This position serves as Program Analyst in VHA's Recovery Audit Program (RAP), which is part of VHA's Fraud, Waste and Abuse (FWA) Prevention, Detection and Response Program, in the Office of Integrity and Compliance (OIC), Veterans Health Administration (VHA), located at the Central Office of the Department of Veterans Affairs (VA) in Washington, DC. This vacancy may be filled in Washington, DC or a location to be determined.

Duties

Duties include but are not limited to: Serves as a subject matter expert for VHA recovery audit program to execute research, preliminary reviews, investigations, audits, remediation, training and education, corrective action planning and coordination consistent with scope of duties Provides subject matter expertise and oversight support for improper payments and recovery audit risks and issues that arise across VA and coordinates with the appropriate offices and staff to address Serves as a subject matter expert for organization-wide education and training on recovery audits as required by VHA's adopted curriculum Assists in the development and implementation of a VHA-wide recovery audit program that prevents, detects and mitigates improper overpayments Work Schedule: Monday-Friday, 0800-1630 Telework: Applicant is required on site 50% of work schedule per pay period. Virtual: The employee may work at a VA facility or other VA-leased space other than the facility that is hiring the employee and is authorized for telework up to 50%. Position Description/PD#: Program Analyst/PD478400 Relocation/Recruitment Incentives: Not Authorized Critical Skills Incentive (CSI): Not Approved Permanent Change of Station (PCS): Not Authorized

Requirements

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 01/24/2025. 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 13 position you must have served 52 weeks at the GS 12. 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. Selective Factor: This position includes a selective factor (skill, knowledge, ability, or other worker characteristic basic to - and essential for - satisfactory performance of the job). Selective factors are a prerequisite to appointment and represent minimum requirements for a position. Applicants who do not meet them are ineligible for further consideration. The selective factor for this position is: Proposing and implementing actions to improve internal controls to prevent future improper payments, recognize trends, and identify potential fraud, waste or abuse (FWA). Researching and identifying industry trends and patterns in order to detect aberrant billing practices. Skills: Data mining, claims analysis, investigations, and auditing. You may qualify based on your experience and/or education as described below: GS-13 Specialized Experience Requirement: Do you possess one year of specialized experience equivalent to at least GS12 on Federal Service that typically includes, but is not limited to, the following specialized experience examples. In order to meet the minimum qualifications for this position, you must meet 3 of 5 of the following examples of specialized experience. conducting and/or overseeing recovery audits from planning and implementation subject matter experience in claims analysis and data mining tools to detect aberrant billing practices proposing recommendations and process improvements for how to build effective programs to prevent, detect, and respond to improper payments, specifically the collection of overpayments compose clear and concise and well-written issue papers, analyses, actionplans, fact sheets, reports, letter, and other significant written communications coordinate documentation and/or research and consolidate information needed and present finding to management, high-level management officials and internal and external contacts Qualify Ranking Factor (QRF): A quality ranking factor (QRF) is a knowledge, skill, or ability (KSA) that could be expected to enhance performance in a position but are not essential for satisfactory performance. Applicants who possess a QRFs may be ranked above those who do not, but no applicant may be rated ineligible (i.e., screened out) for failure to possess a QRF. - Applicants with recovery audit experience applicable to Federal health insurance programs and/or health care systems. -Experience demonstrate partnering with law enforcement entities such as OIG, DOJ, and/or FBI on FWA-related audits and/or investigations findings that may result in potential referrals for criminal and/or civil prosecution. You will be rated on the following Competencies for this position: Accountability Decision Making Influencing/Negotiating Reasoning 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 primarily is sedentary, although some slight physical effort may be required. 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

There is no educational substitution at this grade level.

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 VHA Central Office - Oversight, Risk and Ethics 810 Vermont Avenue NW Washington, DC 20420 US
• Name: VHA National Recruitment Center
• Phone: (844)456-5208
• Email: VHANationalRecruitmentCenter@va.gov