Health System Specialist (Credentialing/Privileging)

Summary About the Position: This position is located within Defense Health Agency Indo-Pacific Market, Clinical Operations, located on the campus of Tripler Army Medical Center (TAMC) in Honolulu, Hawaii. This is a Direct Hire Solicitation Learn more about this agency Duties Serves as a technical expert and advisor regarding credentialing and privileging for the Network. Review completed staff actions and studies and express conclusions and recommendations that serve as a guide to higher officials. Assist in claim reviews and/or action appeals board processes. Research and analyze published credentialing standards and methodologies to implement improvements. Coordinate with Network Medical Treatment Facilities (MTFs) on credentialing and privileging activities that directly pertain to the delivery of health care Provide definitive guidance as the expert on clinical staff credentialing, privileging and adverse actions. Requirements Conditions of employment Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation. This position requires the incumbent be able to obtain and maintain a determination of eligibility for a Secret security clearance or access for the duration of employment. A background investigation and credit check are required. A Personnel Security Investigation is required. One year trial/probationary period may be required. Qualifications Who May Apply: US Citizens In order to qualify, you must meet the 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: One year of specialized experience which includes: advising on credentialing and/or privileging (C&P) requirements; researching requirements of C&P within a medical environment; leading the administration and auditing of authorized C&P software systems to track provider credentials and coordinate complex adverse action cases; and developing, interpreting, and disseminating C&P policies and procedures. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-12). Education Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted. Additional information Male applicants born after December 31, 1959 must complete a Pre-Employment Certification Statement for Selective Service Registration. You will be required to provide proof of U.S. Citizenship. This position requires a 1 year probationary period during which the agency evaluates your fitness and whether your continued employment advances the public interest. In making this determination, the agency may consider your performance and conduct; agency needs and interests; whether your continued employment supports organizational or Government goals; and whether it promotes the efficiency of the Federal service. Continued employment requires written certification that it advances the public interest. Direct Deposit of Pay is required. Selection is subject to restrictions resulting from Department of Defense referral system for displaced employees. Multiple positions may be filled from this announcement. Salary includes applicable locality pay or Local Market Supplement. If you have retired from federal service and you are interested in employment as a reemployed annuitant, see the information in the Reemployed Annuitant information sheet. Payment of Permanent Change of Station (PCS) costs is not authorized, based on a determination that a PCS move is not in the Government interest. Expand Hide  additional information Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution. Benefits A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits. Review our benefits Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.