Health System Specialist (Credentialing & Privileging Spec)

Veterans Health Administration
Miami, FL

JobSummary

The incumbent is assigned to the Medical Staff Office, which is under the Chief of Staff at a VA Medical Center (VAMC) and is responsible for providing administrative and technical direction and support to the credentialing and privileging (C&P) operations. The C&P Specialist is aligned to and supervised by the C&P Manager.

LowGrade

9

HighGrade

9

PromotionPotential

None

SubAgencyName

Miami VA Healthcare System (Bruce W. Carter VA Medical Center)

OrganizationCodes

VA/VATA

Relocation

False

HiringPath

  • fed-transition
  • public

MCOTags

TotalOpenings

3

AgencyMarketingStatement

OUR MISSION: To fulfill President Lincoln's promise - "To care for those who have served in our nation's military and for their families, caregivers, and survivors. How would you like to become a part of a team providing compassionate care to Veterans? The Miami VA Healthcare System provides health care services at 9 locations in south Florida. Facilities include our Bruce W. Carter VA Medical Center in Miami and 8 community-based outpatient clinics in Deerfield Beach, Hollywood, Homestead, Key Largo, Key West, Miami, Pembroke Pines, and Sunrise. The Miami VA Healthcare System also includes an AIDS/HIV center, a prosthetic treatment center, a spinal cord injury rehabilitative center, and a Geriatric Research, Education, and Clinical Center. VA Miami health care is recognized as a center of excellence in spinal cord injury research and substance abuse treatment and is a recognized chest pain center. In addition to serving south Florida, VA Miami health care is the tertiary referral facility for the West Palm Beach VA Medical Center and provides open-heart surgery and other specialty services to VA facilities in Florida and nationwide. DIRECT HIRE AUTHORITY: This position is being filled using Direct-Hire Authority (5 CFR 337.201) for this occupation.

TravelCode

0

ApplyOnlineUrl

https://apply.usastaffing.gov/Application/Apply

DetailStatusUrl

https://apply.usastaffing.gov/Application/ApplicationStatus

MajorDuties

  • The duties and responsibilities include but are not limited to the following: Ensure suspense(s) are met in the time sensitive actions for privileges modification, biennial renewals, temporary limitations or suspensions, and any other time-limited privileging action. Provide guidance and instruction to hospital staff in completing the required documentation of establishing privileges for licensed independent providers. Provide ongoing review of regulatory requirements, Joint Commission Standards, changing laws and legal precedents to review current hospital regulations for making necessary changes within compliance. Assure application folder and database account, VetPro or other internal databases and spreadsheets, meet technical requirements. Monitor providers' data relative to state licensure, Drug Enforcement Organization (DEA) license, National Practitioner Data Bank (NPDB), Continuous Query (CQ) enrollments and renewals, Federation of State Medical Boards (FSMB), documentation of professional education, specialty medical training, certifications, adverse licensure or privileging actions, initial and renewal of privileges which may affect the status of privileges granted for medical practice. Ensure accurate provider data is entered into and maintained in the computer program, such as VetPro. Conduct final appointment into the VetPro database, after thoroughly researching, analyzing and validating all data, information, documents and signature authorities. Assure data entry is complete and accurate to meet hospital policy and regulation, and The Joint Commission standards. Inform manager on audit results and identified problems that may affect a provider's privilege status. Refer current issues, trends, problem areas as well as recommended program revisions to Credentials and Privileging functions through the Manager/Analyst. Research material, such as regulations and standards, to identify appropriate action necessary to correct the problem. Review reports from credentialing software, such as VetPro, detecting problem areas requiring further investigation. Provide informed decisions to ensure qualified health care professionals are providing appropriate care in appropriate settings. Assist in identifying the resources necessary for accomplishing the mission and function of the credentials and privileging program. Coordinate credentialing meetings which includes preparing agendas, notifying attendees, and providing documents for committee action. Provide administrative support to a credentialing and privileging office. Work Schedule: MONDAY through FRIDAY, 8:00AM to 4:30PM Position Description Title/PD#: Health System Specialist (Credentialing & Privileging Spec)~/99876A Physical Requirements: 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.

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: http://ope.ed.gov/accreditation/. If 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.

Requirements

Evaluations

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE WILL NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Applicants will be referred in the order in which they were received.

HowToApply

All applicants are encouraged to apply online. To apply for this position, you must complete the occupational questionnaire and submit the documentation specified in the Required Documents section. The complete application package must be submitted by 11:59 PM (EST) on 04/13/2026 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/12925842. 1. To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USAJOBS resume and/or other supporting documents and complete the occupational questionnaire. 2. Click Submit My Answers to submit your application package. NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date. You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center. To return to an incomplete application, log into your USAJOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USAJOBS account or your application will be incomplete.

WhatToExpectNext

After the vacancy announcement closes, applicants are evaluated to ensure qualification and eligibility requirements are met. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email.

RequiredDocuments

Documents Accepted: Cover Letter DD-214/ Statement of Service Disability Letter (VA) Other supporting documents. Resume Separation Notice (RIF) SF-50/ Notification of Personnel Action Transcript Documents Required: Resume Please review the above list(s) to ensure you have included all necessary documents required for your application.Not every applicant will require the same documents, therefore it is the applicants responsibility to ensure that their application package includes all necessary documents to determine qualifications and eligibility for appointment, such as a copy of your SF-50, transcript, ICTAP/CTAP documentation (for displaced Federal employees).You will not be contacted for additional information. Applicants will be deemed ineligible if supporting documentation is not submitted. Veterans' Preference: Since the Direct-Hire Recruitment Authority is being used, traditional Veterans' Preference rules do not apply. Qualified veterans will, however, be given full consideration for this position. Applications are accepted online. Applying online will allow you to review and track the status of your application.

Benefits

BenefitsUrl

http://www.vacareers.va.gov/why-choose-va/benefits/index.asp

OtherInformation

Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's 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. 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 OPM's Career Transition Resources website which can be found at https://www.opm.gov/. Receiving Service Credit for Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. VA may offer newly-appointed Federal employee's credit for their job-related non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. This job opportunity announcement may be used to fill additional vacancies. If you are unable to apply online and request information about the Alternate Application process, please contact the Agency Contact listed for this Job Opportunity Announcement (JOA).

KeyRequirements

WithinArea

False

CommuteDistance

0

ServiceType

01

AnnouncementClosingType

01

AgencyContactEmail

david.furnas@va.gov

AgencyContactPhone

913-758-6436

SecurityClearance

Not Required

DrugTestRequired

False

PositionSensitivitiy

Non-sensitive (NS)/Low Risk

AdjudicationType

  • Suitability/Fitness
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