A Quality Assurance (QA) Department was designed to perform monitors and audits to ensure compliance with all regulations, policies/procedures and quality and performance measures are met or exceed the percentage of nationally required goals/targets. The QA Department of the Consolidated Patient Account Center is responsible for ongoing probe reviews, along with mandatory monitors and audits set forth by the Revenue Operations office.

Duties

The position is located within the QA Department, organizationally aligned under the CPAC Director, reporting to the QA Manager. Serves as a QA Program Analyst to conduct probes and ongoing systematic, data-driven reviews and analysis of VHA/CPAC revenue processes. The QA Program Analyst is responsible for monitoring all functional revenue departments to support the delivery of consistent, efficient, and accountable revenue services across the VHA Revenue enterprise Work Schedule: Monday through Friday, 7:00 am to 4:00 pm Compressed/Flexible: Flexibility in the scheduled duty hours may be available. Telework: VA supports the use of telework as a way to help attract and retain talented individuals in public service, increase worker productivity, and better prepare the agency to operate during emergencies. This position may be authorized for telework. Telework eligibility will be discussed during the interview process. Virtual: This is not a virtual position. Position Description/PD#: Program Analyst/PD667850 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): 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, 12/22/2023. 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-09 position you must have served 52 weeks at the SG-07. 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 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: 1) Uses qualitative and quantitative analytical techniques such as literature search, work measures, task analysis and job structuring; productivity charting, flowcharting of work processes; graphing; and calculation of means, modes, standard deviations, or similar statistical measures. 2) Pulls data, determines sample size, selects statistical sample, performs audits and monitors ongoing performance and action plans for auditing and other deep dive efforts. 3) Evaluates trends, patterns and other relative information in the revenue area to identify process breakdowns. 4) Makes recommendations for implementing quality improvement of revenue operations to better execute the organization's responsibilities. 5) Plans and conducts systematic reviews and evaluation of a broad range of information and data regarding VAMC and CPAC revenue activities (insurance, billing, collections, receivables, denials, utilization review, First Party, Facility revenue, Payer Relations, Utilization Review, HIMS, coding, facilities, etc.) to ensure compliance and identify trends, patterns and opportunities for process improvements. 6) Ensures all assigned monitors/reviews/audits are completed timely and accurately. 7) Assists managers and supervisors in developing Quality Improvement Plans (QIP) that address root causes identified and assists in ensuring corrective actions are taken to address these findings as well as monitoring the completion of QIPs. OR, GS-09 Substitution of Education for Experience (TRANSCRIPTS REQUIRED): Do you possess a Masters 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? Such education must demonstrate the knowledge, skills and abilities necessary to do the work. OR, GS-09 Combination of Education and Experience (TRANSCRIPTS REQUIRED): Do you possess equivalent combinations of successfully completed graduate education and specialized experience directly related to the work of the Program Analyst position, which may be substituted to meet the experience requirements for the GS-09 position? You will be rated on the following Competencies for this position: Analysis and Problem SolvingCommunicationComputer SkillsDatabase Management SystemsDecision SupportTechnical 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, although some slight physical effort may be required. Work involves intense concentration for long periods of sitting with some walking. Must be able to work for long periods on a personal computer. 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 VA WCPAC Las Vegas 736 1085 Palm Airport DR Las Vegas, NV 89119 US
• Name: VHA National Recruitment Center
• Phone: (844)456-5208
• Email: [email protected]