USA Staffing

Position Title: Health Systems Specialist ( Integrity and Compliance Auditor)
Agency: Veterans Health Administration
Announcement Number: HN-12746965-25-AM Opens in new window
Open Period: Monday, June 9, 2025 to Friday, June 20, 2025

For preview purposes only. To apply, please return to the USAJOBS announcement and click the Apply button.

Eligibilities

1. Are you an employee of the facility indicated for this position?
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.

A. Yes

B. No

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.

A. Yes, I am considered a political appointee as described under 5 U.S.C. sections 5312 through 5316.

B. Yes, I am considered a Non-career Senior Executive Service (SES), Limited Term SES, Limited Emergency SES Executive Branch employee.

C. Yes, I am considered a political Schedule A, Schedule C, or appointee who served in a political capacity under agency-specific authority in the Executive Branch.

D. Yes, I am considered a political appointee in the Executive Branch (as described in a., b. or c above) in a covered position in an agency having an interchange agreement with OPM, which allows movement from the agency's system to the competitive civil service.

E. None of the above. I am not considered a current or recent (last 5 years) political appointee as described above in items a, b, c, or d.

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.

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. Do not include a photograph or video of yourself, or any sensitive information (age, date of birth, marital status, protected health information, religious affiliation, social security number, etc.) on your resume or cover letter. We will not access web pages or encrypted, and digitally signed documents linked on your resume or cover letter to determine your qualifications.

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

BASIC REQUIREMENTS: You must have one of the following Education or Experience:

1. EDUCATION: Do you have Undergraduate or Graduate Education with a major study in hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration? (if yes, transcripts REQUIRED)

A. Yes

B. No

2. EXPERIENCE: Do you have 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:
- Missions, organizations, programs, and requirements of health care delivery systems;
- Regulations and standards of various regulatory and credentialing groups; and
- Government-wide, agency, and facility systems and requirements in various administrative areas such as budget, personnel, and procurement.

A. Yes

B. No

INSTRUCTIONS: GS-11 Grade Requirement: Select the appropriate answer to each of the following questions based upon your current level of education and/or experience that demonstrates your ability to perform the duties of the position.

3. Specialized Experience: Do you have one full year of specialized experience equivalent to at least the next lower grade GS-9 that equipped you with the knowledge, skills and abilities to perform successfully the duties of the position? Examples of Specialized experience include: Comprehensive knowledge of the healthcare industry including Veterans Affairs regulations (e.g., audit by objectives and internal control programs, to ensure that audit coverage is appropriate to meet established audit objectives. Knowledge of CMS guidelines, as well as the laws, statutes, regulations and guidance related to compliance programs and ethics rules to keep apprised of new guidance for implementation. Comprehensive knowledge of the VA's eligibility regulations concerning Purchased Care, authorized and nonauthorized care and medical provided under TriCare, and ChampVA. Comprehensive knowledge of management principles including prioritization, personnel management, team building, and statistical/analytical skills related to process evaluation, improvement, and reengineering, and strong computer skills. Comprehensive knowledge of theories, practices, methods, and techniques of auditing. Knowledge of management information system and office automation applications, principles, and practices. Knowledge of medical terminology and procedural nomenclature, health care record and coding processes to accurately assess, analyze, evaluate and facilitate best practices in medical records coding. Comprehensive knowledge of investigative principles and techniques in order to design and coordinate compliance reviews and/or monitoring activities. Skill in applying complex fact finding, analytical and problem solving methods and techniques. Skill in oral and written communication to prepare and present recommendations. Ability to establish effective relationships with supervisors, managers, and coworkers to effectively manage complex issues.

A. Yes

B. No

4. Substitution of Education for Experience: Applicants may substitute education for the required experience. Do you have a Ph.D. or equivalent doctoral degree; or 3 full years of progressively higher level graduate education leading to such a degree; or LL.M., if related?

A. Yes

B. No

5. Combining Education and Experience: Applicants may also combine education and experience to qualify at this level. Do you have a combination of specialized experience and higher graduate education as described above?

A. Yes

B. No

For each task choose the statement from the list below that best describes your experience and/or training. Please select only one letter for each item.

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

6. Perform a variety of complex auditing activities for various business operations.