Supervisory Health System Specialist (Credentialing and Privileging Manager)

The Incumbent is responsible for working collaboratively with local and VISN leadership to identify and/or implement best practices and advising VAMC leadership of all program requirements pertaining to the C&P program. They ensure quality assurance and provide oversight for the VAMC C&P program and ensures that the Medical Staff Bylaws/Rules and Regulations are reviewed and updated annually (or as needed) to reflect regulations or accreditation standards.

Duties include, but may not be limited to the following:

• Providing direct technical and administrative supervision to employees.
• Responsible for ensuring that employees are efficiently and effectively accomplishing quality work that is compliant with regulatory requirements and procedures, TJC standards, laws, and VHA C&P policies and requirements, as well as assuring implementation and accomplishment of the goals and objectives of the C&P Program.
• Identifying and presenting to leadership the resources necessary for accomplishing the mission and function of the facility's C&P program.
• Providing guidance to local leadership and C&P employees on all matters pertaining to the facility's C&P program.
• Attending committee meetings and presents providers' credentials, clinical practice histories and red flags.
• Serving as the primary consultant for the facility's C&P program; analyzes program audit results; interprets facility quarterly report card data; researches provider credentialing requirements; and identifies potential privileging issues.
• Coordinating with Service Chiefs and service level administrative teams for annual Committee(s) review of clinical privileges and scope of practice.
• Serving as the Point of Contact (POC) and SME (Subject Matter Expert) for credentialing updates,
• Human Resources, providers and hiring services.
• Monitoring and auditing the VAMC C&P program utilizing VetPro reports, mandatory auditing and reporting tools.
• Ensuring national level reporting requirements are accurately completed including, but not limited to, quarterly security reports, quarterly accuracy certification of the Our Provider's website, and accuracy of the VA/DoD shared provider registry.
• Monitoring C&P program resources to ensure programs are appropriately staffed.
• Serving as a liaison and partner with Human Resources Service programs for common program goals and issues including, but not limited to, provider onboarding, provider exit reviews and assessments, privileging actions, and guidance related to clinical performance concerns.
• Responsible for ensuring quality assurance in the facility's C&P program; applying organizational and system-wide strategies for continuous quality improvement as they relate to C&P processes and procedures.
• Serves as the administrator for the National Practitioner Data Bank, Federation of Medical Boards, and Our Providers Database.

Work Schedule: Monday to Friday, 8:00am - 4:30pm
Telework: VA 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 on an Ad Hoc basis. Telework eligibility will be discussed during the interview process.
Virtual: This is not a virtual position.
Position Description/PD#: Supervisory Health System Specialist (Credentialing and Privileging Manager)/PD99875S
Relocation/Recruitment Incentives: Not Authorized
Critical Skills Incentive (CSI): Not Approved
Permanent Change of Station (PCS): Not Authorized

Starting at $102,163 Per Year (GS 12)