Supervisory Health System Specialist (Credentialing and Privileging Manager)

Summary

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.

Duties

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Supervisory:

• 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.
• Monitors VetPro.
• 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.
• Monitors compliance.
• Evaluates customer service
• Conducts internal reviews/audits.
• Validates processes.
• 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)/

Relocation/Recruitment Incentives: Not Authorized

Critical Skills Incentive (CSI): Not Authorized

Permanent Change of Station (PCS): Not Authorized

Requirements

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Conditions of employment

• 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 (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.

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 11/06/2026.

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 by 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.

You may qualify based on your experience and/or education as described below:

• Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-09 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to: Knowledge and skill in applying analytical and evaluative methods and techniques to issues or studies concerning the efficiency and effectiveness of the facility's medical staff functions and C&P Program operations; Comprehensive knowledge of pertinent laws, regulations, policies and precedents; accreditation standards and guidelines; Extensive knowledge and skill in interpreting C&P, as well as Staffing regulations/requirements for health care practitioners in compliance with a broad range of National and Local Handbooks, Directives, Memorandums, MOUs, Policies, Medical Staff Bylaws and a variety of auditing and accrediting agencies; Extensive knowledge of medical specialties, medical terminology, and design and implementation of best practices for criteria based privileging systems for granting of clinical privileges and/or reduction and/or revocation of clinical privileges; Expert knowledge of the characteristics of credentialing/privileging and groups, adverse events, hearing and appeals committee actions and legal requirements; Ability to reconcile contradictory requirements in preparing staff recommendations and in coordinating clinical and administrative services; Knowledge of minimizing legal risks associated with adverse actions; Broad knowledge of government-wide, agency and facility systems and requirements in the area of credentialing/privileging to recognize problems/issues and to make substantial recommendations to the appropriate offices; Extensive skill in research of data, policies, legal issues involving actions of such nature that results in the potential for reporting to the National Practitioner Data Bank or loss of specialty status; Extensive skill in the use of data and studies to be incorporated into program directives covering new and innovative conceptual approaches and methods; Ability to exercise judgment in all phases of analysis, ranging from sorting out the most important problems when dealing with voluminous amounts of information; Ability to conduct meetings with various services, both clinical and administrative, on a regular basis to ensure they are knowledgeable about identified performance measures and monitors that fall under their scope and are aware of their impact on accreditation and the Medical Center's overall performance; and Skill in written communication to organize ideas and present findings in a logical manner for responses, reports, papers, presentations and meetings with a diverse group of employees and leadership.

OR,

• 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.

OR,

• Combination: Applicants may also combine education and experience to qualify at this level. You must have an combination of specialized experience and education graduate level (beyond a master's degree). The education portion must include graduate courses that demonstrate the knowledge, skills, and abilities necessary to do to the work of this position (i.e., hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration). NOTE: Transcripts must be submitted with your application materials. Education cannot be credited without documentation. Experience must be clearly indicated in your resume.

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:

• Conflict Management
• Influencing/Negotiating
• Manages Resources
• Partnering
• Planning and Evaluating

Supervisory Situational Judgment Test.

Applicants will be required to complete a Supervisory Situational Judgment Test (SSJT) as part of the assessment process for this position. The SSJT evaluates judgment and decision-making skills that align with relevant competencies, organizational values, and best practices. Assessment results may be used as part of the evaluation, ranking and referral process. This is not a timed test, however, the assessment is expected to take approximately 45 minutes or less to complete. The assessment for this application does not include a cut score for a minimum level of required proficiency in these critical general competencies. However, you must answer each item in the assessment.

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; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

Note: A full year of work is considered to be 35-40 hours of work per week. Part-time experience will be credited on the basis of time actually spent in appropriate activities. Applicants wishing to receive credit for such experience must indicate clearly the nature of their duties and responsibilities in each position and the number of hours a week spent in such employment.

Physical Requirements: The work is mostly sedentary. Occasionally, light physical effort may be required, such as that involved with walking, stair climbing, and carrying of light office items.

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/.

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