Supervisory Credentialing and Privileging Specialist

Quick Facts

• Role: Supervisory Credentialing and Privileging (C&P) Specialist

• Focus: Lead the VAMC C&P program and serve as senior technical advisor/liaison to VISN C&P leadership

Description

Oversee and provide senior technical guidance for the VAMC credentialing and privileging (C&P) program, partnering with local and VISN leadership to implement best practices and ensure program compliance. Manage C&P staff, set priorities, ensure training, and complete second-level reviews including recredentialing and primary source verification. Lead quality assurance, risk management, audits, reporting, and medical staff bylaws/policy updates, while supporting compliance with VA/VHA requirements and TJC standards.

Responsibilities

• Identify and present resources needed to accomplish the facility’s C&P mission and program functions

• Supervise all C&P employees; plan work, manage staffing needs, and set short- and long-term priorities

• Develop/interpret performance standards; evaluate staff performance mid-year and annually; provide feedback

• Advise local leadership and C&P staff on C&P scope of practice, MOUs, VA/VHA requirements, Handbooks, Directives, Policies, TJC standards, quality assurance, and risk/malpractice evaluations

• Perform actions for initial credentialing and recredentialing, including primary source verification

• Analyze program audit results; interpret quarterly report card data and provider credentialing requirements

• Draft and update Medical Staff Bylaws; interpret and explain new regulatory and VHA requirements

• Ensure program compliance and monitor National Practitioner Databank reporting/queries

• Prepare Federal and State medical board reports; track state licensing board reporting; manage VetPro access and training

• Support Joint Commission surveys and OIG/GAO reviews; communicate telehealth provider credentialing requirements

Benefits

A comprehensive federal employee benefits package (eligibility depends on position type).