Credentialing Program Assistant

U.S. Department of Veterans Affairs; Buffalo (NY); On-site; USD 52,000 - 76,000; Full time

Job summary

The Credentialing Specialist at the Western NY VAMC provides administrative and technical direction to credentialing operations under the C&P Manager, supporting physician, dentist, optometrist, psychologist, and other providers.

Primary duties include monitoring credential validity, reviewing VetPro data, managing initial provider applications for Non-LIPs, and preparing routine reports while ensuring compliance with regulations and Privacy Act protections.

Qualifications

• Specialized Experience: Verifying information in health care provider files and maintaining confidentiality per the Privacy Act.
• Quality checks on data and managing multiple projects with deadlines.
• Using word processing and database applications for data entry, file maintenance and data retrieval.

Responsibilities

• Support credentialing operations across all VAMC divisions.
• Review VetPro reports and analyze problem areas needing investigation.
• Manage provider applications (initial) for Non-LIPs credentialing within the VAMC.
• Ensure application packages meet technical requirements and databases are up to date.
• Coordinate incoming data/documents from diverse sources and resolve document issues.

Skills

Verifying provider files

Privacy Act confidentiality

Data quality checks

Multitasking & deadlines

Data entry & databases

Tools

VetPro

Microsoft Word

Job description

Summary

The Credentialing Specialist is assigned to the Credentialing and Privileging Office - which is under the Chief of Staff at the Western NY VAMC and is responsible for providing administrative and technical direction and support to the credentialing operations. The Credentialing Specialist is aligned to and supervised by the Credentialing and Privileging (C&P) Manager.

Summary

The Credentialing Specialist is assigned to the Credentialing and Privileging Office - which is under the Chief of Staff at the Western NY VAMC and is responsible for providing administrative and technical direction and support to the credentialing operations. The Credentialing Specialist is aligned to and supervised by the Credentialing and Privileging (C&P) Manager.

Qualifications

To qualify for this position - applicants must meet all requirements by the closing date of this announcement - 09/30/2026. Time-In-Grade Requirement: Applicants who are current Federal employees and have held a GS grade any time in the past 52 weeks must also meet time-in-grade requirements by the closing date of this announcement. For a GS-6 position you must have served 52 weeks at the GS-5. The grade may have been in any occupation - but must have been held in the Federal service. An SF-50 that shows your time-in-grade eligibility must be submitted with your application materials. If the most recent SF-50 has an effective date within the past year - it may not clearly demonstrate you possess one-year time-in-grade - as required by the announcement. In this instance - you must provide an additional SF-50 that clearly demonstrates one-year time-in-grade. Note: Time-In-Grade requirements also apply to former Federal employees applying for reinstatement as well as current employees applying for Veterans Employment Opportunities Act of 1998 (VEOA) appointment. You may qualify based on your experience and/or education as described below: Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-6 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include - but are not limited to: Verifying of information in health care provider files; Maintaining confidentiality of information in accordance with the Privacy Act; Provides quality control checks on data; managing multiple projects and priorities and meets deadlines; using software applications such as word processing and data bases and internet database applications for data entry - file maintenance and data retrieval; and researching reference materials - regulations - and standards to identify appropriate action necessary to correct problems or issues. For more information on these qualification standards - please visit the United States Office of Personnel Management's website at https://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/. Physical Requirements: See VA Handbook 5019

Duties

• The Credentialing and Privileging Program Office supports all divisions of the VAMC to includes support of the credentialing and privileging specialist and the Medical Staff membership - which is comprised of physicians - dentists - optometrists - psychologists - audiologists - and physician extenders including full-time - part-time - temporary - intermittent - contract - without compensation (WOC) - fee basis and telehealth
• Support includes Non-Licensed Independent Practitioners (Non-LIPs) - such as Registered Nurses - Licensed Practical Nurses - Respiratory Therapists - Physical Therapists - etc
• The functions of the Credentialing and Privileging Program Office are critical to accreditation and for assuring safe patient care provided by the VAMC
• Major duties include - but are not limited to: Monitoring for compliance and timely update of time-limited credentials
• Serves as the subject matter expert (SME) in the field of credentialing
• Receives and reviews VetPro reports detecting and analyzing problem areas requiring further investigation
• Managing provider applications (initial) for Non-LIPs credentialing within the VAMC
• Assuring application packages and other documents meet technical requirements per specialty of the provider and assures application folder and database account (VetPro or other internal databases and spreadsheets) meet technical requirements
• Determining processes for coordination of incoming data and documents from a variety of sources
• Analyzing and managing issues related to documents that do not meet expected requirements - regulations or guidelines such as adverse actions against licensures - certifications - and NPDB) CQ reports
• Conducting final appointment into the VetPro database - after thoroughly researching - analyzing and validating all data - information - documents and signature authorities
• Developing and providing routine and special reports as requested by the C&P manager/Analyst
• Possessing a credit card and is responsible for maintaining records - reconciling monthly charge statements and verifying legitimacy of requests for NPDB Single and CQ enrollments/ renewals - licensure verification (if applicable) - National Student Clearing House - Work Number and certifications (if applicable)
• Reconciling transactions and resolving discrepancies with Fiscal Service
• Performing other credentialing duties as assigned
• Work Schedule: Monday - Friday - 7:30am - 4:00pm Telework: Ad-hoc - at the discretion of the agency Virtual: This is not a virtual position
• Position Description/PD#: Credentialing Program Assistant/PD14727A Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized