- Position Title
- Health System Specialist
- Agency
- Veterans Health Administration
- Announcement Number
- CAZX-12709004-25-AS Opens in new window
- Open Period
- Friday, March 14, 2025 to Monday, March 24, 2025
For preview purposes only. To apply, please return to the USAJOBS announcement and click the Apply button.
Eligibilities
1.
Do you claim Veterans’ Preference?
2.
Are you currently employed by the Department of Veterans Affairs?
This includes: Career/Career Conditional or Excepted Service (i.e. Canteen, Hybrid, Title 38, etc. and meets interchange agreement requirements). This does not include temporary, term or temporary intermittent.
To verify your eligibility, you must submit a copy of your most recent Notification of Personnel Action, Standard Form 50 (SF-50). Your SF-50 must include enough information to be able to determine that time-in-grade requirements have been met (if applicable) and include your position title, pay plan/series/grade, tenure and the type of appointment (i.e. Competitive or Excepted). Please be aware that award SF-50's do not always include this pertinent information.
This includes: Career/Career Conditional or Excepted Service (i.e. Canteen, Hybrid, Title 38, etc. and meets interchange agreement requirements). This does not include temporary, term or temporary intermittent.
To verify your eligibility, you must submit a copy of your most recent Notification of Personnel Action, Standard Form 50 (SF-50). Your SF-50 must include enough information to be able to determine that time-in-grade requirements have been met (if applicable) and include your position title, pay plan/series/grade, tenure and the type of appointment (i.e. Competitive or Excepted). Please be aware that award SF-50's do not always include this pertinent information.
3.
Are you a former employee of the Department of Veterans Affairs who:
• formerly occupied a career or career conditional position at the VA within the preceding two years before applying for reemployment at VA; AND,
• voluntarily departed such position, or was subject to a reduction in force, and had a satisfactory performance record while occupying such position; AND,
• since departing VA has maintained licensing requirements, related to the position, if any, and gained skills, knowledge, or other factors related to the position; AND,
• possesses at least one year of specialized experience equivalent to the next lower grade level of the position sought?
Appointment under this authority is exempt from competitive examining procedures and Veteran's preference.
To verify your eligibility, you must provide a copy of your latest Notification of Personnel Action, Standard Form 50 that demonstrates you meet the requirements outlined in P.L. 115-46, VA Choice and Quality Employment Act of 2017, section 204.
• formerly occupied a career or career conditional position at the VA within the preceding two years before applying for reemployment at VA; AND,
• voluntarily departed such position, or was subject to a reduction in force, and had a satisfactory performance record while occupying such position; AND,
• since departing VA has maintained licensing requirements, related to the position, if any, and gained skills, knowledge, or other factors related to the position; AND,
• possesses at least one year of specialized experience equivalent to the next lower grade level of the position sought?
Appointment under this authority is exempt from competitive examining procedures and Veteran's preference.
To verify your eligibility, you must provide a copy of your latest Notification of Personnel Action, Standard Form 50 that demonstrates you meet the requirements outlined in P.L. 115-46, VA Choice and Quality Employment Act of 2017, section 204.
4.
Are you a student and recent graduate of a qualifying educational institution who is:
(1) employed in a qualifying internship or fellowship program at the Department of Veterans Affairs; or
(2) employed in the Department of Veterans Affairs in a volunteer capacity and who are performing substantive duties comparable to those of individuals in an internship or fellowship program and who meet the required number of hours for conversion; or
(3) employed in the Department of Veterans Affairs under a contract or agreement with an external nonprofit organization and who are performing substantive duties comparable to those of individuals in an internship or fellowship program; or
(4) in receipt of Post 9/11 Educational Assistance under chapter 33 of title 38, United States Code (U.S.C.);
Appointment under this authority is subject to Veteran's preference requirements.
To verify your eligibility, you must provide documentation that demonstrates you meet the requirements outlined in P.L. 115-46, VA Choice and Quality Employment Act of 2017, section 206. Such documentation may include:
Education - a copy of your latest transcript; statement from the institution's registrar, dean, or other appropriate official; or equivalent documentation.
Employment/Volunteerism - a copy of your Standard Form 50, letter from employer, non-profit agency, etc.
Educational Benefits - a copy of the Post 9/11 Educational Assistance benefit award letter, letter of completion of the Chapter 33 program, etc.
(1) employed in a qualifying internship or fellowship program at the Department of Veterans Affairs; or
(2) employed in the Department of Veterans Affairs in a volunteer capacity and who are performing substantive duties comparable to those of individuals in an internship or fellowship program and who meet the required number of hours for conversion; or
(3) employed in the Department of Veterans Affairs under a contract or agreement with an external nonprofit organization and who are performing substantive duties comparable to those of individuals in an internship or fellowship program; or
(4) in receipt of Post 9/11 Educational Assistance under chapter 33 of title 38, United States Code (U.S.C.);
Appointment under this authority is subject to Veteran's preference requirements.
To verify your eligibility, you must provide documentation that demonstrates you meet the requirements outlined in P.L. 115-46, VA Choice and Quality Employment Act of 2017, section 206. Such documentation may include:
Education - a copy of your latest transcript; statement from the institution's registrar, dean, or other appropriate official; or equivalent documentation.
Employment/Volunteerism - a copy of your Standard Form 50, letter from employer, non-profit agency, etc.
Educational Benefits - a copy of the Post 9/11 Educational Assistance benefit award letter, letter of completion of the Chapter 33 program, etc.
5.
Are you a veteran who separated from active duty under honorable conditions AND you:
To verify your eligibility, you must submit a copy of your latest Certificate of Release or Discharge from Active Duty, DD-214 (copy indicating character of service) or other proof of your service which includes character of service. You must also submit the disability letter from the Department of Veterans Affairs or Armed Service and the Application for 10-Point Veteran Preference, Standard Form 15.
- have a rating by the Department of Veterans Affairs showing a compensable service-connected disability of 30% or more; OR,
- retired from active military service with a service-connected disability rating of 30% or more?
To verify your eligibility, you must submit a copy of your latest Certificate of Release or Discharge from Active Duty, DD-214 (copy indicating character of service) or other proof of your service which includes character of service. You must also submit the disability letter from the Department of Veterans Affairs or Armed Service and the Application for 10-Point Veteran Preference, Standard Form 15.
6.
Were you employed overseas as an Appropriated Fund employee AND did you:
For more information, review USAJOBS Former Overseas Employees resources.
To verify your eligibility, you must submit a copy of your latest Notification of Personnel Action, Standard Form 50, and performance appraisal.
- complete 52 weeks of creditable overseas service in an appropriated fund position(s) as a family member during the time you accompanied a sponsor officially assigned to an oversea area; AND,
- receive a fully successful or better (or equivalent) performance rating: AND,
- return to the United States to resume residence less than 3 years ago?
For more information, review USAJOBS Former Overseas Employees resources.
To verify your eligibility, you must submit a copy of your latest Notification of Personnel Action, Standard Form 50, and performance appraisal.
7.
Are you the spouse of a current or former member of the Armed Forces? In accordance with revised 5 U.S.C. 3330d(b), the head of an agency may now appoint noncompetitively: the spouse of a member of the armed forces on active duty, the spouse of a 100 percent disabled member of the armed forces, or the spouse of a deceased member of the armed forces.
Active Duty Spouse
Active Duty Spouse
- Includes all spouses of members of the armed forces on active duty.
- Spouses do not have to relocate with active duty spouse.
- The military member was retired under Chapter 61 of title 10, United States Code with a 100% disability rating from the military; or
- Was released from active duty and has a disability rating of 100% from the Department of Veterans' Affairs or the military department.
- As the military spouse, you may be eligible if the military member was killed while on active duty (it does not have to be combat related), and you have not remarried.
To verify your eligibility, submit the following applicable documents:
- Documentation verifying marriage: (i.e., marriage license, certificate or other government issued document certifying marriage to your military spouse or veteran.)
- A copy of your spouses active-duty military orders.
- DD-214: Certificate of release or discharge from active duty (Military spouses of 100% disabled separated or retired veterans and widows or widowers, who are not remarried, of military service members who were killed on active duty.)
- DD 1300: Report of Casualty (Military spouses who are widows and widowers, and are not remarried, of military service members who were killed on active duty.)
- Veterans Affairs Benefit Documentation of Deceased or Disabled Veteran.
For more information, review USAJOBS Military Spouses resources
8.
Are you a current or former federal employee displaced from the agency hiring for this position? If yes, confirm:
For more information, review the USAJOBS Help Center.
To verify your eligibility, you must submit supporting documentation such as a Reduction in Force (RIF) separation notice or a Proposed Removal/Separation notice to include your latest performance rating (if the notice does not have this information included, you must submit a copy of your most recent performance appraisal) and a copy of your latest Notification of Personnel Action, Standard Form 50.
- you are located in the same local commuting area of the vacancy; AND,
- you are applying to a position that is at or below the grade level of the position from which you were or will be separated; AND,
- your grade is equivalent to or below the grade level of the vacancy; AND,
- your last performance rating of record is at least fully successful or the equivalent.
For more information, review the USAJOBS Help Center.
To verify your eligibility, you must submit supporting documentation such as a Reduction in Force (RIF) separation notice or a Proposed Removal/Separation notice to include your latest performance rating (if the notice does not have this information included, you must submit a copy of your most recent performance appraisal) and a copy of your latest Notification of Personnel Action, Standard Form 50.
9.
Have you completed at least 1 year of continuous service immediately before separation from one or more nontemporary Foreign Service appointments; AND, your separation from a Foreign Service career-type appointment occurred in the last 3 years (individuals entitled to veteran's preference do not need to meet this 3-year requirement)?
-OR-
Have you completed at least 3 years of substantially continuous service under one or more nontemporary appointments in the Foreign Service immediately before separation from an unlimited, career-type appointment in that Service?
-OR-
Are you a current or former limited non-career appointee with the Foreign Service and have at least 48 months of continuous service, a performance rating of satisfactory or better, and if a former employee, no more than a one year break in service since your qualifying appointment?
To verify your eligibility, you must submit a copy of your Notification of Personnel Action, Standard Form 50 (SF-50) reflecting your nontemporary status. If you are outside of the 3-year requirement but are entitled to veteran's preference, you must submit a copy of your latest Certificate of Release or Discharge from Active Duty, DD-214 (copy indicating character of service) or other proof of your service which includes character of service.
-OR-
Have you completed at least 3 years of substantially continuous service under one or more nontemporary appointments in the Foreign Service immediately before separation from an unlimited, career-type appointment in that Service?
-OR-
Are you a current or former limited non-career appointee with the Foreign Service and have at least 48 months of continuous service, a performance rating of satisfactory or better, and if a former employee, no more than a one year break in service since your qualifying appointment?
To verify your eligibility, you must submit a copy of your Notification of Personnel Action, Standard Form 50 (SF-50) reflecting your nontemporary status. If you are outside of the 3-year requirement but are entitled to veteran's preference, you must submit a copy of your latest Certificate of Release or Discharge from Active Duty, DD-214 (copy indicating character of service) or other proof of your service which includes character of service.
10.
Are you a current or former federal employee displaced from a position in a federal agency other than the Department of Veterans Affairs? If yes, confirm:
To verify your eligibility, you must submit supporting documentation such as a Reduction in Force (RIF) separation notice to include your latest performance rating (if the notice does not have this information included, you must submit a copy of your most recent performance appraisal) and a copy of your latest Notification of Personnel Action, Standard Form 50.
- you are located in the same local commuting area of the vacancy; AND,
- you are applying to a position that is at or below the grade level of the position from which you were or will be separated; AND,
- you are applying to a position that does not have greater promotion potential than the position from which you were or will be separated; AND,
- your last performance rating of record is at least fully successful or the equivalent.
To verify your eligibility, you must submit supporting documentation such as a Reduction in Force (RIF) separation notice to include your latest performance rating (if the notice does not have this information included, you must submit a copy of your most recent performance appraisal) and a copy of your latest Notification of Personnel Action, Standard Form 50.
11.
Are you a current or former employee of a land management agency (Forest Service; Bureau of Land Management; National Park Service; Fish and Wildlife Service; Bureau of Indian Affairs; or Bureau of Reclamation) who:
• was originally hired to a time-limited position under a competitive appointment; AND,
• served one or more time-limited appointments at a land management agency for a period totaling more than 24 months without a break in service of two or more years; AND,
• performed at an acceptable level of service during each period of service; AND,
• if no longer employed by the land management agency, have been separated for no more than two years, and departed that position in good standing?
To verify your eligibility, you must provide a copy of your latest Notification of Personnel Action, Standard Form 50 (SF-50) and performance appraisal that demonstrates you meet the requirements outlined in the 5 U.S.C. 9602.
• was originally hired to a time-limited position under a competitive appointment; AND,
• served one or more time-limited appointments at a land management agency for a period totaling more than 24 months without a break in service of two or more years; AND,
• performed at an acceptable level of service during each period of service; AND,
• if no longer employed by the land management agency, have been separated for no more than two years, and departed that position in good standing?
To verify your eligibility, you must provide a copy of your latest Notification of Personnel Action, Standard Form 50 (SF-50) and performance appraisal that demonstrates you meet the requirements outlined in the 5 U.S.C. 9602.
12.
Are you a former Peace Corps volunteer or VISTA member who has completed your service within the past twelve months?
-OR-
Are you a former Peace Corps volunteer or VISTA member who has completed your service within the past 36 months and is requesting an extension of your non-competitive eligibility due to your military service, status as a full-time student or other experience related to this position?
-OR-
Are you a current or former Peace Corps employee who has completed at least 36 months of continuous service and has been separated from the Peace Corps for less than three years?
To verify your eligibility, you must submit a copy of your description of service or other proof of non-competitive eligibility. If you are a former Peace Corps volunteer or VISTA member who is requesting an extension of your non-competitive eligibility, please also provide the necessary documentation to support your request.
-OR-
Are you a former Peace Corps volunteer or VISTA member who has completed your service within the past 36 months and is requesting an extension of your non-competitive eligibility due to your military service, status as a full-time student or other experience related to this position?
-OR-
Are you a current or former Peace Corps employee who has completed at least 36 months of continuous service and has been separated from the Peace Corps for less than three years?
To verify your eligibility, you must submit a copy of your description of service or other proof of non-competitive eligibility. If you are a former Peace Corps volunteer or VISTA member who is requesting an extension of your non-competitive eligibility, please also provide the necessary documentation to support your request.
13.
Are you a current Federal employee in the excepted service in an agency covered by an Interchange Agreement with at least one year of service in that position?
For more information, review Interchange Agreements with Other Merit Systems.
-OR-
Are you a current:
• Postal Career Service Employee;
• Postal Rate Commission Employee;
• Government Accountability Office (GAO) Employee; or,
• Administrative Office of the U.S. Courts Employee?
For more information, review Miscellaneous Authorities Not Regulated By U.S. Office of Personnel Management.
To verify your eligibility, you must submit a copy of your Notification of Personnel Action, Standard Form (SF-50) reflecting your status.
For more information, review Interchange Agreements with Other Merit Systems.
-OR-
Are you a current:
• Postal Career Service Employee;
• Postal Rate Commission Employee;
• Government Accountability Office (GAO) Employee; or,
• Administrative Office of the U.S. Courts Employee?
For more information, review Miscellaneous Authorities Not Regulated By U.S. Office of Personnel Management.
To verify your eligibility, you must submit a copy of your Notification of Personnel Action, Standard Form (SF-50) reflecting your status.
14.
Do you have an intellectual disability, severe physical disability, or psychiatric disability that qualifies you for Schedule A Disability appointments?
For more information, review USAJOBS Individuals with Disabilities resources.
To verify your eligibility, you must provide appropriate medical documentation, i.e., a letter signed by a licensed medical professional or licensed vocational rehabilitation specialist, certifying your documented disability and eligibility under Schedule A.
For more information, review USAJOBS Individuals with Disabilities resources.
To verify your eligibility, you must provide appropriate medical documentation, i.e., a letter signed by a licensed medical professional or licensed vocational rehabilitation specialist, certifying your documented disability and eligibility under Schedule A.
15.
Do you have prior Career or Career-Conditional Service with the Federal Government? If so, you may be eligible for reinstatement.
To verify your eligibility, you must submit a copy of your separation Notification of Personnel Action, Standard Form 50 (SF-50) or equivalent personnel action form reflecting your permanent, competitive status. Your separation SF-50 (or equivalent personnel action form) must reflect:
To verify your eligibility, you must submit a copy of your separation Notification of Personnel Action, Standard Form 50 (SF-50) or equivalent personnel action form reflecting your permanent, competitive status. Your separation SF-50 (or equivalent personnel action form) must reflect:
- career or career-conditional (Tenure field box 24. is 1 or 2); AND,
- your status in the competitive service (Position Occupied field box 34. is 1).
- highest grade previously held (Grade or Level field box 18.)
16.
Are you currently employed as a civilian employee in the competitive service in a federal agency other than the Department of Veterans Affairs?
To verify your eligibility, you must submit a copy of your latest Notification of Personnel Action, Standard Form 50 (SF-50) or equivalent personnel action form reflecting your permanent, competitive status. Your SF-50 (or equivalent personnel action form) must reflect:
- career or career-conditional (Tenure field is 1 or 2); AND,
- your status is in the competitive service (Position Occupied field is 1)
17.
Are you an active duty service member expected to be discharged or released under honorable conditions within the next 120 days who will be eligible for Veterans' preference? You may eligible to apply through the Veterans Opportunity to Work (VOW) Act based on tentative preference.
To verify your eligibility, you must submit a "certification" on appropriate letterhead from your branch of service that certifies you are expected to be discharged or released from active duty service under honorable conditions not later than 120 days after the date the certification is signed. Note: If selected, prior to appointment you will be required to provide your DD-214 and/or other supporting documentation to verify that you are eligible for Veterans' preference.
For more information, review USAJOBS Veterans resources.
To verify your eligibility, you must submit a "certification" on appropriate letterhead from your branch of service that certifies you are expected to be discharged or released from active duty service under honorable conditions not later than 120 days after the date the certification is signed. Note: If selected, prior to appointment you will be required to provide your DD-214 and/or other supporting documentation to verify that you are eligible for Veterans' preference.
For more information, review USAJOBS Veterans resources.
Preferences
1.
Which of the following items describes your current or recent (within the last five years) political appointee service?
If you responded yes to any of the items below, you will need to include a SF-50 specifying your prior service.
If you responded yes to any of the items below, you will need to include a SF-50 specifying your prior service.
Your resume must be submitted in English and include the following information for each job listed:
- Job title Duties (be as detailed as possible)
- Month & year start/end dates (e.g. June 2007 to April 2008)
- Full-time or part-time status (include hours worked per week)
- Series and Grade, if applicable, for all Federal positions you have held
- Please be aware that your answers will be verified against information provided on your resume. Be sure that your resume clearly supports your responses to all of the questions by addressing your work experience in detail.
By submitting your application, you are certifying, to the best of your knowledge and belief, all the information submitted by you with your application for employment is true, complete, and made in good faith, and that you have truthfully and accurately represented your work experience, knowledge, skills, abilities and education (degrees, accomplishments, etc.). The information you provide as part of your application may be investigated. You are also certifying, and acknowledging, that misrepresenting your experience or education, or providing false or fraudulent information in, or with your application, may affect your eligibility for appointment and/or continued employment. False or fraudulent statements may be punishable by fine or imprisonment (18 U.S.C. 1001).
Assessment 1
Select the appropriate answer to each of the following questions based on your current level of education and/or experience that demonstrates your ability to perform the duties of this position. When answering the questionnaire, remember that your experience and education are subject to verification by investigation. You may be asked to provide specific examples or documentation of experience or education as proof to support your answers, or you may be required to verify a response by a practical demonstration of your claimed ability to perform a task.
Select “Yes” or “No” to the following question(s).
1.
Time in Grade (TIG) Requirement: Applicants must meet time-in-grade requirements to qualify for this position. For a GS-11 position, you must have served 52 weeks at the GS-09.
Do you meet the time-in-grade requirement for this position?
Do you meet the time-in-grade requirement for this position?
2.
Specialized Experience Requirement: Do you have one year of specialized experience equivalent to at least the next lower grade GS-09 in the normal line of progression for the occupation in the organization as stated below?
Specialized Experience:
For a GS-11 Specialized Experience
You must have at least one (1) full year of specialized experience equivalent to at least the next lower grade level (GS-9) in the Federal Service, that is directly related to the work of the position and has equipped you with the particular knowledge, skills and abilities to successfully perform the duties as a Health System Specialist (Integrity Compliance Specialist/Analyst). Qualifying specialized experience is defined as progressively responsible analytical or administrative, or clinical management or supervisory experience in the health care field. This work may have been performed in an operating health care facility or a higher organizational echelon with advisory or directional authority over such facilities. Work must have involved a close working relationship with facility managers and analysis and/or coordination of administrative, clinical, or other service activities, and provided knowledge of the following:
(1) Missions, organizations, programs, and requirements of health care delivery systems;
(2) Regulations and standards of various regulatory and credentialing groups; and
(3) Government -wide, agency, and facility systems and requirements in various administrative areas such as budget, personnel, and procurement.
OR,
Education (Transcripts required): Applicants may substitute education for the required experience. Education must demonstrate the knowledge, skills, and abilities necessary to do the work of this position (i.e., hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration).
To qualify based on education for this grade level you must have:
Successfully completed a Ph.D. or equivalent doctoral degree, or
3 full years of progressively higher-level graduate education leading to such a degree, or
an LL.M. if related.
OR,
Combination (Transcripts required): Applicants may also combine education and experience to qualify at this level. You must have equivalent combinations of successfully completed graduate level education (in excess of the first two graduate years or 36 semester hours) and specialized experience to meet total experience requirements. The education must include graduate courses that demonstrate the knowledge, skills, and abilities necessary to do to the work of this position (i.e. hospital administration, public health administration, or related fields such as course work in health care administration).
**Note: If using education to qualify or if using education combined with specialized experience to qualify, a copy of your transcript is required. Education cannot be credited without a transcript.
Specialized Experience:
For a GS-11 Specialized Experience
You must have at least one (1) full year of specialized experience equivalent to at least the next lower grade level (GS-9) in the Federal Service, that is directly related to the work of the position and has equipped you with the particular knowledge, skills and abilities to successfully perform the duties as a Health System Specialist (Integrity Compliance Specialist/Analyst). Qualifying specialized experience is defined as progressively responsible analytical or administrative, or clinical management or supervisory experience in the health care field. This work may have been performed in an operating health care facility or a higher organizational echelon with advisory or directional authority over such facilities. Work must have involved a close working relationship with facility managers and analysis and/or coordination of administrative, clinical, or other service activities, and provided knowledge of the following:
(1) Missions, organizations, programs, and requirements of health care delivery systems;
(2) Regulations and standards of various regulatory and credentialing groups; and
(3) Government -wide, agency, and facility systems and requirements in various administrative areas such as budget, personnel, and procurement.
OR,
Education (Transcripts required): Applicants may substitute education for the required experience. Education must demonstrate the knowledge, skills, and abilities necessary to do the work of this position (i.e., hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration).
To qualify based on education for this grade level you must have:
Successfully completed a Ph.D. or equivalent doctoral degree, or
3 full years of progressively higher-level graduate education leading to such a degree, or
an LL.M. if related.
OR,
Combination (Transcripts required): Applicants may also combine education and experience to qualify at this level. You must have equivalent combinations of successfully completed graduate level education (in excess of the first two graduate years or 36 semester hours) and specialized experience to meet total experience requirements. The education must include graduate courses that demonstrate the knowledge, skills, and abilities necessary to do to the work of this position (i.e. hospital administration, public health administration, or related fields such as course work in health care administration).
**Note: If using education to qualify or if using education combined with specialized experience to qualify, a copy of your transcript is required. Education cannot be credited without a transcript.
Select the one statement that most accurately describes your training and experience carrying out each task using the scale provided. When answering the questionnaire, remember that your experience and education are subject to verification by investigation. You may be asked to provide specific examples or documentation of experience or education as proof to support your answers, or you may be required to verify a response by a practical demonstration of your claimed ability to perform a task. For each item, select the one response that most accurately describes your current level of experience and capability using the scale below.
Select the one statement that most accurately describes your training and experience carrying out each task using the scale provided.
3.
Develops programs to ensure that compliance program provisions are planned, developed and implemented to identify, prevent and correct unsatisfactory conditions and elements which influence the regulatory correctness and responsiveness of business and services.
4.
Aligning collaborative working relationships with program coordinators, medical staff, key business operational owners, executive leadership, and other key stakeholders.
5.
Developing recurring trending reports and facilitating the use of auditing tools to evaluate the outcomes from specialized areas for improvement, and to determine weaknesses within a program. Initiates and maintaines the compliance monitoring and auditing plan.
6.
Independently prepares complete reports, summarizes analysis, audit findings, and presents information to multiple forums: Integrity Compliance Officer (ICO), Compliance Committee, Executive Leadership and Operational Business Process Owners.
7.
Reporting on trends and frequency of non-compliance, and developing an analytical data review for monthly and quarterly reports. Pull the data, analyze, train the users on identified inaccuracies and recommend/develop corrective actions to prevent future occurrences.
8.
Initiates investigations on compliance inquiries, allegation fact-findings, ensuring receipt of adequate corrective action plans and following up. All inquires, allegation and non-compliance are entered within CIRTS software.
9.
Completing programmatic auditing of facility-wide revenue operations process and community care.
10.
Processes the reviews through the entire flow of reimbursement and billing to include the following: auditing, internal control effectiveness, performing route cause analysis, identifying areas of improvement, making recommendations of corrective actions, trending, and then follow up.
11.
Works with the compliance committee to identify future risk mitigation activities, enterprise risk management and mitigation plans
12.
Develops recommendations for the facility ICO and Director to use in evaluating risk and ensuring full facility-wide compliance with national directives. Ensures facility risk assessment plan is updated quarterly.
13.
Conducts audits and/or other evaluation techniques to monitor compliance and to assist in the reduction of identified problem areas and support: Risk Assessment Plans, Monitoring and Auditing Plan, and Training/Education Plan as it relates to potential and identified facility risks.
14.
Assist in development of local SOP, Policies and Procedures as appropriate. Monitors and shares new VHA Directives to appropriate operational owners and identify gaps in compliance.
15.
Identifies indicators, progress measures, objectives and emphasis areas that are potentially non-compliant according to the VHA rules and regulations.
16.
Assist establishing programs to develop and implement internal control measures and monitor if there is a high risk of operational failure.
17.
Analyze audit results, writes reports and recommends system changes to the ICO, as appropriate. Provides ICO with written reports of the findings of the audits conducted and works with the key business process owners to complete a Causation, Corrective Action Plan (CCAP) as needed.
Resume Reminder: Your resume must include the following information for each job listed: Job title Duties (be as detailed as possible) Month & year start/end dates (e.g. June 2007 to April 2008) Full-time or part-time status (include hours worked per week) Series and Grade, if applicable, for all Federal positions you have held Please be aware that your answers will be verified against information provided on your resume. Be sure that your resume clearly supports your responses to all of the questions by addressing your work experience in detail.
Recommended: Even though we do not require a specific resume format, your resume must be clear so that we are able to fully evaluate your qualifications. To ensure you receive appropriate consideration, please list the duties you performed under each individual job title. If we are unable to match your experiences with the positions held, you may lose consideration for this vacancy. We cannot make assumptions regarding your qualifications.