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Indian Health Service Credentialing Specialist in Billings, Montana

Summary This position is located in the Office of Quality Management, Centralized Credentialing Verification Office, Billings Area Indian Health Service. The incumbent reports to the Supervisory Credentialing Specialist. Join our team of health care professionals committed to improving the quality of health care delivery against the stunning backdrop of the Rocky Mountains' snowcapped peaks and sweeping vistas of the Great Plains in Billings, Montana Area! Responsibilities Perform overall credentialing and privileging function by verifying the providers credentials and preparing the documents for review by the appropriate staff ensuring compliance is maintained. Conduct primary source verification following specific rules, requirements, policies that meet the organization's Medical Staff Bylaws, accreditation, CMS, rules and regulations; review and verify that the information provided by the applicant is true, accurate, meets the established requirements and resolve all discrepancies. Facilitate medical staff and governing body meetings and minutes. Maintain up to date credentialing documents in the credentialing software system at all times to ensure compliance. Survey readiness. Requirements Conditions of Employment Selectee may be subject to a probationary/trial period ESEP appointees typically serve a two year trial period U.S. Citizenship is required Selective Service Registration is required for males born after 12/31/1959 This is a designated position covered by Public Law 101-630, requiring contact or control over Indian children. Due to this requirement, the agency must ensure that persons hired for these positions have not been found guilty of or pleaded nolo contendere or guilty to certain crimes. Measles and Rubella immunization required for selectees born after 1957 and seasonal influenza immunization is required for all staff working in Indian Health Service health care facilities. COVID-19 vaccination is required for all selectees prior to entrance on duty. Successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit www.dhs.gov/E-Verify/. You will need to set up direct deposit so we can pay you. Background Investigation: If you are selected for this vacancy, you must undergo a pre-employment fingerprint check and background investigation. Fingerprint results and background investigation documentation must be cleared prior to hire. After you begin your employment, your continued employment is contingent upon the outcome of a complete background investigation as determined by the sensitivity level of your position. The investigation must find that you are suitable for Federal employment in your position. If you are found not suitable, you will be terminated after you begin work. If you make a false statement in any part of your application, you may not be hired; you may be fired after you begin work; or subject to possible criminal charges. You may be subject to a credit check as a part of the background investigation process. Qualifications To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying. 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; spiritual; community; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week. MINIMUM QUALIFICATIONS: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: GS-7: 1 full year of graduate level education or superior academic achievement or 1 year of specialized experience equivalent to at least GS-5. Examples of specialized experience for this grade level include: Application of pertinent laws, regulations, policies and precedents, agency handbooks, directives, memos, notices, and local medical center procedures related to the principles, practices and program goals of the credentialing program; Manages provider applications (initial) for credentialing within a healthcare facility. Apply knowledge of medical specialties; Conduct verification through databanks, online licensure verification sites. Prepare emails, letters, and reports; Use software applications such as word processing and data bases and internet database applications for data entry, file maintenance and data retrieval. GS-9: Master's or equivalent graduate degree or 2 full years of progressively higher level graduate education leading to such a degree or LL.B. or J.D., if related or 1 year of specialized experience equivalent to at least GS-7. Examples of specialized experience for this grade level include: Application of complex pertinent laws, regulations, policies and precedents, agency handbooks, directives, memos, notices, and local medical center procedures related to the principles, practices and program goals of the credentialing program; Receives and reviews correspondence and communications for the credentials function and determines which items require immediate attention and which are confidential in nature. Develops and provides routine and special reports. Composes correspondence requiring higher level signatures for credentialing actions. Maintains local requirement files and records pertaining to the credentialing process. Provides quality control checks on data. Time In Grade Federal employees in the competitive service are also subject to the Time-In-Grade Requirements: Merit Promotion (status) candidates must have completed one year of service at the next lower grade level. Time-In-Grade provisions do not apply under the Excepted Service Examining Plan (ESEP). You must meet all qualification requirements within 30 days of the closing date of the announcement. Education This position has an education requirement. You are strongly encouraged to submit a copy of your transcripts or a list of your courses including titles, credit hours completed, and grades. Unofficial transcripts will be accepted in the application package. Official transcripts will be required from all selectees prior to receiving an official offer. Only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education may be credited. Applicants can verify accreditation at the following website: https://www.ed.gov/accreditation. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit https://sites.ed.gov/international/recognition-of-foreign-qualifications/. Additional Information Per IHS policy (SGM 21-04) IHS selectees to positions located in Federally operated hospitals, health centers, and clinics must be fully vaccinated for COVID-19 before entry on duty or have IHS approve a medical or religious exemption. If an exemption is approved then wearing a face mask and regular testing for COVID-19 will be required. Your Human Resources Specialist will provide a list of documents acceptable as vaccination proof and instructions on how to submit your vaccination documentation or how to request a medical or religious exemption, if needed. This position is eligible for workplace flexibilities which may include remote work or telework options, and/or flexible work scheduling. These flexibilities may be requested in accordance with the HHS Workplace Flexibilities policy. https://www.hhs.gov/about/agencies/asa/ohr/hr-library/990-1/index.html. Additional selection(s) of candidates may be possible within 240 days from the date the certificate of eligibles was issued for this announcement. Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. IHS may offer newly-appointed Federal employees credit for their directly related previous non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. This position is covered by a Bargaining Unit. This position has promotion potential to the GS-09 grade level. Promotion to the next grade level is at management's discretion and is based on your demonstrated ability to perform the higher level duties, the continuing need for the higher level duties, and "Regulatory/Administrative" approval. Promotion to the next higher grade level is not guaranteed and no promise of promotion is implied.

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