Credentialing Program Assistant

Veterans Health Administration • Columbia, MO

5d

About The Position

The Credentialing Program Assistant works in the Chief of Staff office at the Harry S Truman VA Medical Center in Columbia, Missouri, providing administrative and technical support to credentialing operations. The role supports the Credentialing and Privileging (C&P) program, including program planning, provider data management, credential verification, regulatory compliance, and coordination with clinical service departments.

The incumbent reviews communications and VetPro reports, investigates credentialing issues using reference materials and regulations, maintains accurate provider records, and informs the C&P Manager/Analyst about trends, audit results, and problems that could affect provider credentialing status. The position also manages initial applications for non-LIPs, guides hospital staff through credentialing documentation, performs primary source verification, contributes to annual self-assessments and improvement efforts, and reviews quality, risk-management, and malpractice findings for coordination regarding provider suitability. The role requires ongoing review of regulatory requirements, TJC standards, laws, and legal precedents to recommend updates that support compliance.

Requirements

• One year of specialized experience equivalent to the GS-05 level in federal service, involving work that provides the knowledge, skills, and abilities needed to perform the position's duties.
• Experience providing guidance and instruction to hospital staff.
• Experience collecting, compiling, and tracking data.
• Ability to communicate in writing to prepare emails, letters, and reports.
• Experience researching, analyzing, and validating data, information, documents, and signature authorities.
• U.S. citizenship.
• Completion of a background/suitability investigation.
• Selective Service registration for males born after December 31, 1959.
• Submission of a complete application package, including resume and transcripts as applicable.
• Successful completion of required online onboarding and pre-employment identification requirements.
• Ability to serve a one-year probationary period.

Responsibilities

• Assist the C&P Manager/Analyst in developing short- and long-term goals for the C&P program and identifying resources needed to accomplish its mission.
• Serve as a subject matter expert in credentials.
• Review correspondence and communications, determine which items need immediate attention, and identify confidential material.
• Review VetPro reports, investigate problem areas, research applicable references, regulations, and standards, and elevate serious issues to the supervisor.
• Ensure accurate provider data is entered into and maintained in VetPro.
• Maintain current provider information and documentation concerning licenses, DEA credentials, NPDB Continuous Query enrollment and renewals, FSMB information, education, specialty training, certifications, and initial credentialing.
• Inform the C&P Manager/Analyst about trends, audit results, and problems that may affect provider credentialing status.
• Manage initial credentialing applications for non-LIPs at the VAMC.
• Provide guidance and instruction to hospital staff on documentation required to establish credentialing for non-LIPs.
• Conduct primary source verification of credentials, including licenses, DEA credentials, certifications, specialty training, and board certifications.
• Coordinate with clinical service departments regarding findings of clinical care competency.
• Participate in the annual C&P self-assessment and take part in improvement efforts when opportunities are identified.
• Review regulatory requirements, TJC standards, changing laws, and legal precedents, and recommend changes to hospital regulations to support compliance with current VHA and TJC standards, including during emergency declarations.
• Review quality assessment findings, risk management evaluations, and malpractice claim actions to ensure appropriate coordination regarding individual provider clinical suitability.
• Perform other duties within the C&P program as assigned.

Benefits

• Comprehensive federal employee benefits package for employees and their families.
• Potential credit for job-related non-federal experience or active-duty uniformed military service when determining annual leave accrual, subject to request and approval.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed