Clarification from the agency

Open to current permanent employees of the Veterans Health Administration (VHA). VISN 9 VHA employees will be given first area of consideration.

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As the SME for the VISNs C&P program, the incumbent is responsible for overseeing, analyzing, and improving programs relating to C&P program functions at all VAMCs within the assigned VISN. The C&P Officer provides oversight reports, consultation, guidance, and monitoring of facility programs. Also advises, compiles, analyzes, and synthesizes VISN C&P program performance data to identify strengths, weaknesses, and improvement opportunities, and other duties as assigned.
Work of the C&P Officer includes, but is not limited to:

• Serving as the VISN's expert on the C&P program
• Performing as the VISN Subject Matter Expert (SME) on the following topics, including, but not limited to:
• Credentialing of licensed independent practitioners (LIP) and non-LIPs;
• Privileging and privileging related matters including focused and ongoing professional practice; Adverse privileging actions; Reporting to the National Practitioner Data Bank (NPDB). Reporting to State Licensing Boards (SLB); Serving as primary contact/ liaison for the VHA Medical Staff Affairs Program Office related to VISN level questions, concerns, and guidance related to facility level credentialing and privileging programs.
• Providing SME guidance to VISN and facility level leadership of all levels related to credentialing, privileging, adverse privileging actions, NPDB reporting, and SLB reporting.
• Ongoing monitoring and auditing of facility level C&P programs within the VISN utilizing VetPro reports, mandatory auditing and reporting tools, interviews, and on-site audits.
• Demonstrating expertise in utilization of the VetPro credentialing system including knowledge of the credentialing and privileging process, documentation of primary source verifications, how to audit credentialing files and reporting functions.
• Ensuring national level reporting requirements are accurately completed by medical centers within the VISN including, but not limited to, quarterly security reports, quarterly accuracy certification of the Our Provider's website, and accuracy of the V A/DoD shared provider registry.
• Reporting results from monitors and audits to VISN Leadership with action plans for corrective measures and follow-through to completion of demonstrated improvements.
• Providing regularly scheduled reports to VISN Leadership through VISN level committees (e.g. Quality, Safety and Value Committee, Healthcare Delivery Committee) outlining best practices, system improvements, areas requiring improvement, action plans for corrections, and identified trends in findings from ongoing monitoring.
• Providing education and training for VA Medical Center credentialing specialists, Chiefs of Staff, Associate Director for Patient Care Services, clinical service chiefs, human resource staff, quality managers, and others who are impacted by the credentialing and/or privileging processes.
• Completing educational audits to ensure compliance with mandatory training requirements related to, but not limited to, credentialing, privileging, reporting to NPDB, and reporting to SLBs.
• Facilitating a credentialing specialists' community of practice across the VISN;
• Serving as the first line contact with VA Medical Centers C&P Managers/program leads for C&P questions and concerns.
• Serving as the lead SME and point of contact with the VHA Medical Staff Affairs (MSA) program office for the VISN.
• Assessing, monitoring and providing follow up for issue briefs concerning C&P issues from the VISNs VA Medical Centers.
• Proactively identifying risks noted during monitoring and oversight of VA Medical Center C&P programs, developing action plans to mitigate the identified risks, and implementing the action plans with ongoing monitoring to determine success in mitigation.
• Performing on-site routine and "for-cause" program assessments of all aspects of facility level credentialing and privileging programs on behalf of the VISN CMOR. Monitoring compliance of completion of the mandatory annual self-assessment tool by VISN medical centers.
• Assesses and evaluates results from the self ­assessment tool identifying best practices, risks, and non-compliance with action plans for risk mitigation, correction of non-compliant findings, and compiling a roll-up of results to present to VISN leadership.

Work Schedule: Monday - Friday, 7:30am - 4:00pm; Subject to change to meet the needs of the Agency
Compressed/Flexible: Available at supervisory discretion
Telework: Available at supervisory discretion
Virtual: This is not a virtual position.
Position Description/PD#: VISN 9 Credentialing & Privileging Officer (HSS)/PD99873A
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
PCS Appraised Value Offer (AVO): Not Authorized

Conditions of employment

• You must be a U.S. Citizen to apply for this job
• Selective Service Registration is required for males born after 12/31/1959
• Subject to background/security investigation
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP)

As a condition of employment for accepting this position, you will be required to serve a 1-year probationary period or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:

• your performance and conduct;
• the needs and interests of the agency;
• whether your continued employment would advance organizational goals of the agency or the Government; and
• whether your continued employment would advance the efficiency of the Federal service.

Upon completion of your probationary period or trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 12/19/2025.

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-12 position you must have served 52 weeks at the GS-11. 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: You must have one year of specialized experience equivalent to at least the next lower grade GS-11 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to:
• Progressively responsible analytical or administrative, clinical management, or supervisory experience in credentialing and privileging, knowledge of credentialing and privileging rules, regulations, and standards. This work may have been performed in an operating health care facility or a higher organizational echelon with advisory or directional authority over such facilities. Work must have involved a close working relationship with facility managers and analysis and/or coordination of administrative, clinical, or other service activities, and provided knowledge of the following:
  • Missions, organizations, programs, and requirements of health care delivery systems;
  • Regulations and standards of various regulatory and credentialing groups; and
  • Government-wide, agency, and facility systems and requirements in various administrative areas such as budget, personnel, and procurement.
• Preferred Experience: Experience in Credentialing & Privileging.

You will be rated on the following Competencies for this position:
Administration and Management
Oral Communication
Leadership
Organizational Awareness
Planning and Evaluating
Compliance
Database Management Systems
Manages and Organizes Information

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 mostly sedentary. Occasionally, light physical effort may be required, such as that involved with walking, stair climbing, and carrying of light office items

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/.

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE WILL NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE.

Narrative responses are not required at this time. If you are referred for consideration, you may be asked to submit additional job related information, which may include, but not limited to; responses to the knowledge, skills and abilities; completion of a work sample, and/or contact for an interview. Your resume and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect your rating or consideration for employment.

The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.

For more information on the "Who may apply" eligibility requirements, please refer to the OHRM Status Candidates and Other Candidate Definitions document.

Placement Policy: The posting of this announcement does not obligate management to fill a vacancy or vacancies by promotion. The position may be filled by reassignment, change to lower grade, transfer, appointment, or reinstatement. Management may use any one or any combination of these methods to fill the position.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.