are Calibri, Helvetica, Arial, Verdana, Open San Source Sans Pro, Roboto or Noro Sans. Make your page margins 0.5 inches. Consider using 14-point size font for titles and 10-point for the main text in your resume. The resume builder can help you create a resume using these recommendations and uses the information in your USAJOBS profile to help you get started. Helpful Hints for Creating a Two-Page Resume: Prioritize most relevant and recent experience Use concise, results focused language Align language from the job announcement Focus on demonstrating skills and competencies Remove outdated or unrelated experience Use the USAJOBS resume builder Additional guidance on this new requirement and resume building tools can be found at: https://help.usajobs.gov/faq/application/documents/resume/page-limit https://www.opm.gov/policy-data-oversight/hiring-information/merit-hiring-plan-resources/applicant-guidance-on-the-two-page-resume-limit/ The Career Transition Assistance Plan (CTAP) provide eligible displaced Federal/VA competitive service employees with selection priority over other candidates for competitive service vacancies. To be qualified you must submit appropriate documentation (a copy of the agency notice, your most recent performance rating, and your most recent SF-50 noting current position, grade level, and duty location) and be found well-qualified for this vacancy. To be well-qualified: applicants must possess experience that exceeds the minimum qualifications of the position including all selective factors, and who are proficient in most of the required competencies of the job. Information about CTAP eligibility is on OPM's Career Transition Resources website at http://www.opm.gov/policy-data-oversight/workforce-restructuring/employee-guide-to-career-transition/. During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions. Areas of Consideration - Applicants will be considered based on the following areas of consideration. First Area of Consideration (facility employees) - Current, permanent John D. Dingell VA Medical Center employees and it's associated Community Based Outpatient Clinics under station 553. Second Area of Consideration (other VHA employees) - Current, permanent Veterans Health Administration (VHA) Employees (VHA employees who are located outside of station 553).

Application Deadline: 2025-12-12