Supervisory Health System Specialist (Credentialing and Privileging Manager)

About the role

The incumbent serves as Supervisory Health Systems Specialist (Credentialing and Privileging Manager) within the Medical Staff Office under the Chief of Staff at Baltimore VA Medical Center (VAMC).

The role oversees all credentialing functions across provider categories in accordance with VHA C&P policy, The Joint Commission standards, and applicable State/Federal regulations; collaborates with local and VISN leadership.

What you will do

• Provides technical and administrative supervision to C&P Office staff; ensures compliant, efficient, high-quality work; and drives implementation of program goals and objectives.
• Identifies and presents resources necessary to accomplish the mission and functions of the C&P Program.
• Manages C&P staff; sets/adjusts priorities; assesses staffing; plans workload; ensures coverage for all program functions.
• Develops, modifies, and interprets performance standards; communicates expectations; Assigns/reviews work; conducts midyear and annual evaluations; provides feedback.
• Provides advice, counsel, and instruction on work/administrative matters; approves leave and purchase card reconciliations; conducts staff meetings and minutes.
• Identities training needs; provides/arranges training; advocates for training resources.
• Hears and resolves employee issues; effects minor disciplinary measures and recommends serious actions to higher level officials.
• Interviews and selects candidates; applies EEO and merit promotion principles to ensure nondiscrimination.
• Senior Program Advisor: Provides consulting and guidance on credentialing/privileging, scopes of practice, MOUs, VHA/T JC requirements, QA, risk management, and malpractice evaluations.
• Attends committees; presents credential files and flags; documents minutes; manages FPPE/OPPE timelines.
• Prepares NPDB/SLB reports.
• Coordinates with service chiefs to maintain accurate privileges/scopes, including telehealth compliance.
• Serves as SME/POC for credentialing updates and training.
• Quality Assurance: Implements strategies for continuous improvement.
• Evaluates customer service Conducts internal reviews/audits.
• Develops data strategies.
• Produces statistical/graphical/narrative reports to justify training/process changes.
• Coordinates reporting/monitoring (VetPro, Our Providers, telehealth tracking, quarterly report cards, security/privacy compliance, SLB reporting).
• Oversees internal controls, time limited credentials, two part folders, incident reporting, purchase card reconciliations, telehealth compliance, and documentation in committee minutes.
• Program Account Administrator: Administers TRJC, Federation of State Medical Boards, and Providers Database accounts.
• Manages enrollments, queries, reenrollments; submits adverse privileging action reports; and quality controls primary source verification results.
• Coordinates with Service Chiefs NISN GMO/committees when actions are required.
• Ensures documentation in the electronic credentialing database.
• Manages facility accounts.
• Ensures providers maintain active enrollments.
• Performs other C&P duties as assigned.
• Work Schedule: 8 a.m. to 4:30 p.m. Telework: This position may be authorized for Ad-Hoc telework.
• Telework eligibility will be discussed during the interview process.
• Virtual: This is not a virtual position.
• Position Description/PD#: Supervisory Health System Specialist (Credentialing and Privileging Manager)/PD512-2605660 Relocation/Recruitment Incentives: Not Authorized Critical Skills Incentive (CSI): Not Authorized Permanent Change of Station (PCS): Not Authorized

Requirements

• You must be a U.S. Citizen to apply for this job To be considered for this position, you must complete all required steps in the process.
• This position requires the application, assessment, and questionnaire to be fully completed.
• The assessment measures critical general competencies required to perform the job.
• Selective Service Registration is required for males born after 12/31/1959 Subject to background/security investigation Selected applicants will be required to complete an online onboarding process.
• Acceptable form(s) of identification will be required to complete pre-employment requirements (***).
• Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP) As a condition of employment for accepting this position, you will be required to serve a 1-year probationary period or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest.
• In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service.
• Upon completion of your probationary period or trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.

Education

Applicants may substitute education for the required experience.

To qualify based on education for this grade level you must have successfully completed a Ph.D. or equivalent doctoral degree OR three (3) full years of progressively higher level graduate education leading to such a degree, Or LL.M in the related field of the position to be filled (i.e., hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration).

The education portion must include courses that demonstrate the knowledge, skills, and abilities necessary to do the work of this position. Education must have been obtained in an accredited college, or university. NOTE: Transcripts must be submitted with your application materials.

Education cannot be credited without documentation. A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment.

You can verify your education here: *** If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: ***

How you will be evaluated

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC.

WE WILL NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE.

Your qualifications will be evaluated based on your application materials (e.g., resume, supporting documents), your responses on the application questionnaire, and your responses to all assessments required for this position.

You will be assessed on the following Competencies for this position: o Conflict Management o Influencing/Negotiating o Manages Resources o Partnering o Planning and Evaluating Narrative responses are not required at this time.

If you are referred for consideration, you may be asked to submit additional job related information, which may include, but not limited to; responses to the knowledge, skills and abilities; completion of a work sample, and/or contact for an interview. Your resume and/or supporting documentation will be verified. Please follow all instructions carefully.

Errors or omissions may affect your rating or consideration for employment.

The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.

For more information on the "Who may apply" eligibility requirements, please refer to the OHRM Status Candidates and Other Candidate Definitions document. Placement Policy: The posting of this announcement does not obligate management to fill a vacancy or vacancies by promotion.

The position may be filled by reassignment, change to lower grade, transfer, appointment, or reinstatement. Management may use any one or any combination of these methods to fill the position. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

Documents you must provide

• Resume SF-50/ Notification of Personnel Action The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position.
• Please use this checklist to make sure you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former Federal employees), documentation to support Veterans Preference claims, or ICTAP/CTAP documentation (for displaced Federal employees).
• You will not be contacted for additional information.
• Cover Letter Other (1) Other (2) Resume Separation Notice (RIF) SF-50/ Notification of Personnel Action Transcript SF-50, Notification of Personnel Action (if applicable for Time in Grade and/or Eligibility): Most recent SF-50 if you are a current or former Federal employee An SF-50 showing 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 Award 50's do not provide sufficient information and will not be accepted for the purpose of verifying time-in-grade.
• Examples of appropriate SF-50's include: Within grade increases at the highest grade held; or Promotions with an effective date more than one year old; or SF-50's at the highest grade held with an effective date more than one year old.
• NOTE: Veterans' Preference does not apply to current VA agency employees.

What to expect next

Once your online application is submitted you will receive a confirmation notification by email. After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met.

If initial application submission is updated and resubmitted with a new resume, only the most current resume will be reviewed for consideration. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview.

All referred applicants receive a final notification once a selection decision has been made. You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications.

Information regarding your application status can be found in the USAJobs Help Center NOTE: Participation in the seasonal influenza program is a condition of employment and a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).

It is a requirement that all HCP to receive annual seasonal influenza vaccination or obtain an exemption for medical or religious reasons. Wearing a face mask is required when an exemption to the influenza vaccination has been granted. HCP in violation of this directive may face disciplinary action up to and including removal from federal service.

HCP are individuals who, during the influenza season, work in VHA locations or who come into contact with VA patients or other HCP as part of their duties. VHA locations include, but are not limited to, VA hospitals and associated clinics, community living centers (CLCs), community-based outpatient clinics (CBOCs), domiciliary units, Vet centers and VA-leased medical facilities.

HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid and without compensation, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, researchers, volunteers and health professions trainees (HPTs) who are expected to perform any or all of their work at these facilities.

HPTs may be paid or unpaid and include residents, interns, fellows and students. HCP also includes VHA personnel providing home-based care to Veterans and drivers and other personnel whose duties put them in contact with patients outside VA medical facilities.

Additional information

"Whole Health is an approach to health care that empowers and equips people to take charge of their health and well-being and live their life to the fullest. The VA is committed to Whole Health and values Veteran and Employee health and wellbeing.

As a VA employee, you will practice Whole Health in an environment that supports personalized and proactive care." The Interagency Career Transition Assistance Plan (ICTAP) and Career Transition Assistance Plan (CTAP) provide eligible displaced Federal/VA competitive service employees with selection priority over other candidates for competitive service vacancies.

To be qualified you must submit appropriate documentation (a copy of the agency notice, your most recent performance rating, and your most recent SF-50 noting current position, grade level, and duty location) and be found well-qualified for this vacancy.

To be well-qualified: applicants must possess experience that exceeds the minimum qualifications of the position including all selective factors, and who are proficient in most of the required competencies of the job.

Information about ICTAP and CTAP eligibility is on OPM's Career Transition Resources website at *** During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions.

Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions. This job opportunity announcement may be used to fill additional vacancies. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.