Supervisory Financial Management Specialist

Summary

This position is located in Middleton, WI, at the Consolidated Patient Account Center, organizationally aligned under the Chief Operating Officer, serving as the Billing Manager for the third-party Revenue Program. The CPAC is a regionally consolidated business entity established to increase revenue within VHA using an industry best model built on regional management of key aspects of the revenue cycle, process standardization, accountability and economies of scale.

Duties

***THIS IS NOT A VIRTUAL POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION*** This position involves a multi-grade career ladder. The major duties listed below represent the full performance level of GS-13. At the GS-12 grade level, you will perform assignments of a more limited scope and with less independence. You will progressively acquire the background necessary to perform at the full performance level of GS-13. Promotion is at the discretion of the supervisor and is contingent upon satisfactory performance, availability of higher level work, and availability of funds. Duties may include, but are not limited to the following: Exercises management responsibility for complex billing activities for all the facilities assigned to the CPAC. Implements and manages all aspects of billing activities for CPAC clients and a wide range of stakeholders. Ensures the financial health and integrity of Billing practices, procedures, policies, and operations throughout the CPAC. Provides management oversight, guidance, corrective measures, and direction for monitoring activities designed to ensure the integrity and accuracy of healthcare claims. Monitors a wide range of data in order to identify patterns or trends and to ensure accurate billing in accordance with appropriate rules and regulations. Identifies negative and positive trends to assist in the development of strategies for revenue improvement. Develops, implements, and evaluates clinical guidelines and protocols to establish appropriate utilization of services. Provides guidance, enhancement, and direction in the development of billing software. Interpreting billing rules, regulations, and policies. Plans work to be accomplished by subordinates, and establishes and adjusts long and short-term priorities and deadlines. Identifies the developmental and training needs of employees, providing or arranging for such training and development. Performs other related duties as assigned. Work Schedule: Monday-Friday, 8:00am-4:30pm Recruitment & Relocation Incentives: Not authorized Critical Skills Incentive (CSI): Not Approved Telework: This position is considered onsite. Ad-Hoc telework eligibility will be discussed during the interview process.

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 10/30/2026. Time-In-Grade Requirement for GS-12: 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. Time-In-Grade Requirement for GS-13: 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. TO QUALIFY FOR THIS POSITION AT THE GS-12 LEVEL YOU MUST ALSO MEET THE FOLLOWING CRITERIA: SPECIALIZED EXPERIENCE: Possess at least one (1) year of specialized experience equivalent to the GS-11 level in the Federal service. This experience must have equipped you with the particular knowledge, skills, and abilities to perform successfully the duties of this position, and that is typically in or related to the work of this position. Specialized experience includes: coordinating elements of a billing program; providing oversight to third party liability, billing and coding actions; developing systems; and establishing internal debt management policies. NOTE: Resume must clearly demonstrate experience to be creditable. We will not make assumptions regarding experience. TO QUALIFY FOR THIS POSITION AT THE GS-13 LEVEL YOU MUST ALSO MEET THE FOLLOWING CRITERIA: SPECIALIZED EXPERIENCE: Possess at least one (1) year of specialized experience equivalent to the GS-12 level in the Federal service. This experience must have equipped you with the particular knowledge, skills, and abilities to perform successfully the duties of this position, and that is typically in or related to the work of this position. Specialized experience includes: implementing and managing all aspects of billing activities; providing management oversight, guidance, corrective measures, and direction to ensure the integrity and accuracy of healthcare claims; providing oversight to third party liability, billing and coding actions; developing systems; establishing internal debt management policies; and providing advice, counsel or instructions to employees on administrative and technical matters. NOTE: Resume must clearly demonstrate experience to be creditable. We will not make assumptions regarding experience. 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.