Program Analyst

Summary

This position is in the Veteran and Family Member Programs (VFMP), within Integrated Veteran Care (IVC). The Program Analysts reports to the Deputy Director, and is responsible for assisting with nation-wide family member pharmacy programs within IVC. The incumbent responds to internal/external customer requests and other related pharmacy program issues. Assists with program goals, objectives, policies and other guidelines for the Pharmacy Benefits Manager (PBM) and VA pharmacy programs.

Duties

Major Duties: Applies expertise in VFMP's pharmacy programs. Utilizes analysis to develop and improve upon business processes for all pharmacy programs to include eligibility, delivery of pharmacy claims, Rx claims processing, payment methodologies and remittance information. Works with the Customer Service Center on emerging pharmacy issues in customer service and provider relations. Identifies systematic problems, conducts studies, and analyzes/evaluates customer needs and develops specific solutions which mitigate future problems. Develops various feedback mechanisms (questionnaires, Surveys, etc.) which indicate the effectiveness of that service. Collects, compiles, maintains, and evaluates statistical data regarding the results of those feedback mechanisms, as well as type and frequency of all other Customer complaints and inquiries. Identifies trends that reflect existing, perceived or potential customer-related problem areas. Assists with the development and utilization of performance indicators and standards for the program and analyzes trends and reports results to directorate management. Develops possible innovative or modified work methods based off knowledge of VFMP operations, procedures, fiscal constraints, and management principles. Makes recommendations and/or provides Senior Program Analyst with objective information for making decisions. Performs reviews of pharmacy claims for payment accuracy and policy adherence. Performs weekly medication reviews of the additions to the MediSpan drug database to determine payment or nonpayment; keeping with adherences to Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) program policy. Identifies resource requirements and provides input to the Senior Program Analyst for the organization's annual operating budget submission process and monitors program cost factors and reports results to the Senior Program Analyst. The employee participates in the analysis of financial performance compared to projections and industry standards and as part of a team and develops and coordinates the implementation of VFMP pharmaceutical cost containment initiatives. Work Schedule: Monday- Friday, Tours between 6:00am-6:00pm Compressed/Flexible: May be available Telework: This position may be authorized for Ad-hoc telework. Ad-hoc Telework eligibility will be discussed during the interview process. Virtual: This position may be authorized for Virtual Work. Virtual Work eligibility is for current VA employees that are already subject to the return to the in-person work mandate in their current position. Definition of Virtual Work: Employee works outside of original hiring duty station at a VA-owned or leased space. Return to Office (RTO): RTO mandates are in effect and selectees will be required to report to in-person work unless they are approved for an exception or an exemption. Any approval for an RTO exception, exemption, or extension will happen after a conditional job offer, but before a final job offer. Position Description/PD#: Program Analyst/PD29830A Relocation/Recruitment Incentives: Not Authorized Critical Skills Incentive (CSI): Not Approved Permanent Change of Station (PCS): Not Approved

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 10/19/2026. 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-11 position you must have served 52 weeks at the GS-09. 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-09 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to: Assists in collecting, compiling, and analyzing program data to identify basic trends and support program evaluations. Performs routine reviews of business processes and recommends straightforward improvements to enhance program efficiency. Supports program administration by preparing draft reports, updating reference materials, and responding to standard inquiries. Maintains program records and ensures compliance with established privacy, security, and documentation requirements. Collaborates with team members and stakeholders to gather information, participate in projects, and support customer service initiatives. OR, Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have Ph.D. or equivalent doctoral degree or 3 full years of progressively higher level graduate education leading to such a degree or LL.M., if related 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 under graduate level. Only graduate education in excess of the amount required for the next lower grade level may be used to qualify applicants for positions at grades GS-9 and GS-11. 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/.