Health Systems Specialist (Credentialing)

Company

Department of Health and Human Services - Indian Health Service

Location

Anywhere in the U.S. (remote job)

Type

Full Time

Job Description

Summary

This position is located in the Office of Quality, Division of Quality Assurance and Patient Safety within the Indian Health Service. This position provides oversight and management of credentialing/privileging policy and standardized processes, management of credentialing/privileging software, and coordinating software change requests. This position reports to the Director, Division of Quality Assurance.

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Requirements

Conditions of Employment

  • Must pass pre-employment examination.
  • Selectee may be subject to a probationary/trial period
  • ESEP appointees typically serve a two year trial period
  • U.S. Citizenship is required
  • Selective Service Registration is required for males born after 12/31/1959
  • Confidential Financial Disclosure Form required.

Successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit www.dhs.gov/E-Verify/.

Background Investigation: If you are selected for this vacancy, you must undergo a pre-employment fingerprint check and background investigation. Fingerprint results and background investigation documentation must be cleared prior to hire. After you begin your employment, your continued employment is contingent upon the outcome of a complete background investigation as determined by the sensitivity level of your position. The investigation must find that you are suitable for Federal employment in your position. If you are found not suitable, you will be terminated after you begin work. If you make a false statement in any part of your application, you may not be hired; you may be fired after you begin work; or subject to possible criminal charges. You may be subject to a credit check as a part of the background investigation process.

Qualifications

To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying.

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; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week.

BASIC REQUIREMENT(S): Health System Administration Series 0671 (opm.gov)

In addition to the Basic Requirements, you must also meet the Minimum Qualifications stated below.

GS-12 MINIMUM QUALIFICATIONS:

Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade (GS-11) level in the Federal service obtained in either the private or public sector.

Qualifying examples of specialized experience must include but is not limited to:
  1. Experience processing medical staff credentialing requests of new medical staff providers and re-credentialing of current providers, AND;
  2. Experience advising hiring managers on credentialing and privileging processes/procedures for medical staff and providers, , AND;
  3. Experience using automated credentialing software to manage workload.
GS-13 MINIMUM QUALIFICATIONS:

Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade (GS-12) level in the Federal service obtained in either the private or public sector.

Qualifying examples of specialized experience must include but is not limited to:
  1. Experience managing medical staff credentialing and privilege of practice program functions requiring the assessment and verification of medical staff credentials, AND;
  2. Experience leading or managing medical credentialing and privilege of practice program functions; to include the development/revision of policies, draft of opinion determinations and establishment of new/updating to standardized processes and procedures, AND;
  3. Experience leveraging automated credentialing and privilege of practice systems to improve credentialing/privileging processes.
Selective Placement Factor:
In addition to the minimum requirements, the following certification is determined to be essential to perform the duties and responsibilities of a particular position. Applicants who do not meet a selective placement factor are ineligible for further consideration. Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) verification.

Time In Grade
Federal employees in the competitive service are also subject to the Time-In-Grade Requirements: Merit Promotion (status) candidates must have completed one year of service at the next lower grade level. Time-In-Grade provisions do not apply under the Excepted Service Examining Plan (ESEP).

You must meet all qualification requirements within 30 days of the closing date of the announcement.

Education

There are no education requirements.

Additional information

This position is eligible for remote work in accordance with the HHS Workplace Flexibilities policy. https://www.hhs.gov/about/agencies/asa/ohr/hr-library/990-1/index.html.

Additional selection(s) of candidates may be possible within 240 days from the date the certificate of eligibles was issued for this announcement.

Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. IHS may offer newly-appointed Federal employees credit for their directly related previous non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave.

This position is covered by a Bargaining Unit.

This position has promotion potential to the GS-12 grade level. Promotion to the next grade level is at management's discretion and is based on your demonstrated ability to perform the higher level duties, the continuing need for the higher level duties, and "Regulatory/Administrative" approval. Promotion to the next higher grade level is not guaranteed and no promise of promotion is implied.

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Date Posted

06/08/2024

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