The Supervisory Health System Specialist - Credentialing and Privileging Manager position is located in the Office of the Chief of Staff in VA San Diego Healthcare System. The incumbent oversees all functions related to healthcare providers' professional credentials supporting all divisions of the VAMC in accordance with VHA Credentialing and Privileging, Directives, VA Handbooks, Policies, Memos & Notices.
To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 08/15/2025. GS-12 grade level: One year of specialized experience (equivalent to the GS-11 grade level in the federal service); experience that equipped the applicant with the particular knowledge, skills and abilities (KSA's) and other characteristics to perform successfully the duties of the position, and that is typically in or related to the work of the position to be filled, in the normal line of progression for the occupation in the organization. Specialized experience includes: accomplishing quality work that is compliant with regulatory requirements/procedures, Joint Commission standards, laws, VHA Credentialing and Privileging (C&P) policies and requirements. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
This is an Open Continuous Announcement until August 15, 2025. Qualified applicants will be considered and referred as vacancies become available. Duties include, but may not be limited to the following: Providing direct technical and administrative supervision to employees. Responsible for ensuring that employees are efficiently and effectively accomplishing quality work that is compliant with regulatory requirements and procedures, TJC standards, laws, and VHA C&P policies and requirements, as well as assuring implementation and accomplishment of the goals and objectives of the C&P Program. Identifying and presenting to leadership the resources necessary for accomplishing the mission and function of the facility's C&P program. Providing guidance to local leadership and C&P employees on all matters pertaining to the facility's C&P program. Attending committee meetings and presents providers' credentials, clinical practice histories and red flags. Serving as the primary consultant for the facility's C&P program; analyzes program audit results; interprets facility quarterly report card data; researches provider credentialing requirements; and identifies potential privileging issues. Coordinating with Service Chiefs and service level administrative teams for annual Committee(s) review of clinical privileges and scope of practice. Serving as the Point of Contact (POC) and SME (Subject Matter Expert) for credentialing updates, Human Resources, providers and hiring services. Monitoring and auditing the VAMC C&P program utilizing VetPro reports, mandatory auditing and reporting tools. Ensuring national level reporting requirements are accurately completed including, but not limited to, quarterly security reports, quarterly accuracy certification of the Our Provider's website, and accuracy of the VA/DoD shared provider registry. Monitoring C&P program resources to ensure programs are appropriately staffed. Serving as a liaison and partner with Human Resources Service programs for common program goals and issues including, but not limited to, provider onboarding, provider exit reviews and assessments, privileging actions, and guidance related to clinical performance concerns. Responsible for ensuring quality assurance in the facility's C&P program; applying organizational and system-wide strategies for continuous quality improvement as they relate to C&P processes and procedures. serves as the administrator for the National Practitioner Data Bank, Federation of Medical Boards, and Our Providers Database. Work Schedule: Monday - Friday 8:00am - 4:30pm Telework: Not Authorized Virtual: This is not a virtual position. Position Description Title/PD#: Supervisory Health System Specialist (Credentialing and Privileging Manager)/PD99874A Relocation/Recruitment Incentives: Not Authorized Critical Skills Incentive (CSI): Not Authorized 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.