Credentialing & Privileging Manager

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 11/09/2026. 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-11 position you must have served 52 weeks at the GS-9. 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-9 in the normal line of progression for the occupation in the organization.

Examples of specialized experience would typically include, but are not limited to: serve as senior technical advisor and primary consultant on credentialing and privileging matters; oversee and review credentialing and privileging activities; analyze program data, audit findings, and regulatory requirements; quality and compliance oversight; prepare and present credentialing and privileging information, findings, recommendations to facility leadership and committees.

OR, Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have a Ph.D. or equivalent doctoral degree or 3 full years of progressively higher level graduate education leading to such a degree or LL.M., if related. OR, Combination: Applicants may also combine education and experience to qualify at this level. You must have a combination of specialized experience and higher level graduate education.

01Preferred Experience

Supervisory experience to include performance reviews and staff training. Two years of VHA Credentialing and Privileging processes. Quality and compliance oversight. Knowledge of principles and practices supporting an effective C&P program. Experience with OPPE and FPPE review, monitoring and compliance reporting. Knowledge of Human Resource processes and regulations related to C&P. One year of office administrative or credentialing experience.

Proficiency with Microsoft Excel, Adobe, and other standard office software applications. Strong organizational skill and experience supporting accreditation activities. Knowledge of applicable JC, OIG, VHA, and regulatory requirements. 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/.

Duties include but are not limited to: Provides direct technical and administrative supervision to C&P employees by planning and assigning work, establishing priorities, assessing staffing needs, evaluating performance, providing feedback and counseling, approving leave, addressing employee issues, and participating in recruitment and selection actions.

Serves as the facility's senior technical advisor and primary consultant on credentialing and privileging matters, providing authoritative guidance to facility leadership, Service Chiefs, providers, C&P staff, Human Resources, and other stakeholders regarding C&P requirements, policies, regulations, and standards.

Oversees and reviews credentialing and privileging activities, including initial and recredentialing actions, clinical privileges and scopes of practice, FPPE/OPPE, adverse privileging actions, malpractice and risk-management matters, primary-source verification, and related committee actions.

Monitors and audits the facility C&P Program using VetPro and other mandatory reporting and auditing tools to ensure compliance, data accuracy, timely completion of required actions, and adherence to national, VISN, regulatory, and accreditation requirements.

Analyzes program data, audit findings, report cards, trends, vulnerabilities, and regulatory requirements; develops recommendations, corrective-action plans, risk-mitigation strategies, and process improvements to enhance C&P program effectiveness and compliance. Prepares and presents C&P information, findings, trends, recommendations, and required reports to facility leadership and committees, including the Medical Executive Committee and other quality, safety, and health care delivery committees.

Coordinates and represents the C&P Program with Human Resources, Service Chiefs, VISN leadership, regulatory and accrediting organizations, internal and external auditors, Office of General Counsel, Contracting, telehealth staff, licensing boards, and other internal and external stakeholders. Identifies staff developmental and training needs; provides or arranges training, mentoring, coaching, and succession-planning activities to maintain staff proficiency and support effective C&P program operations.

Administers facility-level C&P accounts and reporting functions, including NPDB, Federation of State Medical Boards, Our Providers, VetPro access and certification activities; ensures required queries, adverse-action reports, enrollments, reviews, certifications, and corrective actions are completed accurately and timely. Work Schedule: 8am-4:30pm (Monday thru Friday) Virtual: This is not a virtual position.

Position Description/PD#: Credentialing & Privileging Manager/PD500520 Relocation/Recruitment Incentives: Not authorized. Critical Skills Incentive (CSI): Not approved. Permanent Change of Station (PCS): Not authorized.