Summary
Responsible for daily credentialing operations within ICPU. Serves as first-line supervisor for Credentialing Specialists, managing workload, performance, quality review, compliance, reporting, training, and stakeholder coordination to ensure timely, accurate credentialing and privileging for providers serving IHSC detained aliens. This position is only open to USPHS officers who are currently IHSC employees. USPHS Call to Active Duty (CAD) candidates are not eligible for this position.
Duties
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.
Education
REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES: Minimum three years of credentialing or privileging experience, preferably within a healthcare, correctional healthcare, or managed-care setting. Minimum two years of supervisory or team-lead experience, with demonstrated ability to manage staff performance, workload distribution, and conflict resolution. Working knowledge of credentialing standards and practices (e.g., NAMSS, NCQA, or Joint Commission credentialing standards); CPCS certification required, or must be obtained within two years of onboarding to the position. Demonstrated evidence of leadership skills and the ability to build and maintain a collaborative, accountable team environment across the unit. Strong written and verbal communication skills; ability to clearly convey procedural guidance, performance expectations, and status updates to both unit staff and leadership. Demonstrated attention to detail and accuracy in file review, with the ability to identify errors, gaps, or compliance risks before escalation. Ability to train, mentor, and develop Credentialing Specialists, including staff at varying experience levels. Ability to maintain confidentiality of sensitive provider and personnel information; exercises judgment and discretion in handling and disseminating information. Intermediate to advanced knowledge of credentialing tracking systems/databases and MS Office applications; SharePoint proficiency preferred. Ability to work collaboratively with the Health Systems Specialist, Program Analyst, and Deputy Chief as part of the unit's oversight structure. Follows supervisory
How you will be evaluated
We will review your resume and supporting documentation to ensure you meet the minimum qualification requirements. You may be selected for an interview at the hiring authority's discretion. You will be notified of selection or non-selection.