The position is located within the Eastern Colorado Health Care System (ECHCS) in Aurora, CO. The primary purpose of the Management and Program Analyst - Risk and Recovery is assisting in the planning, development, implementation, and maintenance of a system-wide Compliance Program with emphasis on risk management. Ultimately, the role of this position is to provide risk-based business oversight, auditing and surveillance of health care operations in support of Veterans and their families.

Duties

Duties include but are not limited to the following: Responsible for ensuring adherence with federal regulations governing healthcare operations Conducts in accordance with standard operating procedures created by the Chief, Compliance Officer and/or the Compliance and Business Integrity Officer (CBIO), monthly, quarterly, semiannual and annual monitoring and auditing activity. The incumbent acts independently to plan, organize, direct, and control areas with emphasis on data validation, analysis and generation of reports associated with the ECHCS enterprise risk management. Provides support and education on documentation issues and assists in the development of guidelines for data compatibility, consistency, and monitoring for compliance to improve the quality of clinical, financial, and administrative data to assure that every part of the information is completely documented and supported. Actively collaborates with Service Chiefs and process owners to ensure ongoing internal controls are in accordance with industry standards. Assures risk related activities are distinct from and consistent with other improvement processes and action plans occurring within the facility. Determines requirements to bring non-compliant processes into compliance with regulations. Develops, formulates, codifies and communicates Compliance Improvement Action Plans to the Chief, Compliance Officer in response to identified areas of high risk. Utilizes Lean processes to develop causation and corrective action plans to address identified process issues. Applies root cause analysis to identified issues. Utilizes specific-measurable-attainable-relevant-timebound (SMART) goals to generate milestones, benchmarks and targets. Develops, formulates and delivers risk related communication and education content to address knowledge gaps identified in causation and corrective action assessments. Utilizes Plan-do-study-act (PDSA) cycles to assess corrective action plains and modifies plans as applicable. Tracks all plans to fruition and monitors for sustained outcomes. Develops and provides guidance on the incorporation of compliance program related activities into operational areas. Utilizes the VHA CBI Compliance Metrics and/or other established evaluation and audit techniques to monitor facility compliance and to identify risk areas associated with the facility's business processes. Utilizes the VHA CBI Inquiry Reporting and Tracking Systems (CIRTS) and other established audit reporting protocol methods to report and track audits and investigated incidents. Documents all investigations and audit reports in CIRTS. Tracks and reports trends and frequency of improper activities and corrective action outcomes. Ensures that open lines of communication such as the CBI Helpline and personal contacts are effectively utilized to receive complaints, questions, and concerns regarding the facility's business practices and compliance with internal regulations. Ensure that procedures are in place to protect the anonymity of complainants, including documentation. Ensures the development and implementation of regular, effective education and training for all Health Care System employees on issues relating to the VHA CBI Program and 'job-specific' functional compliance training for employees in high-risk operational areas. Maintains collaborative working relationship with Executive Leadership, Business Office including Health Information Management and Purchased Care staff, Fiscal Service, Medical Staff, VA General Counsel, VA Office of Inspector General (OIG), Consolidated Patient Account Center (CPAC), and other key stakeholders in the Health Care System and across VHA. Interacts to ensure an understanding of facility initiatives towards compliance, provides recommendations, and provides consistency of compliance between the divisions and among departments. Participates in Compliance Committee communicating audit reports and remediation efforts via committee reporting requirements providing routine updates on audits in Project Management Oversight (PMO) progress reports and Causation Corrective Action Plans (CCAPs) . Work Schedule: Monday-Friday 7:30 AM - 4:00 PM Telework: This position is suitable for telework. Telework eligibility will be discussed during the interview process. Virtual: This is not a virtual position. Position Description/PD#: Management & Program Analyst- Risk and Recovery Manager/PD14181-A and PD12639-A Relocation/Recruitment Incentives: Not Authorized Financial Disclosure Report: Not required

Requirements

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 08/21/2023. 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-11 position you must have served 52 weeks at the GS-09 and for a GS-12 position you must have served 52 weeks at the GS-11. The grade may have been in any occupation, but must have been held in the Federal service. A SF-50 that shows your time-in-grade eligibility must be submitted with your application materials. If the most recent SF-50 has an effective date within the past year, it may not clearly demonstrate you possess one-year time-in-grade, as required by the announcement. In this instance, please provide an SF-50 that clearly demonstrates one-year time-in-grade, i.e., provide an SF-50 a "With-in-Grade," step increase. You may qualify based on your experience and/or education as described below: GS-11 Specialized Experience and/or Education: The GS-11 is a developmental position; it will consist of key functions similar to those described at the GS-12 full performance; but as the development level GS-11, you must have the experience equivalent to the GS-09 that consist of, determining the most appropriate principle, practice, and methods to apply in all phases of assignments, including the approach to be taken, degree of intensity, and depth of research in management advisories. Interpret Regulations on your own initiative, applying new methods to resolve complex and/or intricate, controversial, or unprecedented issues, problems and resolve most of the conflicts that arise and keep the supervisor informed of progress and potential controversial matters. OR you may qualify with the education possessing a PH.D. or equivalent graduate degree, or 3 full years of progressively higher-level graduate education leading to such a degree or LL.M., if related OR having the combination of Education and Experience-you must have (9 months of specialized experience equivalent to GS-09 and 2 1/2 years of creditable graduate level education. GS-12 Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-11 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to: Using qualitative and quantitative techniques for analyzing and measuring the effectiveness, efficiency, and productivity of programs throughout a complex health care system and the relationships of administrative activities (e.g. data processing, accounting, budget); Knowledge of organization, programs, missions, and functions of the health care system along with knowledge of analytical and investigative techniques to apply Generally Accepted Government Audit Standards (GAGAS) protocols and guidance to each audit; Thorough knowledge of regulatory information in the areas of health care administration, business and financial operations; Thorough knowledge of management and organizational techniques, systems, and procedures applied in performing variety of analytical studies and projects related to enterprise risk management; Compiling summary and executive level reports related to integrity and efficiency; assessing operational and regulatory risk. Preferred Specialized Experience: Integrity and Compliance, supporting and directing VA staff members with questions about ethics. Quality Assurance or Risk Management, conducting and analyzing Risk Management /Risk Assessment, and the development, monitoring and follow-up of "Causation Corrective Action Plans. You will be rated on the following Competencies for this position: AccountabilityComplianceCompliance InspectionProject ManagementRisk Management 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 is sedentary in nature. Typically, the incumbent will sit to perform work functions, but there will be some walking, standing, reaching, stooping, bending, kneeling, crouching or carrying light items. For more information on these qualification standards, please visit the United States Office of Personnel Management's website at https://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/.

Education

Contacts

• Address Eastern Colorado HCS Denver 13611 E. Colfax Ave Aurora, CO 80045 US
• Name: Maximino Padua
• Phone: 801-584-1284 X2215
• Email: [email protected]