This position is located in the Office of the Director of a local health care system and reports to the Director, or a Chief Compliance Officer that reports to the Medical Center Director. The primary purpose of the position is to provide leadership, strategic direction, and oversight of the compliance activities for the medical facility and to ensure a standardized and effective approach to compliance using the compliance framework.

Duties

DUTIES INCLUDE BUT ARE NOT LIMTED TO: Report on Integrity and Compliance Office (ICO) program implementation, reviews periodic reports with senior management detailing compliance initiatives throughout the year, recommends improvements and implements changes to the ICO program and operational compliance related activities. Utilize Lean processes to develop causation and corrective action plans to address identified process issues. Ensuring compliance with Federal regulations that govern health care operations and the prevention, detection, and remediation of fraud waste and abuse (FWA). Design, implementation and leadership of the ICO program ensuring that the local program is in alignment with Health and Human Services Office of the Inspector General's compliance guidance documents. Maintain processes, such as the ICO Helpline, the compliance suggestion box (or personal contact) to receive complaints, questions, and concerns regarding business practices and internal regulations, and adopts procedures to protect the anonymity of complaints. Assist in the development and implementation of regular, effective education and training for all Medical Center employees. Posse in-depth systems knowledge to be used in preparing recommendations to change the way programs are carried out; in evaluating the content of new or modified legislation for projected impact upon agency programs and resources; and/or translating basic legislation into program goals, actions, and services. Establish and maintain the "tone at the top" within the local health care system for Compliance and Integrity, including but not limited to, providing regular communications to local health care system staff on the importance of Compliance and Integrity; draft guidance and direction regarding program management and reporting. Complete reviews for enterprise risk impact. Conducting audits and providing written audit reports. Use internal data sources to obtain the information for monitoring and auditing activities. Exercise oversight of implementation of the Compliance and Integrity program within the local health care system to ensure it is effective; such oversight shall include taking appropriate corrective action, recommending remediation or disciplinary measures to immediate supervisor or appropriate management official when Compliance and Integrity goals are not achieved or when operational management fails to take reasonable steps to prevent or detect behavior which is noncom pliant or not consistent with high standards of business integrity. Develop detailed plans, tasks, milestone dates and schedules to ensure proper sequencing of events and tracking of processes and costs throughout the life cycle of the programs/projects. Work Schedule: Monday Through Friday 08:00am - 04:30pm 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#: Health Systems Specialist (Integrity and Compliance Officer)/PD02209O Financial Disclosure Report: Not required

Requirements

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 03/28/2024. 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. 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. Individual Occupational Requirements Undergraduate and Graduate Education: Major study -- Hospital Administration, public health administration, or related fields such as business or public administration with course work in health care administration. Specialized Experience: Progressively responsible analytical or administrative, or clinical management or supervisory experience in the health care field. This work may have been performed in an operating health care facility or a higher organizational echelon with advisory or directional authority over such facilities. Work must have involved a close working relationship with facility managers and analysis and/or coordination of administrative, clinical, or other service activities, and provided knowledge of the following: Missions, organizations, programs, and requirements of health care delivery systems; Regulations and standards of various regulatory and credentialing groups; and Government-wide, agency, and facility systems and requirements in various administrative areas such as budget, personnel, and procurement. Special Provision for In-service Placement: Successful completion of an agency-sponsored on-the-job training program may be substituted for qualifying experience, provided it included a formal individualized training plan. Such a training program must have been conducted in an operating health care system and included: Assignments providing a knowledge of basic health system administration philosophies, practices, and procedures, and basic government administrative policies and requirements; Practical assignments providing an opportunity to apply health system administration skills and principles (as the individual progresses, work assignments must be characteristic of the grade level to which he or she is assigned); and Oversight by an experienced health system administrator with periodic evaluation of the individual's progress and appropriate adjustment of the training program In addition to the Individual Occupational Requirement above you may qualify based on your experience as described below: Specialized Experience: One year of specialized experience that equipped me with particular knowledge, skills, and abilities (KSAs) to successfully perform the duties of the position, and that is typically in or related to the position to be filled. To be creditable, the specialized experience must have been at the GS-11 grade level or higher, or an equivalent level of responsibility. Examples of creditable specialized experience includes: Knowledge of high reliability theories, principles, concepts, and functions in order to provide necessary guidance to Executive Leadership, Service Chiefs, the Compliance Committee, employees and other stakeholders, including guidance that may be contradictory to current popular practices and organizational behavior. Knowledge of project concepts, practices, and scoping; data collection techniques; sampling methodologies; applying qualitative and quantitative analysis; and documentation methods in order to conduct compliance related activities to include report writing and communication of findings to executive leadership, senior management, business process owners and the Office of Integrity and Compliance (OIC) Committee. Knowledge of complex analytical problem-solving methods, principles, theories and practices to health care systems and health care operations, with a degree of resourcefulness, ingenuity and inventiveness in order to identify extensive program data/interrelationships and conduct a variety of studies, investigations and assignments including recommending and utilizing audit and monitoring systems, analyzing results, interpreting data and coordinating the preparation of accurate and reasonable formal and informal reports, program plans and proposals. Skill in ethical and legal leadership conduct in order to serve as a role model for the local health care system; demonstrated effective interpersonal and personal diplomacy skills in order to display high levels of motivation, team orientation, professionalism and integrity. You will be rated on the following Competencies for this position: AccountabilityComplianceCompliance InspectionCritical ThinkingKnowledge ManagementOrganizational AwarenessRisk 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 primarily sedentary, although some slight physical effort may be required when visiting different sections of the health care system for meetings or fact-finding. The work is performed in an administrative office setting within a local health care system. In the course of performing duties, employee may have to visit clinical portions of the organization, observing appropriate healthcare rules. May require occasional travel. 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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Contacts

• Address San Francisco VA Medical Center 4150 Clement Street San Francisco, CA 94121 US
• Name: Sara Flores
• Phone: 369-873-3561
• Email: [email protected]