The Henry M Jackson Foundation for the Advancement of Military Medicine, Inc Hiring for Credentials Program Specialist at Bethesda, MD  Full Time

Join the HJF Team!

The Henry M. Jackson Foundation for the Advancement of Military Medicine (HJF) is a nonprofit organization dedicated to advancing military medicine. We serve military, medical, academic and government clients by administering, managing and supporting preeminent scientific programs that benefit members of the armed forces and civilians alike. Since its founding in 1983, HJF has served as a vital link between the military medical community and its federal and private partners. HJF’s support and administrative capabilities allow military medical researchers and clinicians to maintain their scientific focus and accomplish their research goals.

HJF is seeking a Credentials Program Specialist to support the USUHS Murtha Cancer Center Research Program (MCCRP) located at Walter Reed National Military Medical Center in Bethesda (WRNMMC), Maryland. HJF provides scientific, technical and programmatic support services to MCCRP. The John P. Murtha Cancer Center at Walter Reed Bethesda is a modern, patient-centric, tri-service military healthcare facility. Its comprehensive core of military and civilian oncologists and other cancer-trained clinicians and researchers provide multidisciplinary cancer-care delivery and patient-family support services. Our Cancer Center, the only DoD Cancer Center of Excellence within the Military Health System, offers its patients access to cutting-edge cancer diagnostic and treatment technologies.

The goal of the Credential Management Program is to ensure all MCCRP personnel are in compliance with current guidelines, laws, regulations, and standards promulgated by national, state, military health system (MHS), and standard setting organizations. The incumbent serves as a Credentials Program Specialist at WRNMMC assisting the Chief of Clinical Staff Services (Credentials) with all credential needs and helping to develop short and long-term goals necessary to accomplish the mission of the credentialing and privileging program.

The incumbent assists in the management of all MCCRP credential reviews, including National Capitol Region medical provider credential files (OTSG, TMA, HRC, DTRA). Provides ongoing review of regulatory requirements, Joint Commission standards, changing laws and legal precedents. Reviews hospital regulations and makes necessary recommendations for changes to ensure compliance with current JTF/CAP MED, Department of Defense, Medical Command (MEDCOM), BUMED, and Joint Commission standards. Verifies, through applicable source, that all providers applying for clinical staff privileges possess appropriate and current qualifications to support the granting of delineated clinical staff privileges. Serves as subject matter expert in the field of credentials and clinical privileging. Keeps the command group, hospital staff, and appropriate administrative staff informed of program changes, new regulatory requirements, and policies and procedures pertaining to the credentialing and privileging process. Responsible for coordinating MCCRP actions, setting priorities, and meeting objectives or deadlines. Incumbent’s decisions or recommendations are based on the development and evaluation of information that comes from various sources. Resolves questions or problems which arise within area of responsibility.

Establishes and maintains Practitioner Credentials File (PCF) for each physician and Allied Healthcare Provider (AHCP) assigned/contracted to the MTF. Prime-source verifies documentation to include diplomas, licenses, certification, medical specialty training, board certification, continuing medical education credits, Processes the application for delineated clinical privileges either in paper format or CCQAS Electronic Format, for each physician and AHCP, through the chief/supervisor of the applicable department/service to obtain approval of the application, and ensure the granting of clearly defined, and appropriate, clinical privileges.
• Presents the completed application for privileges to the Credentials Committee for approval, and to the ACOS and the Hospital Commander for final approval. Prepares and maintains a Provider Activity File (PAF) for each privileged provider Will collect Focused or Ongoing Professional Practice Evaluation (F/OPPE) Data to house in the PAF.
• Will assist Department and Service Chiefs in preparing Defined Plans of Supervision for providers requesting privileges under supervision.
• Verifies that all privileged providers maintain a current, valid, unrestricted license in accordance with state licensing agencies, and Military Healthcare System (MHS) regulations. Ensures all privileged providers maintain current Basic Life Support (BLS) certification and specific privileged providers (i.e. EMS) maintain current Advanced Cardiac Life Support (ACLS) certification.
• Serves as a source and assistant to the Chairperson of Credentials Committee, for clinical privileging requirements, regulations, policies, and procedures for the MTF Provider Credentials/Privileging Provides forms, information, and guidance to departments/services regarding the requirements for the privileging of providers.
• Assists with development and annual review of delineated clinical privileging documents for each category of clinical provider. Submits requests, if required, for validation of credentials information from state licensing/certification agencies, specialty boards, educational institutions, and civilian and military hospitals.
• Researches and abstracts active and inactive provider files in response to a variety of requests for information on providers privileged by this Researches and reviews related literature and regulations.
• Understands current requirements in the Credentials and privileging functions as they affect health care providers (HCPs) within the hospital MEDDAC service area.
• Serves as a recorder and prepares the minutes for the monthly Credentials Committee Meeting and the monthly Provider Wellness Committee meeting. Serves as the site manager for the Centralized Credentials Quality Assurance System (CCQAS) database, assuring that all required information is entered, and required reports are submitted in a timely manner, to meet MEDCOM schedules.
• Manages the process for obtaining Drug Enforcement Agency (DEA) numbers for privileged providers, including the initial application, updating, monitoring, and transferring numbers when providers Permanent Change of Station (PCS)/ETS.
• Maintains compliance with current, applicable Medical Staff (MS) Standards related to provider privileging established by the Joint Commission.
• Maintains accountability and confidentiality of all MCCRP/practitioner credentials files (PCF), provider activity files (PAF) and training credentials files (TCF). Prepares and dispatches over own signature correspondence responding to or requesting references or verification of credentials of health care Using an automated data processing system and a variety of software packages; accomplishes a wide range of clerical, statistical, and data entry/retrieval tasks in support of administrative work.
• May perform other duties and responsibilities as assigned or directed by the supervisor. This may include attendance of and participation in required training for role.

Required Knowledge, Skills and Abilities

• Knowledge of organizational objectives, the federal budget process, office automation.
• Ability to work completely independently, use sound judgement in solving problems.
• Coordinate many complex systems and programs simultaneously.
• Knowledge of project management principles, and good communications skills.

Work Environment

• This position will take place primarily in an office setting.

Education and Experience

• Associate’s Degree
• Minimum of 3-5 years experience required

Licenses and Certifications (if applicable, enter here; if not, delete)

• May require National Certified Provider Credentialing Specialist (NCPCS) certification.

Some positions or sites may require that the incumbent be fully vaccinated against COVID-19. Proof of vaccination may be required.

Employment with HJF is contingent upon successful completion of a background check, which may include, but is not limited to, contacting your professional references, verification of previous employment, education and credentials, a criminal background check, and a department of motor vehicle (DMV) check if applicable.Any qualifications to be considered as equivalents, in lieu of stated minimums, require the prior approval of the Chief Human Resources Officer.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)

Any qualifications to be considered as equivalents, in lieu of stated minimums, require the prior approval of the Chief Human Resources Officer.