Program Specialist
This position is in the Office of Community Care and reports to the Chief and/or Deputy Chief of Community Care Service. The OCC provides oversight, guidance and support to the VA in many different capacities; research, training, development, interpretation, and evaluation of existing health care policy and regulations that pertain to Medical Benefits, community care, emergency care, and authorized medical care. Duties include, but not limited to:
Performs reviews by examining Veteran's medical records, community care authorizations, community payment records and historical tracking of submitted health care claims. Provides consultative services to Veterans, vendors, congressional offices, Veteran Service Organizations, staff and other stakeholders to facilitate performance improvement by providing training with regards to business and financial processes as well as internal controls. Identifies existing or potential problem areas and suggests solutions or alternatives to existing procedures which contribute to these problems. Gathers, analyzes, and prepares information while applying sound judgement when responding to inquiries to include those from Congressional Offices, White House Hotlines, Advance Credit Reports (ACR), VAIQs, Exec VA, CBI Helpline, Call Center Portals, Reports of Contact, and others as assigned appropriately managing relations across business units. Collaborates with Veterans and vendors regarding procedural, technical and/or operational functions within the Office of Community Care. Initiates and composes correspondence pertaining to Congressional inquiries, Veteran and vendor issues. Reviews files and records, and discusses with personnel or witnesses regarding any practice that appears to violate patient's rights or which causes unnecessary discomfort or embarrassment to patients, their families, or the health care facility and reports such findings with recommendations for improvements to the facility Director and/or top management team. Coordinates and reroutes calls appropriately in instances where other departments must be involved. S/he will facilitate and follow through to ensure final resolution to the customer. Promotion Potential:
The selectee may be promoted to the full performance level without further competition when all regulatory, qualification, and performance requirements are met. Selection at a lower grade level does not guarantee promotion to the full performance level. Work Location:
May be working at the VHA Main Facility at 1501 San Pedro Drive SE. or at the VBA at 500 Gold Ave, SW, Albuquerque, NM 87102. Work Schedule:
Monday - Friday, 8:
00 am - 4:
30 pm Compressed/Flexible:
Not Available Telework:
Not Available Virtual:
This is not a virtual position Position Description/PD#:
Program Specialist/PD13050A and PD13040A Relocation/Recruitment Incentives:
Not Authorized Financial Disclosure Report:
Not required To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 11/30/2020. Time-In-Grade Requirement:
Applicants who are current Federal employees and have held a GS grade any time in the past 52 weeks must also meet time-in-grade requirements by the closing date of this announcement. For a GS-09 position you must have served 52 weeks at the GS-07. For a GS-11 position you must have served 52 weeks at the GS-09. The grade may have been in any occupation, but must have been held in the Federal service. The grade may have been in any occupation, but must have been held in the Federal service. An SF-50 that shows your time-in-grade eligibility must be submitted with your application materials. Note:
Time-In-Grade requirements also apply to former Federal employees applying for reinstatement as well as current employees applying for Veterans Employment Opportunities Act of 1998 (VEOA) appointment. You may qualify based on your experience and/or education as described below:
GS-09:
Specialized
Experience:
You must have one year of specialized experience equivalent to at least the next lower grade GS-07 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to:
Knowledge of management principles, organizational theory, and techniques of analysis and evaluation, along with knowledge of standardized administrative practices and procedures; Administrative regulations and operating procedures plus skill in applying fact-finding and investigative techniques; Management principles, pertinent administrative regulations, and staffing guidelines plus skill in applying fact-finding and work measurement techniques; Plan, schedule, and conduct projects and studies to evaluate and recommend ways to improve the effectiveness and efficiency of work operations in a program or support setting; Qualitative and quantitative techniques for analyzing and measuring the effectiveness, efficiency, and productivity of administrative and technical programs, along with knowledge of the mission, organization, and work processes of programs throughout a military command, complex multi-mission local installation, or equivalent. OR, Education:
Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have completed a master's or equivalent graduate degree or 2 full years of progressively higher level graduate education leading to such a degree or LL.B. or J.D., if related. OR, Combination:
Applicants may also combine education and experience to qualify at this level. You must have an combination of specialized experience and education beyond a master's or equivalent graduate degree or 2 full years of progressively higher level graduate education leading to such a degree or LL.B. or J.D., if related. GS-11:
Specialized
Experience:
You must 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. Examples of specialized experience would typically include, but are not limited to:
Making decisions in planning, directing, controlling, coordinating, operating, and evaluating a program; making decisions in efficient use of appropriated and non-appropriated accounts to secure needed items and supplies and to coordinate and plan events. Database management and scheduling of customer bookings. OR, Education:
Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have successfully completed a Ph.D. or equivalent degree or 3 years progressively higher level graduate education leading to such a degree or LL.M. if related OR, Combination:
Applicants may also combine education and experience to qualify at this level. You will be rated on the following Competencies for this position:
Customer Service Technical Competence Communication External Awareness 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; religions; 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. Note:
A full year of work is considered to be 35-40 hours of work per week. Part-time experience will be credited on the basis of time actually spent in appropriate activities. Applicants wishing to receive credit for such experience must indicate clearly the nature of their duties and responsibilities in each position and the number of hours a week spent in such employment. Physical Requirements:
The work involves sitting primarily; working on a computer preparing reports and data entry, walking, some standing and light lifting.
Estimated Salary: $20 to $28 per hour based on qualifications.
Performs reviews by examining Veteran's medical records, community care authorizations, community payment records and historical tracking of submitted health care claims. Provides consultative services to Veterans, vendors, congressional offices, Veteran Service Organizations, staff and other stakeholders to facilitate performance improvement by providing training with regards to business and financial processes as well as internal controls. Identifies existing or potential problem areas and suggests solutions or alternatives to existing procedures which contribute to these problems. Gathers, analyzes, and prepares information while applying sound judgement when responding to inquiries to include those from Congressional Offices, White House Hotlines, Advance Credit Reports (ACR), VAIQs, Exec VA, CBI Helpline, Call Center Portals, Reports of Contact, and others as assigned appropriately managing relations across business units. Collaborates with Veterans and vendors regarding procedural, technical and/or operational functions within the Office of Community Care. Initiates and composes correspondence pertaining to Congressional inquiries, Veteran and vendor issues. Reviews files and records, and discusses with personnel or witnesses regarding any practice that appears to violate patient's rights or which causes unnecessary discomfort or embarrassment to patients, their families, or the health care facility and reports such findings with recommendations for improvements to the facility Director and/or top management team. Coordinates and reroutes calls appropriately in instances where other departments must be involved. S/he will facilitate and follow through to ensure final resolution to the customer. Promotion Potential:
The selectee may be promoted to the full performance level without further competition when all regulatory, qualification, and performance requirements are met. Selection at a lower grade level does not guarantee promotion to the full performance level. Work Location:
May be working at the VHA Main Facility at 1501 San Pedro Drive SE. or at the VBA at 500 Gold Ave, SW, Albuquerque, NM 87102. Work Schedule:
Monday - Friday, 8:
00 am - 4:
30 pm Compressed/Flexible:
Not Available Telework:
Not Available Virtual:
This is not a virtual position Position Description/PD#:
Program Specialist/PD13050A and PD13040A Relocation/Recruitment Incentives:
Not Authorized Financial Disclosure Report:
Not required To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 11/30/2020. Time-In-Grade Requirement:
Applicants who are current Federal employees and have held a GS grade any time in the past 52 weeks must also meet time-in-grade requirements by the closing date of this announcement. For a GS-09 position you must have served 52 weeks at the GS-07. For a GS-11 position you must have served 52 weeks at the GS-09. The grade may have been in any occupation, but must have been held in the Federal service. The grade may have been in any occupation, but must have been held in the Federal service. An SF-50 that shows your time-in-grade eligibility must be submitted with your application materials. Note:
Time-In-Grade requirements also apply to former Federal employees applying for reinstatement as well as current employees applying for Veterans Employment Opportunities Act of 1998 (VEOA) appointment. You may qualify based on your experience and/or education as described below:
GS-09:
Specialized
Experience:
You must have one year of specialized experience equivalent to at least the next lower grade GS-07 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to:
Knowledge of management principles, organizational theory, and techniques of analysis and evaluation, along with knowledge of standardized administrative practices and procedures; Administrative regulations and operating procedures plus skill in applying fact-finding and investigative techniques; Management principles, pertinent administrative regulations, and staffing guidelines plus skill in applying fact-finding and work measurement techniques; Plan, schedule, and conduct projects and studies to evaluate and recommend ways to improve the effectiveness and efficiency of work operations in a program or support setting; Qualitative and quantitative techniques for analyzing and measuring the effectiveness, efficiency, and productivity of administrative and technical programs, along with knowledge of the mission, organization, and work processes of programs throughout a military command, complex multi-mission local installation, or equivalent. OR, Education:
Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have completed a master's or equivalent graduate degree or 2 full years of progressively higher level graduate education leading to such a degree or LL.B. or J.D., if related. OR, Combination:
Applicants may also combine education and experience to qualify at this level. You must have an combination of specialized experience and education beyond a master's or equivalent graduate degree or 2 full years of progressively higher level graduate education leading to such a degree or LL.B. or J.D., if related. GS-11:
Specialized
Experience:
You must 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. Examples of specialized experience would typically include, but are not limited to:
Making decisions in planning, directing, controlling, coordinating, operating, and evaluating a program; making decisions in efficient use of appropriated and non-appropriated accounts to secure needed items and supplies and to coordinate and plan events. Database management and scheduling of customer bookings. OR, Education:
Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have successfully completed a Ph.D. or equivalent degree or 3 years progressively higher level graduate education leading to such a degree or LL.M. if related OR, Combination:
Applicants may also combine education and experience to qualify at this level. You will be rated on the following Competencies for this position:
Customer Service Technical Competence Communication External Awareness 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; religions; 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. Note:
A full year of work is considered to be 35-40 hours of work per week. Part-time experience will be credited on the basis of time actually spent in appropriate activities. Applicants wishing to receive credit for such experience must indicate clearly the nature of their duties and responsibilities in each position and the number of hours a week spent in such employment. Physical Requirements:
The work involves sitting primarily; working on a computer preparing reports and data entry, walking, some standing and light lifting.
- Department:
0301 Miscellaneous Administration And Program - Salary Range:
$53,238 to $83,734 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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