Health System Specialist (Credentialing and Privileging Specialist)

The C&P Specialist is aligned to and supervised by the C&P Manager. The incumbent ensures compliance with VHA policies directives memos and notices of The Joint Commission (TJC) standards recommendations by the Office of Inspector General (OIG) and Government Accountability Office (GAO) and other internal or external auditors and reviewers as appropriate. The incumbent is responsible for collecting relevant data and making informed decisions to ensure qualified health care professionals are providing appropriate care in appropriate settings.

Major duties include but are not limited to:

• Performing as the subject matter expert (SME) to Licensed Independent Providers (LIPs) and Service Chiefs regarding routine and complex matters related to C&P.
• Assisting the C&P Manager/Analyst in developing short- and long-term goals necessary to accomplish the mission of the C&P program.
• Assisting the C&P Manager/Analyst in drafting local credentialing processes and Medical Staff Bylaws in compliance with all applicable regulations.
• Receiving and reviewing VetPro reports detecting problem areas requiring further investigation.
• Informing the C&P Manager/Analyst of trends identified audit results and identified problems that may affect a providers privilege status.
• Providing guidance and instruction to hospital staff in completing the required documentation of establishing privileges for LIPs.
• Assuring application packages and other documents meet technical requirements per specialty of provider and assures application folder and database account (VetPro or other internal databases and spreadsheets) meet technical requirements.
• Serving as technical advisor to the Executive Committee of the Medical Staff (ECMS) and if applicable the Credentials Committee.
• Developing and providing routine and special reports as requested by the C&P Manager/Analyst.
• Establishing and maintains a variety of files and records pertaining to the C&P process.

Work Schedule: Monday to Friday 7:30am-4pm
Virtual: This is not a virtual position.
Telework: Ad-hoc basis only.
Position Description Title/PD#: Health System Specialist (Credentialing and Privileging Specialist)/PD99876S
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.

NOTE: This position involves a multi-grade career ladder. The major duties listed above represent the full performance level of GS-09. At the GS-07 grade level you will perform assignments of a more limited scope and with less independence. You will progressively acquire the background necessary to perform at the full performance level of GS-09.

• You must be a U.S. citizen to apply for this job
• Subject to a background/suitability investigation
• Selective Service Registration is required for males born after 12/31/1959
• A complete application package; Resume Transcripts etc. is required
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements ( May 7 2025 drivers licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.

Upon completion of your probationary period your employment will be terminated unless you receive certification in writing that your continued employment advances the public interest.

As a condition of employment for accepting this position you will be required to serve a 1-year probationary period during which we will evaluate your fitness and whether your continued employment advances the public determining if your employment advances the public interest we may consider:

• your performance and conduct;
• the needs and interests of the agency;
• whether your continued employment would advance organizational goals of the agency or the Government; and
• whether your continued employment would advance the efficiency of the Federal service

To qualify for this position applicants must meet all requirements by the closing date of this announcement 09/28/2026.

You may qualify based on your experience and/or education as described below:

To qualify for this position at the GS-07 level you must meet one of the following:
Specialized Experience: You must have at least one (1) full year of specialized experience equivalent to the next lower grade level (GS-05) in Federal Service that equipped you with the particular knowledge skills and abilities to successfully perform the duties of a Health System Specialist - Credentialing and Privileging Specialist at a developmental level and that is typically in or related to the work of the position to be filled. Qualifying specialized experience is defined as 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:
(1) Missions organizations programs and requirements of health care delivery systems;
(2) Regulations and standards of various regulatory and credentialing groups; and
(3) Government-wide agency and facility systems and requirements in various administrative areas such as budget personnel and procurement.
OR

Education: Successful completion of one (1) full year of graduate education. Such education must demonstrate the knowledge skills and abilities necessary to do the work of this position (i.e. hospital administration public health administration or related fields such as business or public administration with course work in health care administration). NOTE: Copies of transcripts must be submitted with your application materials. Education cannot be credited without documentation.
OR

Combination: Combinations of successfully completed graduate level education and specialized experience as described above to meet the total requirements. The education portion must include graduate courses that demonstrate the knowledge skills and abilities necessary to do the work of this position (i.e. hospital administration public health administration or related fields such as course work in health care administration). Only education beyond a bachelors degree may be used to qualify applicants for the GS-07 level. NOTE: Copies of transcripts must be submitted with your application materials. Education cannot be credited without documentation.
OR

Superior Academic Achievement (SAA): SAA at the baccalaureate level in the coursework detailed above is fully qualifying. Applicants who wish to apply under this provision must submit proof from their educational institution that they meet one of the criteria listed below. To qualify for SAA applicants must have completed all the requirements for a bachelors degree in a curriculum that is qualifying for the position to be filled and meet one of the following:

• Rank in the upper one-third of your class in the college university or major subdivision.
• A grade-point average of B (a GPA of 2.95 or higher out of a possible 4.0) for all completed undergraduate courses or those completed in the last two years of undergraduate study.
• A grade point average of B (a GPA of 3.45 or higher out of a possible 4.0) for all courses in your major field of study or those courses in your major completed in the last two years of undergraduate study.
• Membership in a national honor society (other than freshman honor societies) recognized by the Association of College Honor Societies. For a list of recognized honor societies please visit more information regarding SAA please visit qualify for this position at the GS-9 level you must meet one of the following:
  Specialized Experience: You must have at least one (1) full year of specialized experience equivalent to the next lower grade level (GS-7) in Federal Service that equipped you with the particular knowledge skills and abilities to successfully perform the duties of a Health System Specialist - Credentialing and Privileging and includes performing duties associated with healthcare credentialing and privileging. Qualifying specialized experience is defined as 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:
  (1) Missions organizations programs and requirements of health care delivery systems;
  (2) Regulations and standards of various regulatory and credentialing groups; and
  (3) Government-wide agency and facility systems and requirements in various administrative areas such as budget personnel and procurement.
  OR
  
  Education: Successful completion of a masters or equivalent graduate degree successfully completed two (2) full years of progressively higher level graduate education leading to such a degree LL.B or J.D. if related. Such education must demonstrate the knowledge skills and abilities necessary to do the work of this position (i.e. hospital administration public health administration or related fields such as business or public administration with course work in health care administration). NOTE: Copies of transcripts must be submitted with your application materials. Education cannot be credited without documentation.
  OR
  
  Combination: Combinations of successfully completed graduate level education (beyond the first year) and specialized experience as described above to meet the total requirements. The education portion must include graduate courses that demonstrate the knowledge skills and abilities necessary to do to the work of this position (i.e. hospital administration public health administration or related fields such as course work in health care administration). NOTE: Copies of transcripts must be submitted with your application materials. Education cannot be credited without documentation.
  
  Physical Requirements and Work Environment: The work is mostly sedentary. Occasionally light physical effort may be required such as that involved with walking stair climbing and carrying of light office items. The work is performed in an office setting which require normal safety precautions typical for offices and meeting rooms. The work area is adequately lighted heated and ventilated.
  
  Preferred Experience: Experience with Microsoft Office Products to include Excel and SharePoint.
  Education

  Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges universities schools or institutions may be used to qualify for Federal employment. You can verify your education here: you are using foreign education to meet qualification requirements you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education.

  Additional information

  Under the Fair Chance to Compete Act the Department of Veterans Affairs prohibits requesting an applicants criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process visit Human Resources and Administration/Operations Security and Preparedness (HRA/OSP) at The Fair Chance Act.
  
  A supports the use of telework as a way to help attract and retain talented individuals in public service increase worker productivity and better prepare the agency to operate during emergencies. This position may be authorized for telework. Telework eligibility will be discussed during the interview process.
  
  Participation in the seasonal influenza program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). It is a requirement that all HCP to receive annual seasonal influenza vaccination or obtain an exemption for medical or religious reasons. Wearing a face mask is required when an exemption to the influenza vaccination has been granted. HCP in violation of this directive may face disciplinary action up to and including removal from federal service. HCP are individuals who during the influenza season work in VHA locations or who come into contact with VA patients or other HCP as part of their duties. VHA locations include but are not limited to VA hospitals and associated clinics community living centers (CLCs) community-based outpatient clinics (CBOCs) domiciliary units Vet centers and VA-leased medical facilities. HCP include all VA licensed and unlicensed clinical and administrative remote and onsite paid and without compensation full- and part-time employees intermittent employees fee basis employees VA contractors researchers volunteers and health professions trainees (HPTs) who are expected to perform any or all of their work at these facilities. HPTs may be paid or unpaid and include residents interns fellows and students. HCP also includes VHA personnel providing home-based care to Veterans and drivers and other personnel whose duties put them in contact with patients outside VA medical facilities.
  
  The Interagency Career Transition Assistance Plan (ICTAP) and Career Transition Assistance Plan (CTAP) provide eligible displaced VA competitive service employees with selection priority over other candidates for competitive service vacancies. To be well-qualified applicants must possess experience that exceeds the minimum qualifications of the position including all selective factors if applicable and must be proficient in most of the requirements of the job. Information about ICTAP and CTAP eligibility is on OPMs Career Transition Resources website which can be found at job opportunity announcement may be used to fill additional vacancies.
  
  If you are unable to apply online or need an alternate method to submit documents please reach out to the Agency Contact listed in this Job Opportunity Announcement.

  Candidates should be committed to improving the efficiency of the Federal government passionate about the ideals of our American republic and committed to upholding the rule of law and the United States Constitution.

  A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

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  Eligibility for benefits depends on the type of position you hold and whether your position is full-time part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.