Program Analyst

Summary

This position serves as a Program Analyst within the Office of Integrated Veteran Care (IVC), Directorate of Integrated External Networks (IEN), administering correspondence and operations issues, reviewing and resolving inquiries, and conducting analyses of issues related to healthcare administrative functions.

Duties

***THIS IS NOT A VIRTUAL POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION*** ***Applicant Count: This job announcement will automatically close at 11:59pm EST on the date the applicant count of 100 applications has been reached or on the closing date, whichever comes first. The major duties and responsibilities include but are not limited to: Analyzes healthcare program operations to evaluate effectiveness, efficiency, and productivity. Collects, validates, and analyzes clinical, administrative, workload, and financial data from automated systems. Applies qualitative and quantitative methods to evaluate statistical trends, identify outliers, and improve program performance. Prepares statistical reports, comparative analyses, and management summaries to support decision-making. Identifies and resolves data discrepancies and reporting irregularities to ensure data accuracy. Evaluates healthcare provider network performance and compliance with program guidelines and federal regulations. Conducts cost-benefit analyses and evaluates healthcare resource utilization. Reviews program policies and develops procedures and guidelines to improve operational effectiveness. Researches and responds to Congressional, White House, Agency, Veteran, and healthcare provider inquiries, including sensitive or high-visibility issues. Coordinates with internal and external stakeholders to resolve complex healthcare authorization, reimbursement, and policy issues. Prepares official correspondence and tracks inquiries to ensure timely, accurate responses. Conducts site visits, program studies, and surveys to assess field operations and identify improvements. Participates in task forces, workgroups, and briefings to evaluate initiatives and present recommendations to management. Performs other related duties as assigned. Work Schedule: Monday through Friday, 8:00 a.m. to 4:30 p.m. Recruitment & Relocation Incentives: Not authorized Critical Skills Incentive (CSI): Not approved Telework: This position may be authorized for telework. Telework eligibility will be discussed during the interview process.

Qualifications

TO QUALIFY FOR THIS POSITION AT THE GS-12 GRADE LEVEL, YOU MUST MEET THE FOLLOWING CRITERIA: SELECTIVE PLACEMENT FACTOR: This position includes a Selective Placement Factor (skill, knowledge, ability or other worker characteristic basic to - and essential for - satisfactory performance of the job). Selective Placement Factors are a prerequisite to appointment and represent minimum requirements for a position. Applicants who do not meet it are ineligible for further consideration. The Selective Placement Factor for this position is: Experience supporting healthcare payer/provider network operations involving provider network performance, claims processing, or reimbursement procedures. ~AND~ SPECIALIZED EXPERIENCE: You must possess one full year of specialized experience equivalent to the next lower grade level (GS-11) in the Federal service. Specialized experience is that which has equipped you with the particular knowledge, skills, and abilities to perform successfully the duties of the position, and that is typically in or related to the work of the position to be filled. Qualifying specialized experience includes analyzing program operations and performance using qualitative and quantitative methods; collecting, validating, and interpreting data to identify trends and discrepancies; researching and resolving operational and administrative issues, including inquiries from internal and external stakeholders; developing reports and recommendations to support management decisions and improve program effectiveness and efficiency. NOTE: Experience must be fully documented on your resume and must include job title, duties, month and year start/end dates AND hours worked per week. 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/. Your experience must be fully documented on your resume and must include job title, duties, month and year start/end dates AND hours worked per week. 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. IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE WILL NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Overstating your qualifications and/or experience in your application materials or application questionnaire may result in your removal from consideration. Cheating on the online assessment may also result in your removal from consideration.

Education

There is no educational substitution at this grade level.