USA Staffing

Select the appropriate answer to each of the following questions based upon your current level of experience that demonstrates your ability to perform the duties of the position. NOTE: Evidence of specialized experience must be supported by detailed documentation of duties performed in positions held. Please provide such documentation on resume.

Select “Yes” or “No” to the following question(s).

1. Do you possess at least one (1) year of specialized experience equivalent to at least the GS-13 level? Specialized experience is defined as experience that equipped the applicant with the particular knowledge, skills and abilities to perform successfully the duties of the position and that is typically in or related to the work of the position to be filled. Specialized experience is defined experience in positions that requires expert knowledge in the application of a wide range of qualitative and/or quantitative methods for the assessment and improvement of program effectiveness of the improvement of complex management processes and systems. Requires comprehensive knowledge of the range of administrative laws, policies, regulations and precedents applicable to the administration of one or more important public programs. Knowledge of agency program goals and objectives, the sequence and timing opf key programs events and milestones and methods of evaluating program effectiveness, knowledge of relationships with key clinical and administrative functions within the organization. knowledge of the basic principles and practices related to the management of healthcare delivery systems and the ability to apply this knowledge to solve unique problems in the organization; knowledge of Lean management principles and project management; skill to work independently to plan , organize and direct team efforts and to negotiate effectively with management.

A. Yes

B. No

Time in Grade is the 52-week requirement that Federal Employees in competitive service General Service (GS) positions at the GS-5 and above must serve before they are eligible for promotion (advancement) to the next grade as appropriate for the position being filled. Current federal employees under the General Schedule (GS) system are required to have at least 52 weeks at the next lower grade for which they are applying for.

Select “Yes” or “No” to the following question(s).

2. I possess or have possessed 52 weeks at the GS-13 level or currently hold the GS-14 level or above.

A. Yes

B. No

3. Time in grade does not apply to me as I am an employee applying under a pay system other than a General Schedule (GS) (i.e. Wage grade). Applicants applying to bypass time and grade must still meet the specialized experience requirement.

A. Yes

B. No

For each task in the following group, please choose the statement from the list below that best describes your experience and/or training. Please select only one letter for each item. RESUME MUST SUPPORT THE ANSWERS THAT YOU PROVIDE. FAILURE TO DO SO WILL RESULT IN LOSS OF CONSIDERATION.

Select the one statement that most accurately describes your training and experience carrying out each task using the scale provided.

4. Advises the Board of Directors on critical issues or policies impacting organizational direction and/or functions/operations, with special focus on systems that effect the MidCon region and subcommittees.

A. I have not had education, training, or experience in performing this task.

B. I have had education or training in how to perform this task, but have not yet performed it on the job.

C. I have performed this task on the job. My work on this task was monitored closely by a supervisor or senior employee to ensure compliance with proper procedures.

D. I have performed this task as a regular part of a job. I have performed it independently and normally without review by a supervisor or senior employee.

E. I am considered an expert in performing this task. I have supervised performance of this task or am normally the person who is consulted by other workers to assist or train them in doing this task because of my expertise.

5. Analyzes and evaluates situations to determine those requiring actions.

A. I have not had education, training, or experience in performing this task.

B. I have had education or training in how to perform this task, but have not yet performed it on the job.

C. I have performed this task on the job. My work on this task was monitored closely by a supervisor or senior employee to ensure compliance with proper procedures.

D. I have performed this task as a regular part of a job. I have performed it independently and normally without review by a supervisor or senior employee.

6. Conveyed activities and work products to the national consortia steering committee to help guide policy decisions/spread to other consortium nationwide.

A. I have not had education, training, or experience in performing this task.

B. I have had education or training in how to perform this task, but have not yet performed it on the job.

C. I have performed this task on the job. My work on this task was monitored closely by a supervisor or senior employee to ensure compliance with proper procedures.

D. I have performed this task as a regular part of a job. I have performed it independently and normally without review by a supervisor or senior employee.

Select “Yes” or “No” to the following question(s).

7. Reviews proposed initiatives to ensure consistency with Board of Directors priorities, as well as VA goals and objectives

A. Yes

B. No

Select the one statement that most accurately describes your training and experience carrying out each task using the scale provided.

8. Assesses the impact of issues and provides objective independent assessments as well as recommendations for decisions, strategies, process or policy changes as appropriate.

A. I have not had education, training, or experience in performing this task.

B. I have had education or training in how to perform this task, but have not yet performed it on the job.

C. I have performed this task on the job. My work on this task was monitored closely by a supervisor or senior employee to ensure compliance with proper procedures.

D. I have performed this task as a regular part of a job. I have performed it independently and normally without review by a supervisor or senior employee.

9. Develop and propose initiatives to the Steering Committee for areas not specifically addressed within the existing Subcommittees.

A. I have not had education, training, or experience in performing this task.

B. I have had education or training in how to perform this task, but have not yet performed it on the job.

C. I have performed this task on the job. My work on this task was monitored closely by a supervisor or senior employee to ensure compliance with proper procedures.

D. I have performed this task as a regular part of a job. I have performed it independently and normally without review by a supervisor or senior employee.

10. Designs studies, training programs and organizational strategies for identifying opportunities to improve clinical and administrative processes.

A. I have not had education, training, or experience in performing this task.

B. I have had education or training in how to perform this task, but have not yet performed it on the job.

C. I have performed this task on the job. My work on this task was monitored closely by a supervisor or senior employee to ensure compliance with proper procedures.

D. I have performed this task as a regular part of a job. I have performed it independently and normally without review by a supervisor or senior employee.

11. Performs complex, technical studies of various operations, furnishing written or oral reports, and recommends actions to improve efficiency and/or effectiveness.

A. I have not had education, training, or experience in performing this task.

B. I have had education or training in how to perform this task, but have not yet performed it on the job.

C. I have performed this task on the job. My work on this task was monitored closely by a supervisor or senior employee to ensure compliance with proper procedures.

D. I have performed this task as a regular part of a job. I have performed it independently and normally without review by a supervisor or senior employee.

12. Provides leadership and support for the development and execution of suggestions/improvements.

A. I have not had education, training, or experience in performing this task.

B. I have had education or training in how to perform this task, but have not yet performed it on the job.

C. I have performed this task on the job. My work on this task was monitored closely by a supervisor or senior employee to ensure compliance with proper procedures.

D. I have performed this task as a regular part of a job. I have performed it independently and normally without review by a supervisor or senior employee.

13. Facilitates the development of creative and innovative quality operational processes for key clinical and administrative programs throughout the region.

A. I have not had education, training, or experience in performing this task.

B. I have had education or training in how to perform this task, but have not yet performed it on the job.

C. I have performed this task on the job. My work on this task was monitored closely by a supervisor or senior employee to ensure compliance with proper procedures.

D. I have performed this task as a regular part of a job. I have performed it independently and normally without review by a supervisor or senior employee.

The following is a Certification of Understanding. RESPONSE TO THIS STATEMENT IS MANDATORY. Please note, if you do not answer this question, it will result in not being considered for this position.

Select “Yes” or “No” to the following question(s).

14. I certify that, to the best of my knowledge and belief, all of the information included in this questionnaire is true, correct, and provided in good faith. I understand that if I make an intentional false statement, or commit deception or fraud in this application and its supporting materials, or in any document or interview associated with the examination process, I may be fined or imprisoned (18 U.S.C. 1001); my eligibilities may be cancelled, I may be denied an appointment, or I may be removed and debarred from Federal service (5 C.F.R. part 731). I understand that any information I give may be investigated. I understand that responding "No" to this item will result in my not being considered for this position.

A. Yes

B. No

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