Lead Health System Specialist (Credentialing and Privileging)

The Lead Health System Specialist is assigned to the Credentialing and Privileging (C&P) Office, which is aligned to the Chief of Staff at the VA Connecticut Medical Center (VAMC) in West Haven, CT. The incumbent is responsible for providing lead administrative, consulting, technical direction and support to the C&P Specialists, C&P Manager and to program operations. PRINCIPALES MISSIONS : Health System Specialist GS-0671-11 Serve as the lead C&P specialist providing oversight and input regarding compliance with VHA policies, directives, memos, notices, The Joint Commission (T JC) standards, recommendations by the Office of Inspector General (OIG) and Government Accountability Office (GAO) and other internal or external auditors and reviewers as appropriate. The incumbent performs a variety of C&P duties in an extremely complex VAMC or Healthcare System (HCS) environment which is constantly evolving. Major duties include, but are not limited to: Serves as lead specialist over a group of C&P Specialists. Considered a subject matter expert to providers and service chiefs regarding routine and complex matters related to C&P including provider competence for the ongoing provider practice evaluation (OPPE) and focused provider practice evaluation (FPPE). Assists the Manager with outlining the VAMC C&P Program goals and objectives, identifies risks, ensures training and education, and completes second level reviews as appropriate. Consultant to the C&P Office Specialists, VAMC Leadership and the VISN C&P Officer when the C&P Manager is absent. Collecting relevant data and making informed decisions to ensure qualified health care professionals are providing appropriate care in appropriate settings. Responsible for assigning, monitoring, and reviewing the work performed by subordinate team members. Identifies, distributes, and balances workload and tasks among employees in accordance with established workflow and skill level. Trains team members in methods and techniques of technical skills and team building and working in teams to accomplish tasks/projects. Coordinates the preparation, presentation, and communication of work-related information to the supervisor. Maintains reference materials, files and relevant background documents and makes available policies, procedures, and written instructions from the C&P manager. First level point of contact for the offices specialists by providing high-level consultation advice and guidance and serves as a first level diffuser in difficult situations. Provides input towards performance appraisals, coordinates work priorities set by the C&P manager, and gives advice, counsel, or instruction to employees on both work and administrative matters. Develops and presents technical briefings and changes or updates regarding C&P policies and standard operating procedures (SOP) to staff and others, as required. Provides oversight and is the point of contact of non-supervisory functions and responsibilities. Applies knowledge of C&P directives, memos and SOPs, requirements of C&P processes, and overall C&P management practices. Performs reporting and data monitoring in the following areas: initial and ongoing credentialers training and education, Our Providers' database certifications, VetPro quarterly reports, telehealth provider tracking system, weekly C&P report cards, VetPro Security and Privacy compliance. Conducts/oversees internal controls and audits; provider time-limited credentials; provider C&P privileging folders; VetPro incident reporting, VetPro help desk tickets reviews and concurrence; purchase card program and reconciliations, telehealth provider compliance and documentation of all actions related to C&P in Committee Minutes. Provides consultation in the following areas: FPPE and OPPE; actions indicated by the Medical Executive Committee, and if applicable, the Credentials professional education and training; licensure, board certification, possible omissions and inconsistencies; data

Salaire : $88,005 – $114,413/Per Year | Avantages : http://www.vacareers.va.gov/why-choose-va/benefits/index.asp

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