Vacancy Identification Number (VIN): 1996152
This position may be filled Virtually. Location to be determined upon selection. 1 vacancy
Note: Salary listed is based on the Rest of the United States salary table; actual salary will be adjusted according to physical work location. For more information on locality rates, please go to
Our mission: To fulfill President Lincoln's promise "To care for him who shall have borne the battle, and for his widow, and his orphan" by serving and honoring the men and women who are America's Veterans.
YOU CAN MAKE A DIFFERENCE
Special Employment Consideration: VA encourages persons with disabilities to apply, including those eligible for hiring under 5 CFR 213.3102(u), Schedule A, Appointment of persons with disabilities [i.e., intellectual disabilities, severe physical disabilities, or psychiatric disabilities], and/or Disabled veterans with a compensable service-connected disability of 30% or more . For more information on the "Who may apply" eligibility requirements, please refer to the OHRM Status Candidates and Other Candidate Definition.
- Occasional Travel
- Less than 10%
- You must be a US citizen to apply for this job
- Selectees are subject to fingerprint and background investigation.
- Selectees may be subject to a one-year probationary/trial period.
- More than one selection may be made from this announcement.
- All requirements must be met by the closing date of this announcement.
- Federal employees must meet the necessary time in grade requirements
- Selective Service Registration is required for males born after 12/31/1959
- **This position does/does not require financial disclosure.
To qualify for this position, applicants must meet all the requirements by the closing date of this announcement.
TIME-IN-GRADE RESTRICTION GS-12: Applicants who are current Federal employees and have held a GS grade position any time within the past 52 weeks must meet the time-in-grade requirements (a minimum of 52 weeks in positions no lower than GS-11).
Specialized Experience GS-12 level: Applicants must have at least one (1) year of specialized experience equivalent to at least the next lower grade (GS-11) in the normal line of progression for the occupation in the organization. Examples of specialized experience include:
· Skills in building and maintaining effective partnerships to participate in Office of Community Care and VHA workgroups and to interact with these groups as necessary to ensure national-level issues are addressed appropriately.
· Mastery of a wide range of qualitative and/or quantitative methods for the assessment and improvement of program effectiveness.
· Broad knowledge of health benefits administration, to include eligibility processing, inquiry resolution, payment methodologies (DRG, CPT, per diem, and Medicare), logistics support; utilization and peer review programs; provider relations and reimbursement techniques; coordination of benefits; medical care cost recovery activities; and analysis of management data.
· Knowledge and understanding of computer system applications and data management programs.
· Knowledge of principles, theories, standards, practices and techniques of auditing and statistical sampling/analysis of functions and processes of health care claim processing management, financial analysis and operations.
Additional information on the qualification requirements is outlined in the OPM Qualifications Standards Handbook of General Schedule Positions. It is available for your review on OPM's web site at http://www.opm.gov/qualifications/standards/indexes/alph-ndx.asp.
IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE.
**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; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Physical Requirements for Position: The work is primarily sedentary with long periods of sitting at a desk, working with computers daily. Some work may require walking in offices and similar areas for meetings. Work may also require walking and standing in conjunction with travel to and attendance at meetings and conferences away from the worksite. The work does not require any special physical effort.
Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.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.
Veterans' Preference: When applying for Federal jobs, eligible Veterans should claim preference on the Occupational Questionnaire in the section provided and provide a legible copy of your DD214(s) and/or documentation related to your active duty service which shows dates of service, character of service (honorable, general, etc.), or dates of impending separation .
Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veterans Preference" with required proof as stated on the form. For more information, please review the information for disabled Veterans in the application checklist or visit http://www.fedshirevets.gov/job/vetpref/index.aspx .
Public Trust - Background Investigation
The VHA Office of Community Care (VHA CC) administers health plans for Veterans and family members, serving nearly 2 million individuals each year at a cost of approximately $10 billion. Because of the wide-ranging scope and dollar value of these programs, VHA CC is subject to numerous internal and external audits, which often yield recommendations for program improvement. The Quality and Corrective Action Program (QCAP) ensures timely, effective corrective actions are implemented to mitigate risks and remediate program weaknesses. Duties include but are not limited to:
· Investigates and analyzes adverse audit findings, trends, or conditions and initiates and tracks corrective actions.
· Loads completed corrective action plans (CAP) into CAP register.
· Coordinates with CAP owners to provide status updates and updates the CAP register accordingly.
· Sets deadlines for CAP updates, performing a quality check to ensure actions taken truly contribute to CAP completion, and escalating issues that can't be resolved with CAP owners.
· Assists QCAP Manager in drafting status updates for external auditors, such as OIG and GAO.
· Coordinates with internal auditors and internal controls staff to ensure all identified findings and recommendations have a CAP in place within established timeframes.
· Analyzes CAP register to ensure appropriate data fields are being captured and assesses need for enhancements to the register; makes periodic enhancements as needed.
· Assesses completion of activities associated with CAP, compares those activities to closure criteria, and determines if the CAP can be closed or if further activity is needed; communicates decision to program owners
· Coordinates with program managers and data analysts to develop supplemental measures for the Improper Payments Elimination and Recovery Improvement Act (IPERIA)
· Develops qualitative and quantitative reports to explain trends in audit findings, CAP completion, and open actions.
· Other duties as required.
Work Schedule: Full-time , Monday Friday, 8:00 am to 4:30 pm
Position Description Title/PD#: Program Analyst PD#050010
Relocation Expenses: Relocation expenses are not authorized for this position.
Promotion Potential: Full Performance Level is GS-12.