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Credentialing & Privileging Coordinator
Rockville, MD
Sep 19, 2024
Full Job Description

Summary

This position is located in the Department of Health and Human Services, Program Support Center, Federal Occupational Health, located in Washington, District of Columbia.

Duties

The Credentialing & Privileging Coordinator performs the following duties

  • The Credentialing and Privileging (C&P) Coordinator obtains necessary information for credentialing and privileging document process and disseminates privileging decision notifications to applicants, medical staff members, and organization stakeholders.
  • The Credentialing and Privileging Coordinator manages and preforms processes related to the preparation and processing of medical staff privileges applications and maintains and disseminates official privilege status information about FOH Medical Staff members.
  • The Credentialing and Privileging Coordinator plans and coordinates all components of the credentialing, privileging, and peer review of the
    organization's medical staff
    members.
  • The Credentialing and Privileging Coordinator performs processes in a manner that complies with federal regulations, national healthcare quality organization standards, and industry best practices.

Requirements

Conditions of Employment

  1. Security and Background Requirements: If not previously completed, a background security investigation will be required for all appointees. Appointment will be subject to the applicant's successful completion of a background security investigation and favorable adjudication. Failure to successfully meet these requirements may be grounds for appropriate personnel action. In addition, if hired, a background security reinvestigation or supplemental investigation may be required at a later time. Applicants are also advised that all information concerning qualifications is subject to investigation. False representation may be grounds for non-consideration, non-selection and/or appropriate disciplinary action.
  2. E-Verify: If you are selected for this position, the documentation that you present for purposes of completing the Department of Homeland Security (DHS) Form I-9 will be verified through the DHS "E-Verify" System. Federal law requires DHS to use the E-Verify System to verify employment eligibility of all new hires and as a condition of continued employment obligates the new hire to take affirmative steps to resolve any discrepancies identified by the system. The U.S. Department of Health and Human Services is an E-Verify participant.
  3. Direct Deposit: All Federal employees are required to have Federal salary payments made by direct deposit to a financial institution of their choice.
  4. All qualification requirements must be met by the date the announcement closes.
  5. Financial disclosure statement may be required: No
  6. Travel, transportation, and relocation expenses may be paid: No
  7. Bargaining Unit Position: Yes
  8. Drug Screening Required: No
  9. Recruitment incentives may be authorized: No
  10. Student loan repayment incentive may be authorized: Yes
  11. Annual leave for non-federal service may be authorized: Yes
  12. One year probationary period may be required.
  13. U.S. Citizenship Required: Yes
  14. Males born after December 31, 1959 must be registered or exempt from Selective Service -

Qualifications

Your resume must include detailed information as it relates to the responsibilities and specialized experience for this position. Evidence of copying and pasting directly from the vacancy announcement without clearly documenting supplemental information to describe your experience will result in an ineligible rating. This will prevent you from receiving further consideration.

Please limit your resume to 5 pages. If more than 5 pages are submitted, only the first 5 pages will be reviewed to determine your eligibility/qualifications.


Specialized Experience: GS-12: You must possess at least one year of specialized experience equivalent in difficulty and responsibility to the GS-11 level in the Federal service (obtained in either the public or private sectors) performing the following:
  • Communicating with stakeholders to obtain information and documents that are required for the privileging process.
  • Notifying stakeholders in writing regarding the status of the credentialing and privileging application.
  • Assembling packets of verified credentialing documents for privileging consideration and determination.
  • Participating in the development of various types of documents, including correspondence, process documents, and forms, that are used for credentialing and privileging medical staff in a healthcare organization.
  • Assessing program compliance with federal regulations and national health care quality organization standards.

Documenting experience: In accordance with Office of Personnel Management policy, federal employees are assumed to have gained experience by performing duties and responsibilities appropriate for their official series and grade level as described in their position description. Experience that would not normally be part of the employee's position is creditable, however, when documented by satisfactory evidence, such as a signed memorandum from the employee's supervisor or an SF-50 or SF-52 documenting an official detail or other official assignment. The documentation must indicate whether the duties were performed full time or, if part time, the "percentage of times" the other duties were performed. It is expected that this documentation is included in the employee's official personnel record. In order to receive credit for experience in your resume that is not within the official series and grade level of your official position, you must provide a copy of the appropriate documentation of such experience as indicated above.

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; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to gain employment. You will receive credit for all qualifying experience, including volunteer experience. If such experience is on a part-time basis, you must provide the average number of hours worked per week as well as the beginning and ending dates of the experience so it can be fully credited.

How You Will Be Evaluated

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

Once the application process is complete, a review of the resume and supporting documentation will be made and compared against your responses to the assessment questionnaire to determine if you are qualified for this job. If, after reviewing your resume and/or supporting documentation, a determination is made that you have inflated your qualifications and/or experience, you may lose consideration for this position. Please follow all instructions carefully. Errors or omissions may affect your eligibility. Category rating procedures will be used to rate and rank candidates. The category assignment is a measure of the degree in which your background matches the competencies required for this position. Qualified candidates will be ranked into one of three categories:

  • Best Qualified - Applicants who have experience that is almost identical to those required by the position.
  • Well Qualified - Applicants who have experience that is very similar to those required by the position.
  • Qualified - Applicants who meet minimum qualification requirements, but do not identify any additional qualifying experience or skill.
If you are found tentatively eligible for the position by HR, you may be further evaluated based on a subject matter review of your resume, a job knowledge test, a writing sample, or interview. Failure to comply with any of the additional assessment requirements will result in removal from further consideration.

Candidates in the highest category will be referred to the hiring agency.

The Category Rating Process does not add veterans' preference points but protects the rights of veterans by placing them ahead of non-preference eligibles within each category. Preference eligibles who meet the minimum qualification requirements and who have a compensable service-connected disability of at least 10 percent must be listed in the highest quality category (except in the case of scientific or professional positions at the GS-9 level or higher).

Your qualifications will be evaluated on the following competencies (knowledge, skills, abilities and other characteristics):
    • Compliance
    • Customer Service (Clerical/Technical)
    • Manages and Organizes Information
    • Planning and Evaluating
To preview the assessment questionnaire, click the following link:

Required Documents

Submission of a resume alone IS NOT a complete application. You must provide a complete online Application Package which includes:

  • Resume - Please limit your resume to 5 pages. If more than 5 pages are submitted, only the first 5 pages will be reviewed to determine your eligibility/qualifications. You must clearly articulate how your skills and experiences align to the criteria defined in the qualifications section of this announcement and it must support your responses to the assessment questionnaire. For each position you must describe your duties, accomplishments, related skills, and responsibilities. Your resume must also include the month and year that you began and ended for each position held. Full-time employment will be assumed unless otherwise stated on your resume. Part-time employment will be prorated in crediting experience. Not providing this information may result in the lowering of your assessment score or an ineligible rating. For resume writing guidance, please visit the .
  • A complete Assessment Questionnaire ()
Other Supporting Documents: (Only Submit if applicable to you)
  • SF-50 "Notification of Personnel Action" - if you are a current or former federal employee, please submit an SF-50 to clearly demonstrate one year time-in-grade as required in the announcement. If the most recent SF-50 has an effective date within the past year, it may not clearly demonstrate that you possess one year time-in-grade. In this instance, you must provide an additional SF-50 that clearly demonstrates one year time-in-grade.
  • Veterans & Military Spouses: All Veterans and Military Spouses must submit a DD Form 214 (Certificate of Release or Discharge) that has the dates of service and discharge status. In addition to those documents:
    • Disabled Veterans: must submit an official document dated 1991 or later, from the Department of Veterans Affairs or from a branch of the Armed Forces, certifying the service-connected disability rating.
    • Active Duty Members: must submit written documentation from the armed forces that certifies you are expected to be discharged or released from active duty service in the armed forces under honorable conditions not later than 120 days after the date the certification is submitted with your application package. Certifications must include: expected separation or retirement date, date terminal leave will begin (if applicable), and expected character of discharge (honorable, general, etc.).
    • Parents of Deceased or Disabled Veterans; or Widow or Widower: must submit a SF-15, Application for 10-point Veterans Preference. Please follow the instructions in the SF-15 on required documentation to be submitted.
    • Spouse of a Living Veteran: must submit a SF-15, Application for 10-point Veterans Preference, and documentation of veteran's inability to work because of a service-connected disability. Please follow the instructions in the SF-15 on required documentation to be submitted.
    • ICTAP/CTAP documentation: you must submit the following documents at the time of application:
    • To verify your eligibility, you must submit the following documents at the time of application: (1) Proof of Eligibility (Reduction-in-Force separation notice, Notice of proposed removal for failure to relocate, notice of injury compensation termination, OR notice of disability annuity termination); (2) Your latest performance rating showing a rating of at least "fully successful" (level 3); AND (3) Your most recent Notification of Personnel Action, Standard Form 50 (SF-50), or equivalent personnel action, showing your tenure, position occupied, and duty station. NOTE: Your proof of eligibility must be dated within one year of the date of your application in order to meet ICTAP eligibility.
You are not required to submit official documents at this time; copies are sufficient.

PDN-9d082b80-8af5-4383-a86d-a21a99433937
Job Information
Job Category:
Administrative and Clerical
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Credentialing & Privileging Coordinator
U.S. Department of Health & Human Services
Rockville, MD
Sep 19, 2024
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