VISN 9 Credentialing & Privileging Officer (HSS)

VISN 9 Credentialing & Privileging Officer (HSS)

Department: Department of Veterans Affairs

Location(s): Lexington, Kentucky, Louisville, Kentucky, Franklin, Tennessee, Johnson City, Tennessee, Memphis, Tennessee, Murfreesboro, Tennessee, Nashville, Tennessee

Salary Range: $88621 - $115213 Per Year

Job Summary: This position is established within a Veterans' Integrated Service Network (VISN), which is comprised of several VA Medical Centers (VAMC) in a specified geographic area, to serve as the VISN's subject matter expert (SME) for the Credentialing and Privileging (C&P) of health care professionals.

Major Duties:

• As the SME for the VISNs C&P program, the incumbent is responsible for overseeing, analyzing, and improving programs relating to C&P program functions at all VAMCs within the assigned VISN. The C&P Officer provides oversight reports, consultation, guidance, and monitoring of facility programs. Also advises, compiles, analyzes, and synthesizes VISN C&P program performance data to identify strengths, weaknesses, and improvement opportunities, and other duties as assigned. Work of the C&P Officer includes, but is not limited to: Serving as the VISN's expert on the C&P program Performing as the VISN Subject Matter Expert (SME) on the following topics, including, but not limited to: Credentialing of licensed independent practitioners (LIP) and non-LIPs; Privileging and privileging related matters including focused and ongoing professional practice; Adverse privileging actions; Reporting to the National Practitioner Data Bank (NPDB). Reporting to State Licensing Boards (SLB); Serving as primary contact/ liaison for the VHA Medical Staff Affairs Program Office related to VISN level questions, concerns, and guidance related to facility level credentialing and privileging programs. Providing SME guidance to VISN and facility level leadership of all levels related to credentialing, privileging, adverse privileging actions, NPDB reporting, and SLB reporting. Ongoing monitoring and auditing of facility level C&P programs within the VISN utilizing VetPro reports, mandatory auditing and reporting tools, interviews, and on-site audits. Demonstrating expertise in utilization of the VetPro credentialing system including knowledge of the credentialing and privileging process, documentation of primary source verifications, how to audit credentialing files and reporting functions. Ensuring national level reporting requirements are accurately completed by medical centers within the VISN including, but not limited to, quarterly security reports, quarterly accuracy certification of the Our Provider's website, and accuracy of the V A/DoD shared provider registry. Reporting results from monitors and audits to VISN Leadership with action plans for corrective measures and follow-through to completion of demonstrated improvements. Providing regularly scheduled reports to VISN Leadership through VISN level committees (e.g. Quality, Safety and Value Committee, Healthcare Delivery Committee) outlining best practices, system improvements, areas requiring improvement, action plans for corrections, and identified trends in findings from ongoing monitoring. Providing education and training for VA Medical Center credentialing specialists, Chiefs of Staff, Associate Director for Patient Care Services, clinical service chiefs, human resource staff, quality managers, and others who are impacted by the credentialing and/or privileging processes. Completing educational audits to ensure compliance with mandatory training requirements related to, but not limited to, credentialing, privileging, reporting to NPDB, and reporting to SLBs. Facilitating a credentialing specialists' community of practice across the VISN; Serving as the first line contact with VA Medical Centers C&P Managers/program leads for C&P questions and concerns. Serving as the lead SME and point of contact with the VHA Medical Staff Affairs (MSA) program office for the VISN. Assessing, monitoring and providing follow up for issue briefs concerning C&P issues from the VISNs VA Medical Centers. Proactively identifying risks noted during monitoring and oversight of VA Medical Center C&P programs, developing action plans to mitigate the identified risks, and implementing the action plans with ongoing monitoring to determine success in mitigation. Performing on-site routine and "for-cause" program assessments of all aspects of facility level credentialing and privileging programs on behalf of the VISN CMOR. Monitoring compliance of completion of the mandatory annual self-assessment tool by VISN medical centers. Assesses and evaluates results from the self ­assessment tool identifying best practices, risks, and non-compliance with action plans for risk mitigation, correction of non-compliant findings, and compiling a roll-up of results to present to VISN leadership. Work Schedule: Monday - Friday, 7:30am - 4:00pm; Subject to change to meet the needs of the Agency Compressed/Flexible: Available at supervisory discretion Telework: Available at supervisory discretion Virtual: This is not a virtual position. Position Description/PD#: VISN 9 Credentialing & Privileging Officer (HSS)/PD99873A Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized

Qualifications: To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 12/19/2025. 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-12 position you must have served 52 weeks at the GS-11. 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. Note: Time-In-Grade requirements also apply to former Federal employees applying for reinstatement as well as current employees applying for Veterans Employment Opportunities Act of 1998 (VEOA) appointment. You may qualify based on your experience and/or education as described below: Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-11 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to: Progressively responsible analytical or administrative, clinical management, or supervisory experience in credentialing and privileging, knowledge of credentialing and privileging rules, regulations, and standards. 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. Preferred Experience: Experience in Credentialing & Privileging. You will be rated on the following Competencies for this position: Administration and Management Oral Communication Leadership Organizational Awareness Planning and Evaluating Compliance Database Management Systems Manages and Organizes Information 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 12/19/2025 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/12847341. 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 Interagency Career Transition Assistance Plan (ICTAP) and 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 ICTAP and 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.

Application Deadline: 2025-12-19