Credentialing & Privileging Manager

Veterans Health Administration•Hampton, VA

1d•Onsite

About The Position

This position is located in the Department of Veterans Affairs, Veterans Health Administration, Mid-Atlantic Health Care Network (VISN 6), Hampton VA Medical Center in Hampton, Virginia. Organizationally aligned within the Chief of Staff Service, the position serves as the Supervisory Program Specialist and manager of the Credentialing and Privileging (C&P) section. The position reports to the Chief of Staff. The manager provides direct technical and administrative supervision to C&P employees and serves as the facility’s senior technical advisor and primary consultant on credentialing and privileging matters. The role oversees program activities, monitors compliance and data quality, analyzes audits and program trends, and develops corrective actions and process improvements. It also prepares and presents information and recommendations to facility leadership and committees and coordinates C&P matters with internal and external stakeholders. The work schedule is 8:00 a.m. to 4:30 p.m., Monday through Friday. This is not a virtual position. Relocation and recruitment incentives, critical skills incentives, and permanent change of station authorization are not provided.

Requirements

One year of specialized experience equivalent to at least GS-9 in the normal line of progression, such as serving as a technical advisor on credentialing and privileging, overseeing C&P activities, analyzing program data and audit findings, conducting quality and compliance oversight, and presenting findings and recommendations to leadership and committees.
Alternatively, a Ph.D. or equivalent doctoral degree, three full years of progressively higher-level graduate education leading to such a degree, or a related LL.M. may substitute for experience; a combination of specialized experience and qualifying graduate education may also be used.
Current federal employees and certain former federal employees applying for a GS-11 position must meet the time-in-grade requirement of 52 weeks at GS-9 and submit supporting SF-50 documentation.
U.S. citizenship is required.
Complete the application, questionnaire, and required online assessment.
Male applicants born after December 31, 1959, must be registered with Selective Service.
Selected applicants are subject to a background/security investigation and online onboarding; acceptable identification is required for pre-employment requirements.
Participation in the seasonal influenza vaccination program is required for VA Health Care Personnel.
A one-year probationary period or two-year trial period may be required.
Submit a transcript if qualifying in whole or in part based on education; foreign education requires a Certificate of Foreign Equivalency with the transcript.

Nice To Haves

Supervisory experience, including performance reviews and staff training.
Two years of experience with VHA Credentialing and Privileging processes.
Quality and compliance oversight experience.
Knowledge of principles and practices supporting an effective C&P program.
Experience with OPPE and FPPE review, monitoring, and compliance reporting.
Knowledge of Human Resources processes and regulations related to C&P.
One year of office administrative or credentialing experience.
Proficiency with Microsoft Excel, Adobe, and other standard office software applications.
Strong organizational skills and experience supporting accreditation activities.
Knowledge of applicable Joint Commission (JC), OIG, VHA, and regulatory requirements.

Responsibilities

Plan and assign work for C&P employees, establish priorities, assess staffing needs, evaluate performance, provide feedback and counseling, approve leave, address employee issues, and participate in recruitment and selection.
Provide authoritative guidance to facility leadership, Service Chiefs, providers, C&P staff, Human Resources, and other stakeholders on credentialing and privileging requirements, policies, regulations, and standards.
Oversee and review initial and recredentialing actions, clinical privileges and scopes of practice, FPPE/OPPE, adverse privileging actions, malpractice and risk-management matters, primary-source verification, and related committee actions.
Monitor and audit the facility C&P Program using VetPro and other required reporting and auditing tools to ensure compliance, data accuracy, timely completion, and adherence to national, VISN, regulatory, and accreditation requirements.
Analyze program data, audit findings, report cards, trends, vulnerabilities, and regulatory requirements; develop recommendations, corrective-action plans, risk-mitigation strategies, and process improvements.
Prepare and present C&P information, findings, trends, recommendations, and required reports to facility leadership and committees, including the Medical Executive Committee and other quality, safety, and health care delivery committees.
Coordinate and represent the C&P Program with Human Resources, Service Chiefs, VISN leadership, regulatory and accrediting organizations, auditors, the Office of General Counsel, Contracting, telehealth staff, licensing boards, and other stakeholders.
Identify staff development and training needs and provide or arrange training, mentoring, coaching, and succession-planning activities.
Administer facility-level C&P accounts and reporting functions, including NPDB, Federation of State Medical Boards, Our Providers, and VetPro access and certification activities; ensure required queries, adverse-action reports, enrollments, reviews, certifications, and corrective actions are completed accurately and on time.