Supervisory Health System Specialist

Veterans Health Administration•Long Beach, CA

20h•Onsite

About The Position

The incumbent serves as the Supervisory Health Systems Specialist—Credentialing and Privileging Manager, overseeing functions related to healthcare providers’ professional credentials across all divisions of the VA Medical Center. The role works collaboratively with local and VISN leadership to identify and implement best practices and advises VAMC leadership on Credentialing and Privileging (C&P) program requirements. The position provides direct technical and administrative supervision to employees and ensures their work is effective, efficient, high quality, and compliant with regulatory requirements, procedures, TJC standards, laws, and VHA C&P policies. It supports the goals and objectives of the C&P program, identifies resources needed to accomplish its mission, and provides guidance to local leadership and C&P employees. The manager consults on the facility’s C&P program, analyzes audit results and quarterly report card data, researches provider credentialing requirements, and identifies potential privileging issues. The role coordinates annual reviews of clinical privileges and scopes of practice with Service Chiefs and administrative teams; monitors and audits the program using VetPro reports and required auditing and reporting tools; and ensures national reporting is accurate. It also serves as a liaison with Human Resources on provider onboarding and exit reviews, privileging actions, and clinical performance concerns, and applies continuous quality improvement strategies. The incumbent administers the National Practitioner Data Bank, Federation of Medical Boards, and Our Providers Database. The work schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m. Telework is not available, and the position is not virtual. The work is mostly sedentary and performed in an office setting; occasional light physical effort and travel may be required.

Requirements

One year of specialized experience equivalent to at least the GS-11 level, including experience applying analytical and evaluative methods to assess medical staff function efficiency and effectiveness; overseeing internal controls, audits, reports, and health care delivery system data monitoring; identifying issues and implementing corrective actions related to policies, processes, procedures, and findings; and executing auditor or inspector recommendations to complete corrective actions, improve performance, and meet VHA policies and regulations.
Current Federal employees who held a GS grade within the past 52 weeks must have 52 weeks of service at GS-11 for a GS-12 position and submit an SF-50 demonstrating time-in-grade eligibility.
U.S. citizenship.
Completion of all required application steps, including an online assessment.
Selective Service registration for males born after December 31, 1959.
Successful completion of a background/security investigation and online onboarding requirements.
Participation in the seasonal influenza vaccination program is required for VA Health Care Personnel.
Serve a one-year probationary period or two-year trial period, as applicable.
The work is mostly sedentary, with occasional light physical effort such as walking, climbing stairs, and carrying light office items; the work may require travel.

Nice To Haves

Supervisory experience.
Experience communicating with leadership and service-level employees.
Familiarity with credentialing and privileging processes.
Management of clinical care concerns.

Responsibilities

Provide direct technical and administrative supervision to employees.
Ensure employees complete quality work efficiently and effectively and in compliance with regulatory requirements, procedures, TJC standards, laws, and VHA C&P policies and requirements.
Assure implementation and accomplishment of C&P program goals and objectives.
Identify and present to leadership the resources needed to accomplish the facility C&P program’s mission and functions.
Provide guidance to local leadership and C&P employees on matters related to the facility C&P program.
Attend committee meetings and present providers’ credentials, clinical practice histories, and red flags.
Serve as the primary consultant for the facility C&P program; analyze program audit results and quarterly report card data, research credentialing requirements, and identify potential privileging issues.
Coordinate annual Committee reviews of clinical privileges and scope of practice with Service Chiefs and service-level administrative teams.
Serve as the point of contact and subject matter expert for credentialing updates, Human Resources, providers, and hiring services.
Monitor and audit the VAMC C&P program using VetPro reports and mandatory auditing and reporting tools.
Ensure national reporting requirements are completed accurately, including quarterly security reports, quarterly accuracy certification of the Our Providers website, and the VA/DoD shared provider registry.
Monitor C&P program resources to ensure appropriate staffing.
Liaise with Human Resources Service programs on shared program goals and issues, including provider onboarding, exit reviews and assessments, privileging actions, and guidance related to clinical performance concerns.
Ensure quality assurance in the facility C&P program and apply organization-wide and system-wide continuous quality improvement strategies to C&P processes and procedures.
Administer the National Practitioner Data Bank, Federation of Medical Boards, and Our Providers Database.