Credentialing Program Assistant

U.S. Department of Veterans Affairs; St. Louis (MO); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Relocation incentives available

Job summary

The U.S. Department of Veterans Affairs is seeking a Credentialing Program Assistant to support the Medical Staff Office and C&P operations at a VA Medical Center in St. Louis, MO. The role focuses on credentialing, privileging, data gathering, and compliance duties.

The ideal candidate will have specialized experience related to credentialing processes, VetPro data handling, and working with providers and hospital staff to ensure proper credentialing standards are met.

Qualifications

• One year of specialized experience at GS-5 level equivalent.
• Experience providing guidance to providers, staff and management.
• Experience collecting, compiling and tracking data and preparing reports.
• Experience verifying credentials and privileging in a medical setting.

Responsibilities

• Serve as SME to Licensed Independent Providers and Service Chiefs regarding Credentialing & Privileging.
• Assist C&P Manager in developing short- and long-term goals to accomplish the mission.
• Draft local credentialing processes and Medical Staff Bylaws compliant with regulations.
• Review VetPro reports to detect problem areas needing investigation.
• Inform C&P Manager of trends, audit results and issues affecting a provider's privilege status.
• Provide guidance to hospital staff on documentation for establishing privileges for LIPs.
• Maintain application folders and databases (VetPro or internal systems) meeting technical requirements.
• Develop and provide routine and special reports as requested.

Skills

Guidance to providers

Data collection

Credentialing verification

Tools

VetPro

Job description

Summary

The Credentialing Program Assistant 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 in St. Louis - MO.

Qualifications

To qualify for this position - applicants must meet all requirements by the closing date of this announcement. You may qualify at the GS-6 level if you possess the following qualifications: SPECIALIZED EXPERIENCE: One (1) year of Specialized Experience that equipped you with the particular knowledge - skills - and abilities (KSA's) to perform successfully the duties of the position - and that is typically in or related to the position to be filled. To be creditable - this specialized experience must have been equivalent to at least the GS-5 grade level. Specialized experience includes: providing guidance/advice to providers - staff - and management; collecting - compiling - and tracking data; preparing reports; and verifying credentials and privileging in a medical setting. 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/.

Duties

• ***THIS IS NOT A VIRTUAL POSITION - YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION*** Major duties and responsibilities include: Performing as the subject matter expert (SME) to Licensed Independent Providers (LIPs) and Service Chiefs regarding routine and complex matters related to Credentialing & Privileging (C&P)
• Assisting the C&P Manager in developing short- and long-term goals necessary to accomplish the mission of the C&P program
• Assisting the C&P Manager 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 of trends identified - audit results and identified problems that may affect a provider's 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
• Establishing and maintains a variety of files and records pertaining to the C&P process
• Performs other duties as assigned
• Work Schedule: Monday-Friday 7:30am-4:00pm Recruitment & Relocation Incentives: May be authorized for highly qualified candidates Critical Skills Incentive (CSI): Not approved