Veterans Health Administration Logo
Position Title
Health Systems Specialist (Credentialing and Privileging Manager)
Agency
Veterans Health Administration
Announcement Number
CBSV-12732793-25-RS Opens in new window
Open Period
Wednesday, May 7, 2025 to Tuesday, May 20, 2025
For preview purposes only. To apply, please return to the USAJOBS announcement and click the Apply button.
Eligibilities
1. Are you a current or former federal employee displaced from the agency hiring for this position? If yes, confirm:
  • you are located in the same local commuting area of the vacancy; AND,
  • you are applying to a position that is at or below the grade level of the position from which you were or will be separated; AND,
  • your grade is equivalent to or below the grade level of the vacancy; AND, 
  • your last performance rating of record is at least fully successful or the equivalent.

For more information, review the USAJOBS Help Center.

To verify your eligibility, you must submit supporting documentation such as a Reduction in Force (RIF) separation notice or a Proposed Removal/Separation notice to include your latest performance rating (if the notice does not have this information included, you must submit a copy of your most recent performance appraisal) and a copy of your latest Notification of Personnel Action, Standard Form 50.
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2. Are you a Veterans Health Administration employee?
This includes: Career/Career Conditional or Excepted Service (i.e. Canteen, Hybrid, Title 38, etc. and meets interchange agreement requirements). This does not include temporary, term or temporary intermittent.
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Preferences
1. Which of the following items describes your current or recent (within the last five years) political appointee service?

If you responded yes to any of the items below, you will need to include a SF-50 specifying your prior service.
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Your resume must be submitted in English and include the following information for each job listed:
  • Job title Duties (be as detailed as possible)
  • Month & year start/end dates (e.g. June 2007 to April 2008)
  • Full-time or part-time status (include hours worked per week)
  • Series and Grade, if applicable, for all Federal positions you have held
  • Please be aware that your answers will be verified against information provided on your resume. Be sure that your resume clearly supports your responses to all of the questions by addressing your work experience in detail.
Recommended: Even though we do not require a specific resume format, your resume must be clear so that we are able to fully evaluate your qualifications. To ensure you receive appropriate consideration, please list the duties you performed under each individual job title. If we are unable to match your experiences with the positions held, you may lose consideration for this vacancy. We cannot make assumptions regarding your qualifications. Do not include a photograph or video of yourself, or any sensitive information (age, date of birth, marital status, protected health information, religious affiliation, social security number, etc.) on your resume or cover letter. We will not access web pages or encrypted, and digitally signed documents linked on your resume or cover letter to determine your qualifications.
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By submitting your application, you are certifying, to the best of your knowledge and belief, all the information submitted by you with your application for employment is true, complete, and made in good faith, and that you have truthfully and accurately represented your work experience, knowledge, skills, abilities and education (degrees, accomplishments, etc.). The information you provide as part of your application may be investigated. You are also certifying, and acknowledging, that misrepresenting your experience or education, or providing false or fraudulent information in, or with your application, may affect your eligibility for appointment and/or continued employment. False or fraudulent statements may be punishable by fine or imprisonment (18 U.S.C. 1001). (limit characters)
2. I authorize my application information being shared with hiring managers for similar positions. I understand this option may not result in further consideration for additional positions nor will it impact my application for this announcement. (limit characters)
3. Are you willing to accept the working conditions as indicated in the announcement? (limit characters)
4. Are you willing to accept the conditions of employment as indicated in the announcement? (limit characters)
5. Please select the appropriate response(s) regarding your referral eligibility: (limit characters)
If you are basing your qualifications on education (or a combination of education and experience) or if the position requires a college education to qualify, you must submit a copy of your transcripts with your application. (limit characters)
6. What is the highest grade you have held on a non-temporary basis in the federal service? If you have never held a federal position, please type "N/A". (limit characters)
7. What was the start and end (if applicable) date of promotion/appointment for the highest grade held above? Your response will assist in verifying the time in grade requirement if applicable to this position. If you have never held a federal position, please type "N/A". (limit characters)
Assessment 1
Thank you for your interest in the Health System Specialist position with the Federal government. (limit characters)
Select the appropriate answer to each of the following questions based on your current level of education and/or experience that demonstrates your ability to perform the duties of this position. When answering the questionnaire, remember that your experience and education are subject to verification by investigation. You may be asked to provide specific examples or documentation of experience or education as proof to support your answers, or you may be required to verify a response by a practical demonstration of your claimed ability to perform a task. (limit characters)
Individual Occupational Requirement (IOR): An IOR is a basic requirement that must be met in order to qualify for the 0671 occupational series. Education must be accredited by an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. To qualify for this occupational series, applicants MUST have one of the following listed below: Undergraduate or graduate education with a major field of study such as hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration (Transcript required). OR, Specialized Experience: Progressively responsible analytical or administrative, or clinical management or supervisory experience in the health care field: This work may have been performed in an operating health care facility or a higher organizational echelon with advisory or directional authority over such facilities. Work must have involved a close working relationship with facility managers and analysis and/or coordination of administrative, clinical, or other service activities, and provided knowledge of the following: Missions, organizations, programs, and requirements of health care delivery systems; Regulations and standards of various regulatory and credentialing groups; and Government-wide, agency, and facility systems and requirements in various administrative areas such as budget, personnel, and procurement. OR, Special Provision for In-service Placement: Successful completion of an agency-sponsored on-the-job training program may be substituted for qualifying experience, provided it included a formal individualized training plan. Such a training program must have been conducted in an operating health care system and included: Assignments providing a knowledge of basic health system administration philosophies, practices, and procedures, and basic government administrative policies and requirements; Practical assignments providing an opportunity to apply health system administration skills and principles (as the individual progresses, work assignments must be characteristic of the grade level to which he or she is assigned); and oversight by an experienced health system administrator with periodic evaluation of the individual's progress and appropriate adjustment of the training program. (limit characters)
1. How do you meet the Individual Occupational Requirement? Please select the response which most accurately describes you.
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2. MINIMUM QUALIFICATIONS GS-11: Carefully read the following descriptions below. Select the one response below that best describes your qualifications for this position at the GS-11 grade level. (Please ensure your resume/application supports the response that you select.)
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Select the one statement that most accurately describes your training and experience carrying out each task using the scale provided. (limit characters)
3. Provides direct technical and administrative supervision to employees in the Credentialing Office.
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4. Manages staff performance by setting and adjusting short and long-term priorities; assesses staffing needs; plans work to be accomplished.
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5. Develops, modifies, and/or interprets performance standards; outlines and explains performance expectations to staff.
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6. Provides advice, counsel, and instruction to employees on work and administrative matters.
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7. Identifies developmental and training needs of employees and provides/arranges for needed development and training.
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8. Provides consulting and guidance to local leadership and credentialing employees on all matters pertaining to the credentialing program.
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9. Attends committee meetings and presents providers' credentials, clinical practice histories and red flags.
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10. Performs as the subject matter expert for credentialing updates to Human Resources, providers and hiring services.
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11. Attends meetings, conferences and seminars to assist with the identification of areas needing improvement.
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12. Interprets and explains new regulatory requirements, procedures and processes.
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13. Reviews clinical privileges and scope of practices for accuracy, setting specific indicator and signature appropriations as required for compliance.
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14. Ensures all mandatory reviews and recommendations are documented in an electronic credentialing database.
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15. Leads external and internal regulatory and accrediting investigation issues surrounding credentialing, privileging, and/or reporting.
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16. Assists with developing, coordinating and recommending changes for the improvement of workflow in the program or section area.
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17. Manages query submissions and results; ensures that primary source verifications are obtained and processed via quality control review.
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18. Identifies and presents to leadership the resources necessary for accomplishing the mission and function of the credentialing program.
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19. Implement mechanisms to monitor and evaluate completed tasks for their compliance with established policies and procedures.
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20. Develops and utilizes analytical and diagnostic tools to identify, evaluate, and recommend to management techniques for developing new or modified work methods.
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21. Validates processes that are working efficiently and according to plan to identify dysfunctional process issues as early as possible during the implementation phase.
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22. Uses cost-effectiveness, cost-benefit, and cost-utility analyses in programmatic prioritization and decision making.
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INSTRUCTION: Transcript Reminder - If you are basing your qualifications on education (or a combination of education and experience) or if the position requires a college education to qualify, you must submit a copy of your transcripts with your application. (limit characters)
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 within 30 days of the closing date of this announcement. For a GS-11 position you must have served 52 weeks at the GS-09. 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 (limit characters)