CREDENTIALS PROGRAM SPECIALIST

Full Job Description

About the Position: The incumbent will serve as a Credentials Program Specialist Patuxent River Naval Health Clinic. Hours of Work: Regular duty hours are Monday through Friday, 0730-1630.

The clinic is closed on federal holidays and weekends. Who May Apply: Only applicants who meet one of the employment authority categories below are eligible to apply for this job.

You will be asked to identify which category or categories you meet, and to provide documents which prove you meet the category or categories you selected.

30 Percent or More Disabled Veterans Current Civilian Employees of the Defense Health Agency (DHA) Current Department of Army Civilian Employees Current Department of Defense (DOD) Civilian Employee (non-Army) Current Permanent Department of Defense (DoD) Civilian Employee Domestic Defense Industrial Base/Major Range and Test Facilities Base Civilian Personnel Workforce Executive Order (E.O.) 12721 Interagency Career Transition Assistance Plan Land Management Workforce Flexibility Act Military Spouses, under Executive Order (E.O.) 13473 Non-Appropriated Fund Instrumentality (NAFI) Non-Department of Defense (DoD) Transfer Office of Personnel Management (OPM) Interchange Agreement Eligible People with Disabilities, Schedule A Priority Placement Program, DoD Military Reserve (MR) and National Guard (NG) Technician Eligible Priority Placement Program, DoD Military Spouse Preference (MSP) Eligible Priority Placement Program, DoD MR and NG Preference Eligible Tech Receiving Disability Retirement Priority Placement Program, DoD Retained Grade Preference Eligible Reinstatement Veterans Employment Opportunity Act (VEOA) of 1998 Veterans Recruitment Appointment (VRA) In order to qualify, you must meet there education and/or 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 I have one year of specialized experience equivalent to the GS-07 grade level in the Federal service which includes: 1) Ensuring providers credentialing and privileging requirements are in compliance with established criteria , 2) Serves as Subject Matter Expert in field of Credentials and Clinical Privileging , and 3) Verifying the authenticity of source documents.

This definition of specialized experience is typical of work performed at the second lower grade/level position in the federal service (GS-07).

OR Education: Master's or equivalent graduate degree or 2 full years of progressively higher level graduate education leading to such a degree or LL.B. or J.D.

in a field which demonstrates the knowledge, skills, and abilities necessary to do the work of the position, such as: Health Care Management or Health Care Administration (Note: You must attach a copy of your transcripts.).

OR Combination of Education and Experience: A combination of education and experience may be used to qualify for this position as long as the computed percentage of the requirements is at least 100%.

To compute the percentage of the requirements, divide your total months of experience by 12.

Then divide the total number of completed graduate semester hours (or equivalent) beyond the first year (total graduate semester hours minus 18) by 18. Add the two percentages.

(Note: You must attach a copy of your transcripts.) You will be evaluated on the basis of your level of competency in the following areas: Attention to Detail Customer Service Decision Making Flexibility Integrity/Honesty Interpersonal Skills Learning Reading Comprehension Reasoning Self-Management Stress Tolerance Teamwork Major Duties:

• Ensure providers’ credentialing requirements are in compliance with established criteria.
• Provide guidance to clinic staff in completing required documentation of establishing privileges for healthcare providers.
• Establish and maintain a Practitioner Credentials file.
• Verify the authenticity of source documents.
• Assist the Performance Improvement (PI) Coordinator in developing short- and long-term goals necessary to accomplish mission of credentialing.
• Provide ongoing review of regulatory requirements.
• Identify resources necessary for accomplishing mission and function of credentials and privileging program.
• Prepare agendas, slides, and meeting minutes for Medical Executive Committee (MEC) and credentials related meetings.
• Process the application for delineated clinical privileges either in paper format or Centralized Credentials Quality Assurance System (CCQAS) Electronic Format.