Program Specialist
The incumbent works independently and has multiple responsibilities with varying degrees of complexity, which require:
knowledge of Joint Commission on the Accreditation of Hospitals (TJC) Standards, the medical By-Laws, and VHA credentialing and privileging (C&P) requirements for processing of initial and renewal packets and scopes of practice; application of the compliance knowledge in the risk analysis of documents submitted for the C&P process and information obtained from mandated queries. The incumbent works in support of the Medical Staff Coordinator, enabling him/her to administer the medical staff program at the SFVAMC. TJC Standards, VHA Directives and the VHA Patient Safety Program, plus heightened attention by the public sector, requires quality credentialing involving an investigative process that analyzes and verifies multiple data points entered by providers into the VetPro electronic credentialing system. The incumbent serves as a Program Specialist in the Medical Staff Office, which is responsible for ensuring compliance with Credentialing and Privileging (C&P) requirements of the Department of Veterans Affairs, the medical By-Laws, the Joint Commission on Accreditation of Healthcare Organizations (TJC), and the National Committee for Quality Assurance (NCQA). Incumbent's duties include but are not limited to:
screening the applicant's required forms and documents for compliance with VHA regulations, the medical By-Laws, and TJC standards. investigate and prevent fraudulent data as well as assisting in the completion of the documents necessary to credential and privilege the individual. conduct ongoing risk analysis which looks for inconsistencies in the provider's work and personal history, licensure discrepancies, malpractice events, adverse actions, criminal violations, etc. analyzes all malpractice events, judgments and/or settlements. completes primary source verification of all current and past state licenses and drug enforcement certification, various education (medical, dental, podiatric, optometric, nursing and psychology degrees, etc.), various training (internship, residency, fellowships, advanced degrees, educational commission for foreign medical graduates, etc.), allegations of malpractice, continuing medical education, board ce1iifications, current and past privileges at other medical facilities. completes mandated National Practitioner Data Bank, and Federation of State Medical Boards screening prior to presentation of the practitioner to the Physician's Professional Standards Board and Medical Executive Board meetings. ensure credentialing and privileging packets are completed and processed in a timely manner. prepares official board action for review and approval of the Physician's Professional Standards Board, Chief, HRMS, Chief of Staff, and Director. coordinates credentialing and privileging matters and works closely with Administrator Officers within various services. updates privileging databases and on a monthly basis, to ensure that reappointment of current privileges are timely. independently provides statistical support via the preparation of a Medical Staff Office spreadsheet with corresponding analysis. serves as purchasing agent for credit card transactions and maintains tickler file for all credit card bills processed. Work Schedule:
Monday - Friday, 8:
00 a.m. - 4:
30 p.m. Telework:
Not Available Virtual:
This is not a virtual position. Position Description/PD#:
Program Specialist/PD08834A Relocation/Recruitment Incentives:
Not Authorized Financial Disclosure Report:
Not required To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 11/27/2020. 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-9 position you must have served 52 weeks at the GS-7. 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 for GS-9:
You must have one year of specialized experience equivalent to at least the next lower grade GS-7 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 of clinical credentialing and privileging requirements; organizing and retrieving information, correspondence and numerical data for use in reports and briefings; using office automation software (e.g., Microsoft Word, Outlook (e-mail), Excel, and PowerPoint); ability to interpret procedures, policies and regulations of a medical facility. OR, Education:
Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have have successfully completed a master's or equivalent graduate degree, or 2 full years of progressively higher level graduate education leading to such a degree, or an LL.B. or J.D. in a related field that demonstrates the knowledge, skills, and abilities necessary to do the work of this position. OR, Combination:
Applicants may also combine education and experience to qualify at this level. You must have equivalent combinations of successfully completed graduate level education (in excess of the first year or 18 semester hours) and specialized experience to meet total experience requirements. You will be rated on the following Competencies for this position:
CommunicationsComplianceComputer SkillsCustomer ServiceLearningProblem Solving 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 generally performed in an office, which is adequately lighted, heated and ventilated. 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/.
Estimated Salary: $20 to $28 per hour based on qualifications.
knowledge of Joint Commission on the Accreditation of Hospitals (TJC) Standards, the medical By-Laws, and VHA credentialing and privileging (C&P) requirements for processing of initial and renewal packets and scopes of practice; application of the compliance knowledge in the risk analysis of documents submitted for the C&P process and information obtained from mandated queries. The incumbent works in support of the Medical Staff Coordinator, enabling him/her to administer the medical staff program at the SFVAMC. TJC Standards, VHA Directives and the VHA Patient Safety Program, plus heightened attention by the public sector, requires quality credentialing involving an investigative process that analyzes and verifies multiple data points entered by providers into the VetPro electronic credentialing system. The incumbent serves as a Program Specialist in the Medical Staff Office, which is responsible for ensuring compliance with Credentialing and Privileging (C&P) requirements of the Department of Veterans Affairs, the medical By-Laws, the Joint Commission on Accreditation of Healthcare Organizations (TJC), and the National Committee for Quality Assurance (NCQA). Incumbent's duties include but are not limited to:
screening the applicant's required forms and documents for compliance with VHA regulations, the medical By-Laws, and TJC standards. investigate and prevent fraudulent data as well as assisting in the completion of the documents necessary to credential and privilege the individual. conduct ongoing risk analysis which looks for inconsistencies in the provider's work and personal history, licensure discrepancies, malpractice events, adverse actions, criminal violations, etc. analyzes all malpractice events, judgments and/or settlements. completes primary source verification of all current and past state licenses and drug enforcement certification, various education (medical, dental, podiatric, optometric, nursing and psychology degrees, etc.), various training (internship, residency, fellowships, advanced degrees, educational commission for foreign medical graduates, etc.), allegations of malpractice, continuing medical education, board ce1iifications, current and past privileges at other medical facilities. completes mandated National Practitioner Data Bank, and Federation of State Medical Boards screening prior to presentation of the practitioner to the Physician's Professional Standards Board and Medical Executive Board meetings. ensure credentialing and privileging packets are completed and processed in a timely manner. prepares official board action for review and approval of the Physician's Professional Standards Board, Chief, HRMS, Chief of Staff, and Director. coordinates credentialing and privileging matters and works closely with Administrator Officers within various services. updates privileging databases and on a monthly basis, to ensure that reappointment of current privileges are timely. independently provides statistical support via the preparation of a Medical Staff Office spreadsheet with corresponding analysis. serves as purchasing agent for credit card transactions and maintains tickler file for all credit card bills processed. Work Schedule:
Monday - Friday, 8:
00 a.m. - 4:
30 p.m. Telework:
Not Available Virtual:
This is not a virtual position. Position Description/PD#:
Program Specialist/PD08834A Relocation/Recruitment Incentives:
Not Authorized Financial Disclosure Report:
Not required To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 11/27/2020. 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-9 position you must have served 52 weeks at the GS-7. 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 for GS-9:
You must have one year of specialized experience equivalent to at least the next lower grade GS-7 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 of clinical credentialing and privileging requirements; organizing and retrieving information, correspondence and numerical data for use in reports and briefings; using office automation software (e.g., Microsoft Word, Outlook (e-mail), Excel, and PowerPoint); ability to interpret procedures, policies and regulations of a medical facility. OR, Education:
Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have have successfully completed a master's or equivalent graduate degree, or 2 full years of progressively higher level graduate education leading to such a degree, or an LL.B. or J.D. in a related field that demonstrates the knowledge, skills, and abilities necessary to do the work of this position. OR, Combination:
Applicants may also combine education and experience to qualify at this level. You must have equivalent combinations of successfully completed graduate level education (in excess of the first year or 18 semester hours) and specialized experience to meet total experience requirements. You will be rated on the following Competencies for this position:
CommunicationsComplianceComputer SkillsCustomer ServiceLearningProblem Solving 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 generally performed in an office, which is adequately lighted, heated and ventilated. 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/.
- Department:
0301 Miscellaneous Administration And Program - Salary Range:
$64,535 to $83,897 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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