This position is located in the Department of Veteran Affairs. The Rating Quality Review Specialist is responsible for performing quality reviews for the individual DROs and RVSRs in accordance with an established monthly schedule. The Rating/Appeals Quality Review Specialist performs individual quality reviews to determine the appeals and rating quality level of individual DROs and RVSRs for purposes of individual performance standards.

Duties

Specific duties are as follows: Performs individual quality reviews to determine the rating quality level of individual DROs and RVSRs for purposes of individual performance standards in accordance with an established monthly schedule. Conducts focused "in-process reviews" for cases to determine the accuracy of claims action taken. (Such reviews are for station-level feedback and improvement only, not used for individual performance standard purposes.) Responsible for sharing rating quality trend information with management on an ongoing basis and with the DROs and RVSRs during training sessions. Reviews products or activities for quality of performance and enters the results into the on-line STAR checklists. Evaluates and identifies deficiencies of all elements of a claim from evidence development, income and dependency issues, to award processing and authorization. Provides an explanation of errors and includes comments where attention is warranted. Prepares STAR data reports and provides to personnel in the regional office who are authorized to request and receive such reports. Develops various quality assurance processes with emphasis on work procedures and techniques that address unique work conditions and practices. Ensures all program requirements imposed by Compensation Service and/or the Pension and Fiduciary Service and the Court of Appeals for Veterans Claims are met or implemented. Prepares documentation to support unfavorable finding in order to provide justification for error decisions and indicate required actions. Conducts statistical analysis of quality reviews to identify trends, significant problems areas and processes requiring improvement. Relays quality trend information with management on an ongoing basis for use in operations, decision making, and planning. Work Schedule: Full time, Monday through Friday TELEWORK ELIGIBLE: Yes per Agency guidelines. Virtual: This IS NOT a virtual position. Position Description/PD#: Decision Review Officer (Rating Quality Review Specialist), 37138A Bargaining Unit Position: Yes Relocation/Recruitment Incentives: No Financial Disclosure Report: Not required Physical Requirements: The work normally involves mental rather than physical exertion.

Requirements

• You must be a U.S. Citizen to apply for this job.
• Selective Service Registration is required for males born after 12/31/1959
• You may be required to serve a probationary period
• Subject to background/security investigation
• Selected applicants will be required to complete an online onboarding process
• If you receive a conditional offer of employment for this position, you will be required to complete an Optional Form 306, Declaration for Federal Employment, and to sign and certify the accuracy of all information in your application.
• All Federal employees are required to have Federal salary payments made by direct deposit to a financial institution of their choosing.
• Designated and/or random drug testing may be required

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 08/01/2023. Time-in-Grade Requirements: Under competitive merit promotion procedures, any individual who is currently holding, or who has held within the previous 52 weeks, a General Schedule position under a non-temporary appointment in the competitive or excepted service, must meet "time-in-grade" requirements (have served 52 weeks at the next lower grade of the grade for which you are applying). Time-In-Grade requirements also apply to current employees applying for a Veterans Employment Opportunities Act of 1998 (VEOA) appointment. NOTE: All current or former Federal employees must provide a copy of their SF-50 (you may need to submit more than one), "Notice of Personnel Action" that indicates proof of status and time-in-grade eligibility. The SF-50 must include your position, title, series, grade, step, tenure (1 or 2), and type of service (Competitive or Excepted). Applicants must demonstrate that they meet the Minimum Qualification requirements as noted below. Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-12 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to: Conducting reviews to analyze the quality of completed rated cases; Conducting evaluations and reviews on a quantitative or qualitative basis of claims development programs and operations to determine the effectiveness in meeting established goals and objectives; Preparing or conducting training activities; Identifying knowledge/skill gaps and plan training strategies; Providing and implementing data for one or more information management systems accurately and timely; and Providing technical guidance and direction to staff in the daily operation and maintenance of claims management systems. There is no educational substitution for the GS-13 level. You will be rated on the following Competencies for this position: Attention to DetailCommunicationResearchTechnical CompetenceTraining NOTE: 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. For work in the federal service, include the grade level for the position(s). 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. For more information on these qualification standards, please visit the United States Office of Personnel Management's website at http://://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/.

Education

Education may not be used or combined to qualify for this position.

Contacts

• Address Veterans Benefits Administration 1800 G Street, NW Washington, DC 20006 US
• Name: Mid-Atlantic Service Branch
• Email: [email protected]