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Job description

Duties include but are not limited to the following:

• Identify/present to leadership the resources necessary for accomplishing the mission and/or function of the facility's Credentialing and Privileging program.
• Demonstrate expertise in utilization of the VetPro credentialing system including knowledge of the credentialing and privileging process, documentation of primary source verifications, and how to audit credentialing files and/or reporting functions.
• Identify developmental and training needs of employees; provide or arrange for needed development and training; advocate to leadership and/or program officials for training resources.
• Utilize cost-effectiveness, cost-benefit, and cost-utility analyses in programmatic prioritization and/or decision making.
• Conduct supervisory reviews of completed tasks, present information, and make recommendations on how to improve.
• Develop statistical, graphical, and narrative reports justifying training or changes in processes to improve systems effectiveness/efficiency and/or customer service quality.
• Determine appropriate actions, including those resulting from VISN and local level reviews, initial and recredentialing processes, reporting and data trends, identify issues that require further review, electronic credentialing database and/or clinical privilege maintenance.
• Monitor and audit the VAMC C&P program utilizing VetPro reports, mandatory auditing and reporting tools.
• Ensure national level reporting requirements are accurately completed, quarterly security reports, quarterly accuracy certification of the Our Provider's website, and accuracy of the VA/DoD shared provider registry.
• Ensure mandatory reviews and recommendations are documented in the electronic credentialing database; manage facility accounts; ensure appointed licensed providers maintain an active enrollment.
• Ensure information accuracy; review credentialing files for inaccuracies; manage troubleshooting efforts; take corrective actions; and conduct quarterly reviews and/or certifications.
• Manage enrollments, single queries and re-enrollments; prepare and submitting reports for adverse privileging actions.
• Utilize systems-thinking to collaborate with teams and implement process changes which align with guidance to improve the efficiency and effectiveness of Credentialing, Privileging, and Professional Practice Evaluation processes.

Please apply at USA JOBS:

https://www.usajobs.gov/GetJob/ViewDetails/729140200

Job Type: Full-time

Pay: $95,905.00 - $124,677.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Parental leave
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Ability to commute/relocate:

• Long Beach, CA 90822: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Microsoft Office: 1 year (Preferred)
• Microsoft Word: 1 year (Preferred)

Work Location: In person

Apply Here