Lead Credentialing Specialist (O-6 Billet) Supervisory

PHYSICAL DEMANDS: Must be able to perform duties in a fast-paced environment without physical limitations. Sitting and/or standing for extended periods of time (6-8 hours). Performing repeated bending motion. Average manual dexterity for computer operation. Phone/laptop use for telephonic/virtual meetings for extended periods of time.

DUTIES AND RESPONSIBILITIES: Provides direct supervision for the Credentialing Specialists responsible for processing credentialing for providers serving IHSC detained aliens in IHSC facilities, including:a. Assigning and balancing credentialing caseload based on workload, complexity, and deadlines;b. Completing performance evaluations and providing regular performance feedback as required by agency and USPHS policy;c.

Approving reasonable leave requests independently, referring non-routine requests - such as extended absences, leave requests during high volume periods, or requests that leave the unit without adequate coverage - to the Deputy Chief for concurrence, and managing unit-level staffing coverage;d. Initiating or recommending corrective/disciplinary action in coordination with the Deputy Chief, and Chief as needed, when performance or conduct issues arise;e.

Supporting recruitment, on-boarding, and on-the-job training of new Credentialing Specialists;f. Promoting a collaborative, accountable team environment across the unit. Quality and compliance duties include:a. Reviewing credentialing and privileging files for completeness and accuracy prior to submission or escalation;b. Ensuring unit-level compliance with agency and unit policies and practices, national credentialing and privileging standards, and regulatory authorities;c.

Identifying recurring errors or process gaps and directing corrective action or SOP updates;d. Coordinating with the Health Systems Specialist on findings from the independent QI audit and ensuring unit-level corrective actions are completed and documented. Reporting and coordination duties include:a. Consolidating weekly status (aging files, error rates, backlog, throughput)into a single roll-up report for the Deputy Chief;b.

Escalating exceptions - at risk tasks/turnaround, denied or flagged credentials, complaints, or compliance risks - to the Deputy Chief in a timely manner;c. Coordinating with the Program Analyst on credentialing tracking-system issues, data integrity, and technical support needs affecting unit operations;d. Representing unit-level interests in planning discussions and providing input on policy, staffing, and process changes;e.

Providing regular briefings on unit performance to the Deputy Chief and, as requested, the Chief. Maintains subject-matter proficiency in credentialing and privileging practice, including provider licensure verification, primary source verification, practice agreements, and peer review processes, in order to provide accurate technical guidance and direction to unit staff.

Supports ICPU Deputy Chief correspondence and collaborates with internal and external stakeholders, serving as subject matter expert to provide guidance, insight, and support on credentialing and privileging matters, ensuring inquiries are addressed accurately and in a timely manner. Performs credentialing and privileging tasks directly, as needed, to support unit workload, cover staffing gaps, and ensure continuity of operations.

Applies supervisory principles and practices to plan, assign, and evaluate the work of subordinate Credentialing Specialists, ensuring equitable distribution of workload and consistent application of unit standards. Duties may be adjusted or reassigned to support ICPU and IHSC as unit workload and structure evolves.