Credentialing Specialist

Military Treatment Facilities under DHA; San Diego (CA); On-site; USD 65,000 - 90,000; Full time

Job summary

Naval Medical Center, part of the Defense Health Agency’s Defense Health Network Pacific Rim, San Diego, CA, seeks a credentialing professional to support evaluation and renewal of clinical privileges. The role requires coordinating credentialing activities, communicating with licensing boards, and ensuring compliance with DoD policies.

Responsibilities include maintaining credentialing data, interfacing with medical staff and administrative teams, and applying professional judgment to

Job description

About the Position:

This position is located at Naval Medical Center, Defense Health Agency, Defense Health Network Pacific Rim, San Diego, CA Directorate of Quality Management.

Who May Apply:

Only applicants who meet one of the employment authority categories below are eligible to apply for this job. You will be asked to identify which category or categories you meet, and to provide documents which prove you meet the category or categories you selected. 30 Percent or More Disabled Veterans Current Civilian Employees of the Defense Health Agency (DHA) Current Permanent Department of Defense (DoD) Civilian Employee Domestic Defense Industrial Base/Major Range and Test Facilities Base Civilian Personnel Workforce Interagency Career Transition Assistance Plan Land Management Workforce Flexibility Act Military Spouses, under Executive Order (E.O.) 13473 Non-Appropriated Fund Instrumentality (NAFI) Priority Placement Program, DoD Military Reserve (MR) and National Guard (NG) Technician Eligible Priority Placement Program, DoD Military Spouse Preference (MSP) Eligible Priority Placement Program, DoD MR and NG Preference Eligible Tech Receiving Disability Retirement Priority Placement Program, DoD Retained Grade Preference Eligible Veterans Employment Opportunity Act (VEOA) of 1998 In order to qualify, you must meet the education and/or experience requirements described below. 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; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document. Specialized Experience GS-09: One year of specialized experience equivalent to at least the GS-07 grade level in the Federal service which includes assisting with the coordination of initial evaluation and/or renewal of clinical privileges of providers within a medical treatment facility; communicating with licensing agencies, professional affiliations, and/or certifying board to verify medical provider information; utilizing office automation software to enter and retrieve data and prepare documents related to credentialing. OR Education: Master's degree or equivalent graduate degree or 2 full years of progressively higher level graduate education leading to such a degree or LL.B or J.D. in a field which demonstrates the knowledge, skills, and abilities necessary to perform the work of the position. (NOTE: You must attach a copy of your transcripts for verification). OR Combination of Education and Experience: A combination of education and experience may be used to qualify for this position as long as the computed percentage of the requirements is at least 100%. To compute the percentage of the requirements, divide your total months of experience by 12. Then divide the total number of completed graduate semester hours (or equivalent) beyond the second year (total graduate semester hours minus 36) by 18. Add the two percentages. (You must attach a copy of your transcripts.) Specialized Experience GS-11: One year of specialized experience equivalent to the GS-09 grade level in the Federal service that demonstrates a practical knowledge of the subject area of the position which includes: implementation and management of the accreditation and credentialing programs, analyzing and evaluating the credentialing program effectiveness, analysis to ensure compliance with policies and/or regulations, and provide professional and technical guidance on credentialing/privileging matters OR Education: Ph.D or equivalent doctoral degree or 3 full years of progressively higher-level graduate education leading to such a degree or LL.M. in a field which demonstrates the knowledge, skills, and abilities necessary to do the work of the position. (You must attach a copy of your transcripts.) OR Combination of Education and Experience: A combination of education and experience may be used to qualify for this position as long as the computed percentage of the requirements is at least 100%. To compute the percentage of the requirements, divide your total months of experience by 12. Then divide the total number of completed graduate semester hours (or equivalent) beyond the second year (total graduate semester hours minus 36) by 18. Add the two percentages. (You must attach a copy of your transcripts.) Time in Grade Requirement: Applicants who have held a General Schedule (GS) position within the last 52 weeks must have 52 weeks of Federal service at the next lower grade or equivalent (GS-07) and (GS-09).