Supervisory Health System Specialist - Credentialing and Privileging (C&P) Manager

The incumbent serves as a Supervisory Health Systems Specialist, titled Credentialing and Privileging (C&P) Manager, in the Medical Staff Office under the Chief of Staff (COS) at a VAMC. The role oversees healthcare professional credentialing for all VAMC healthcare providers, ensuring compliance with VHA C&P Directives, VA Policies, TJC Standards, and relevant regulations. The C&P Manager reports to and is supervised by the COS. Supervisory (25%): Identifies and reports to leadership the resources necessary for accomplishing the mission and function of the facility's C&P program. Manages the C&P staff; sets and adjusts short and long-term priorities; assesses staffing needs; plans work to be accomplished; and ensures positions are appropriately manned to cover all program functions. Develops, modifies, and/or interprets performance standards; outlines and explains performance expectations to staff; assigns and reviews work performed by subordinates based on priorities, consideration of complexity and requirements of assignments and employee skill level; evaluates work performance mid-year and annually, and provides regular feedback on employees' strengths and weaknesses. Provides advice, counsel, and instruction to employees on work and administrative matters; serves as approving official for leave requests and approving official for credit card purchases and reconciliations. Identifies developmental and training needs of employees; provides or arranges for needed development and training; advocates to leadership and/or program officials for training resources. Interviews and selects candidates for vacancies, promotions, details and reassignments; and applies EEO and merit promotion principles and requirements to all personnel management actions and decisions to ensure that all personnel are treated in a manner that is free of discrimination. Position supervises up to 16 GS-0671-09 Specialists, 4 GS-0671-09 Analysts, and 1 GS-0671-11 Lead Specialist or Assistant Manager. Senior Program Advisor (25%) The incumbent provides consulting and guidance to local leadership and C&P employees on all aspects of the facility's C&P program, including healthcare professionals' credentialing and privileging, scope of practice, and compliance with National and VISN Memorandums of Understanding (MOUs), Veterans' Administration Memorandums, VHA requirements, Handbooks, Directives, Policies, TJC Standards, quality assurance, risk management, and malpractice claim evaluations. Determines appropriate actions from VISN and local reviews and oversees initial and recredentialing processes. Serves as the primary consultant for the facility's C&P program, the incumbent analyzes audit results, interprets quarterly report card data, researches credentialing requirements, identifies privileging issues, drafts updates and revisions of C&P sections of facility Medical Staff Bylaws, interprets new regulatory requirements, contributes to local policy development, and ensures program compliance. Quality Assurance (25%) C&P Manager is responsible for ensuring quality assurance in the facility's C&P program. Implements mechanisms to monitor and evaluate completed tasks for their compliance with established policies and procedures as well as quality of customer service. Participates in policy and decision-making initiatives at the VAMC. Conducts supervisory reviews of completed tasks, present information, and make recommendations on how to improve. Utilizes evaluation results to make suggestions and improve organization/program performance. Integrates systems thinking into practice. Validates processes that are working efficiently and according to plan to identify dysfunctional process issues as early on. Develops statistical, graphical, and narrative reports justifying training or changes in processes to improve systems effectiveness and efficiency and customer service quality. Program Account Administrator (25%) Coordinates with Service Chiefs, VISN Chief Medical Officer, and Committee for Reviews and Recommendations when query results require action. Ensures all mandatory reviews and recommendations are documented in the electronic credentialing database; manages facility accounts; and ensures appointed licensed providers maintain an active enrollment. Serves as the administrator for the Federation of Medical Boards. Manages query submissions and results; ensures that primary source verifications are obtained and processed via quality control review. Coordinates with Service Chiefs, VISN Chief Medical Officer and Committee for Reviews and Recommendations when query results require action. Performs other C&P program related duties as assigned. Work Schedule: Monday - Friday 8:00am - 4:30pm. Telework: Not Available Virtual: This is a virtual/remote position. Position Description/PD#: Supervisory Health System Specialist/PD91703VS Relocation/Recruitment Incentives: Not Authorized