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Job opening: Authorization Quality Review Specialist

Salary: $74 441 - 96 770 per year
City: Chicago
Published at: Feb 08 2024
Employment Type: Full-time
This position is located in a Dept. of Veterans Affairs Regional Office (VARO), VSC, PMC, and BEST. This position is an integral part of the quality assurance program, and as is a key technical adviser. The purpose of this position is to measure individual performance quality and identify training needs through the review and assessment of completed compensation and pension claims involving development, award processing, and authorization.

Duties

Major Duties: This position is located in a Department of Veterans Affairs Regional Office (VARO), Veterans Service Center, PMC, and BEST. The Authorization Quality Review Specialist is an integral part of the quality assurance program and is a key technical adviser to the Veterans Service Representatives (VSRs), in the Regional Office. The purpose of this position is to measure individual performance quality as well as identify training needs through the review and assessment of completed compensation and pension claims. Duties include, but are not limited to: Performs individual quality reviews to determine the authorization quality level of individual VSRs 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 authorization quality trend information with management on an ongoing basis and with the VSRs 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.

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.
  • This is a Bargaining Unit Position.

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 02/18/2024. 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-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. You must provide a copy of your most recent SF-50, "Notification of Personnel Action" showing that you are in the competitive service and the highest grade or promotion potential held. If the most recent SF-50 has an effective date within the past year, it may not clearly demonstrate that you possess (1) year time-in-grade, as required by the announcement. In this instance, you must provide an additional SF-50 that clearly demonstrates (1) year time-in-grade. General Adjustment and Award SF-50's cannot be used for time-in-grade verification purposes. Minimum Qualification Requirements: You may qualify based on your experience as described below: Specialized Experience GS-12 Applicants must have one (1) year of specialized experience equivalent to at least the next lower grade (GS-11). Specialized Experience is defined as work that involves functioning in either a capacity performing training, analyst or information systems duties of a claims management process. The experience should be substantive and relevant and may have been gained in the federal, military, or private sector. Examples include but are not limited to: Conducting focused evaluations and reviews to determine authorization quality and accuracy. Providing advisory services to management via preparation and presentation of quality trend information. Developing training strategies and materials to address deficiencies and/or conducting training activities. Analyzing performance deficiencies and quality trends to identify knowledge/skill gaps Providing quality-review services, feedback, and guidance to staff in order to correct unsatisfactory performance. 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. 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

There is no educational substitution for the GS-12 level.

Contacts

  • Address St Louis Regional Benefit Office 9700 Page Ave Overland, MO 63132 US
  • Name: Mark Abecia
  • Phone: 515-323-7575
  • Email: [email protected]

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