The incumbent serves as a Health Benefits Program Manager and Health Administration Section Chief for the Greenville VA Health Care Center (HCC) and Morehead City Community Based Outpatient Clinic (CBOC), organizationally part of the Durham VA Health Care System. This position is located at the Greenville VA Health Care Center (HCC).

Duties

Major duties include but not limited to: Responsible for the implementation and management of key programs related to health benefits administration including but not limited to: financial assessment and income verification; eligibility verification; benefits determination; and enrollment and check-in processes. Serves as consultant to clinical and administrative staff for difficult or unusual cases related to benefits determination. Analyze data about workload, timeliness, accuracy, cost, and performance outcomes to identify significant trends and issues with performance of each program area. Conceives and implements new initiatives and projects to strengthen, facilitate and integrate programs. Undertakes or participates in special projects, ongoing analyses, investigations and initiatives that have high priority for upper management. Investigates and analyzes adverse quality trends or conditions and initiates corrective action. Develops, maintains and monitors integrated reporting systems for all Health Administration Service (HAS) programs at the HCC. Exercises supervisory authorities and responsibilities involving work assignments and review, as well as the administrative and personnel management functions for the staff supervised. Hears and resolves complaints, referring grievances and serious unresolved complaints to a higher level supervisor or manager. Develops and/or updates position descriptions, functional statements, performance standards and competencies. Other duties as assigned as it relates to this position. Work Schedule: Monday - Friday 8:00am - 4:30pm Virtual: This is not a virtual position. Position Description/PD#: Medical Administration Specialist/PD063880 Relocation/Recruitment Incentives: Not required Financial Disclosure Report: Not required

Requirements

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 10/10/2023. 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. 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. 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, you must provide an additional SF-50 that clearly demonstrates one-year time-in-grade. 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: 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: strong working knowledge of a health care system's organizational structure, mission, functions and inter-relationship of all activities; general HAS experience such as enrollment/eligibility, CITC, HIMS, scheduling experience, etc. OR, Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must 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. OR, You will be rated on the following Competencies for this position: Creative ThinkingCustomer ServiceInterpersonal SkillsOrganizational StewardshipTechnical Competence 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 primarily sedentary in nature, although some slight physical effort may be required. Work is typically performed in an adequately lighted and climate controlled office. 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

A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Contacts

• Address Durham VA Medical Center 508 Fulton Street Durham, NC 27705 US
• Name: Delores Harris
• Phone: 202-745-8000 X54288
• Email: [email protected]