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Health System Specialist - Credentialing and Privileging Analyst
Health System Specialist - Credentialing and Privileging AnalystUSA Jobs • Columbia, MO, US
Health System Specialist - Credentialing and Privileging Analyst

Health System Specialist - Credentialing and Privileging Analyst

USA Jobs • Columbia, MO, US
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Health System Specialist - Credentialing And Privileging Analyst

The Health System Specialist - Credentialing and Privileging Analyst is assigned to Harry S Truman VA, 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. The C&P Analyst is aligned to and supervised by the C&P Manager.

Responsibilities Major duties include, but are not limited to :

  • Implementing, maintenance, and updating of Focused Professional Practice Evaluations (FPPE) and Ongoing Professional Practice Evaluations (OPPE) monitoring systems in support of all divisions of the VAMC.
  • Working 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.
  • Analyzing 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).
  • Gathering, analyzing, documenting and tracking program data from beginning to end ensuring program compliance.
  • Lead consultant for the VAMC Report Card data related to the C&P Program.
  • Identifying issues and recommends corrective actions to supervisor, VAMC leaders, or administrative support personnel as appropriate.
  • Ensuring initiation, completion and compliance of FPPE and OPPE clinical evaluations to include providing guidance and assistance in accordance with all requirements and standards.
  • Reviewing and completing quarterly reports required by VA Central Office.
  • Managing special projects for new program initiatives and requirements and for process improvements and changes.
  • Providing technical guidance and supports program leadership by conducting and analyzing healthcare provider industry studies.
  • Applies analytical and evaluative methods and techniques for assessing the effectiveness, efficiency, and compliance of key program processes and makes recommendations to leadership for improving policies, processes and procedures.
  • Performs other duties within the C&P program as assigned.

Promotion Potential : The selectee may be promoted to the full performance level without further competition when all regulatory, qualification, and performance requirements are met. Selection at a lower grade level does not guarantee promotion to the full performance level.

Work Schedule : Monday - Friday 8 : 00am - 4 : 30pm Virtual : This is not a virtual position.

Position Description / PD# : Health System Specialist - Credentialing and Privileging Analyst / PD99622 and PD99877S

Relocation / Recruitment Incentives : Not Authorized

Critical Skills Incentive (CSI) : Not Approved

Permanent Change of Station (PCS) : Not Authorized

Requirements Conditions of Employment You must be a U.S. Citizen to apply for this job Selective Service Registration is required for males born after 12 / 31 / 1959 Subject to background / security investigation Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements. 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. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP) As a condition of employment for accepting this position, you will be required to serve a 1-year probationary period or 2-year trial period during which we will evaluate your fitness and whether 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, 10 / 30 / 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-7 position you must have served 52 weeks at the GS-5. 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. 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.

Applicants must meet the Individual Occupational Requirement (IOR). An IOR is a basic requirement that must be met in order to qualify for the GS 0671 occupational series. Education must be accredited by an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. To qualify for this occupational series, applicants must have one of the following listed below :

  • Undergraduate and Graduate Education : Major study hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration.
  • Specialized Experience : 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.
  • After meeting the above required Individual Occupational Requirement, you must also meet the following requirements :

  • You may qualify based on your experience and / or education as described below :
  • Specialized Experience (GS-7, developmental level) : You must have one year of specialized experience equivalent to at least the next lower grade GS-5 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to : performing highly structured entry level work designed to develop broader and more in depth knowledge and skill to perform higher level assignments, communicate factual and procedural information clearly, orally, and in writing, and gather / analyze basic facts and draw conclusions.
  • OR, Education : Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have 1 full year of graduate level education or superior academic achievement.
  • OR, Combination : Applicants may also combine education and experience to qualify at this level. You must have an combination of specialized experience and education of 1 full year of graduate level education or superior academic achievement.
  • Specialized Experience (GS-9, full performance level) : You must have one year of specialized experience equivalent to at least the next lower grade GS-7 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to : extensive knowledge of basic principles and practices of the credentialing and privileging (C&P) program in conducting analytical reviews, managing and tracking data and reporting outcomes, communicate factual and procedural information clearly, orally and in writing; gather and analyze basic facts and draw conclusions, independently plans and carries out the assignments in conformance with accepted policies and practices; manages special projects for new program initiatives and requirements and for process improvements and changes, has the ability to identify issues and recommend corrective actions to supervisor.
  • OR, Education : Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have a master's degree 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.
  • OR, Combination : Applicants may also combine education and experience to qualify at this level. You must have an combination of specialized experience and education of a master's degree 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.
  • You will be rated on the following Competencies for this position :

  • Analysis and Problem Solving
  • Critical Thinking
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