Summary This position serves as a Credentialing Technician who is responsible for the management of all aspects of the credentialing and privileging program for the medical staff of the Pine Ridge Service Unit. The position reports to the Medical Staff Coordinator. Responsibilities Provides completed information packages for committee review. Initiates and processes application for medical staff membership and clinical privileges. Coordinates medical staff information and privileging for Pine Ridge Service Unit. Review findings of internal and external administrative reviews and audits. Interprets and analyzes reports to modify or correct operations which are necessary to maintain compliance. 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 This announcement is being re-advertised as Open Until Filled in order to solicit additional applications. Applicants who previously applied, need not reapply unless they would like to update their application. Applications should be submitted ASAP to ensure you will be considered for this position. The first "cut-off" for review of applications will be 10 working days from the opening date, which is 08/28/2024, and every 10 working days thereafter unless the position has already been filled before the next cut-off date. 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 the following education and/or experience as outlined below for the grade level(s) you are applying to. Any specialized experience must be equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the tasks as identified. GS-05: One (1) year of specialized experience equivalent to at least the GS-04 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Performing administrative support functions using automated data systems and a variety of software packages to accomplish a wide range of duties in coordinating medical staff information and privileging for the medical facility; initiates and processes applications for medical staff membership and clinical privileges; initiates background research on all applicants; uses computer software programs to manage medical staff credentialing and privileging processes. Observes and enforces privacy and confidentiality regulations and laws in a health care setting. Or four (4) years of education above high school. Or a combination of education and experience that when combined fully meet the minimum qualifications for the position. Only education in excess of the first 60 semester hours is creditable toward meeting the specialized experience requirement. GS-06: One (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Interpreting and applying provider credentialing and privileging procedures and regulations; processing documents related to medical credentialing and privileging activities; reviewing records for completeness and to obtain data to verify privileging qualifications/education; using computer database and software to enter, manipulate, retrieve and report on medical credentialing and privileging activities; compiling, abstracting and analyzing credentialing data; and providing medical credentialing and privileging guidance to staff as necessary. Observes and enforces privacy and confidentiality regulations and laws in a health care setting. GS-07: One (1) year of specialized experience equivalent to at least the GS-06 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Independently being responsible for the effective, accurate, and timely management of healthcare professional applications for credentialing and privileging determinations in accordance with federal, state, and department procedures; monitors and follows up on status of applications; assists with background investigations; validates discrepancies; and maintains effective relationships with providers; compiles and maintains a variety of reports and files; administers regulatory compliance and quality assurance for all medical and professional staff. Observes and enforces privacy and confidentiality regulations and laws in a health care setting. 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 respective cut-off date for application review. Education You may qualify with education for the GS-05. 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-07 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.