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Health System Specialist- Credentialing and Privileging Specialist

Veterans Health Administration · Posted 57 days ago

On-site Lexington, KY $62K – $80K Apply by Jul 27, 2026 Health System Specialist ENTJESTJINTJISTJ Operations
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About the Role

The incumbent 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. The C&P Specialist is aligned to and supervised by the C&P Manager.

What You'll Do

  • The Health System Specialist - Credentialing & Privileging Specialist ensures compliance with VHA policies, directives, memos and notices of The Joint Commission (TJC) standards, recommendations by the Office of Inspector General (OIG) and Government Accountability Office (GAO) and other internal or external auditors and reviewers as appropriate.
  • Duties include, but not limited to: Keeps leadership and administrative staff informed of program changes, new regulatory requirements, and policies and procedures.
  • Assists in drafting local credentialing processes in compliance with all applicable regulations.
  • Maintains confidentiality of information in accordance with the Privacy Act.
  • Provides guidance and instruction to hospital staff in completing the required documentation of establishing privileges for Licensed Independent Providers.
  • Responsible for collecting relevant data and making informed decisions.
  • Develops and provides routine and special reports as requested.
  • Enters data into an electronic credentials computer system.
  • Investigates all discrepancies to determine the accuracy of documentation.
  • Receives and reviews reports detecting problem areas requiring further investigation.
  • Assures application packages and other documents meet technical requirements per specialty of provider and assures application folder and database account.
  • Provides quality control checks on data.
  • Prepares agendas for meetings and ensures those involved are notified of expectations.
  • Provides assistance and training to providers, staff and management.

Requirements

  • You must be a U.S.
  • Citizen to apply for this 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 (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents).
  • 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.
  • 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: http://ope.ed.gov/accreditation/.
  • 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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Personality Fit

This role is commonly a great fit for these MBTI types:

Job ID: cbf5e0ea-9903-410b-af34-bc9040293e5c

Posted via USAJobs

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