The VA San Diego is hiring a Program Analyst to work as a Clinic Profile Manager. This position provides a high level of complex and highly skilled support related to provider profile management.

Duties

As a Clinic Profile Manager you will be responsible for coordinating clinical/provider profiles and scheduling grids. Clinical profiles provide the vehicles to capture outpatient and related workload for Veterans Equitable Resource Allocation (VERA), Medical Cost Analysis (MCA), and Financial Revenue Management for purposes to schedule patients and to monitor clinic performance. You will coordinate quality assurance efforts through assessments on workflow and procedures to develop means of improving service delivery to customers. Duties include, but are not limited to: Setting up the clinic structure, allowing for the scheduling of patients, direct workload capture, direct insurance and co-pay billing, direct MCA costing, and tracking facility and provider performance against national, Veterans Integrated Network (VISN), and local measures. Interpreting national policies and procedures, developing and implementing local standards, defining requirements and providing advice to top management on related issues pertaining to clinic/provider profile management. Integrating advanced clinic access (ACA) principles and initiatives, outpatient scheduling directive mandates, ambulatory data capture and workload rules and regulations, coding and billing criteria, and MCA requirements into clinic structures. Leading clinic profile team members to ensure analytics and goals are being met and overseeing clinic staff delegated to services performing clinical profile coordination and management functions. Participating in projects, task forces, and committees to problem-solve, education and implement software, data capture and scheduling directive matters, and other workgroups related to access, wait times, and clinic profile management. Overseeing all clinic set up options, clinic profiles and outputs. Coordinating with informatics for the development and management of data systems, and performing data retrieval and analysis for reports. Identifying problems and applying analytical techniques, correcting negative trends and providing resolutions to system issues/malfunctions. Developing and implementing training programs for the facility to ensure staff are properly education and accountable for clinical profiles, scheduling, and data management. Coordinating quality assurance efforts through assessments of workflow and procedures to develop means of improving service deliver to customers. Promotion Potential: The selectee may be promoted to the full performance level without further competition when all regulatory, qualification, and performance requirements are met. Selection at a lower grade level does not guarantee promotion to the full performance level. Work Schedule: Monday - Friday, 7:00am-3:30pm 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#: Program Analyst (Clinic Profile Manager)/PD99898S Relocation/Recruitment Incentives: Not authorized. Critical Skills Incentive (CSI): Not approved. 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, 06/14/2024. 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-9 position you must have served 52 weeks at the GS-7. For a GS-11 position you must have served 52 weeks at the GS-9. 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: For the GS-9: Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-7 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to: experience working in a clinic structure; scheduling patients; knowledge of insurance intake processes, specialized medical billing programs and how they interrelate to health care system services/programs; knowledge to select, interpret, and apply regulatory guidelines, precedents and protocols to process clinic profile requests; knowledge of tracking health care facility and provider performance; OR, Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have a master's or equivalent graduate degree, or 2 full years of progressively higher level graduate education leading to such a degree; OR, Combination: Applicants may also combine education and experience to qualify at this level. You must have an combination of specialized experience and education beyond the first full year of graduate level education. For the GS-11: Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-9 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to: experience working in a clinic structure; scheduling patients; thorough knowledge of insurance intake processes, specialized medical billing programs and how they interrelate to health care system services/programs; experience and ability to select, interpret, and apply regulatory guidelines, precedents and protocols to process clinic profile requests involving complicated decisions with multiple factors; experience tracking health care facility and provider performance; experience and skill to evaluate and analyze processes and procedures with multiple variables, problem-solve and apply judgment to make complex independent decisions with ramifications across a continuum; ability to locate, extract, interpret and generate reports of various natures; 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, Combination: Applicants may also combine education and experience to qualify at this level. You must have an combination of specialized experience and education beyond a master's or equivalent degree. You will be rated on the following Competencies for this position: Administration and ManagementCommunicationKnowledge ManagementTechnical 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: Work of the position is mostly sedentary involving sitting at a desk, although the position requires the ability to move from one geographic location of the facility to another. The incumbent works with a computer screen and keyboard. The work places no special physical demands on the incumbent. 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 Diego VA Medical Center 3350 La Jolla Village Drive San Diego, CA 92161 US
• Name: Megan Blanchard
• Phone: 210-992-6210
• Email: [email protected]