Job Listing
Program Manager
Veterans Health Administration · Posted 7 days ago
About the Role
This position is assigned to the Quality, Safety, and Value (QSV) Quality and Performance (Q&P) directorate of the Department of Veterans Affairs, Veterans Health Administration. The incumbent serves in a management position that is organizationally aligned under the QSV Q&P Director. The incumbent serves as the Program Manager over several departments and/or programs supporting the Office of Integrated Veteran Care Programs.
What You'll Do
- →Area of Consideration- Eligible applications will be reviewed and referred in the following order: 1.
- →Current VA employees designated as surplus or displaced by the VA - Career Transition Assistance Plan (CTAP) eligible 2.
- →Current IEN employees located at Denver Federal Center, West 6th Avenue & Kipling Street, Lakewood, CO, 80225 3.
- →Current IEN employees located at 810 Vermont Ave NW, Washington, DC 20420 4.
- →Current IEN employees selecting location negotiable Duties: Coordinates efforts to develop and implement program performance measures based on emerging priorities; new or revised legislation; process changes or improvements; innovation or discontinuous change; and organizational decisions.
- →Provides governance and operations oversight for enterprise-wide healthcare payment and medical claim integrity operations, including development, implementation, and maintenance of payment guidelines, billing guidelines, procedures, and related operational guidance.
- →Plans, organizes, and completes program segment plans, operational analyses, data collection, and legislative responses.
- →Oversees healthcare payment and medical claim integrity control activities to strengthen reimbursement accuracy, prevent improper payments, identify noncompliance or unsatisfactory trends, and improve the effectiveness and efficiency of enterprise-wide payment operations.
- →Conducts market research, management surveys, research projects, and advisory services on issues of substantial scope and impact throughout the organization.
- →Plans, schedules, and carries out major projects, internal reviews, and program evaluations to assess, improve, and ensure compliance of programs and operations with national impact.
- →Collaborates with clinical, policy, financial, operational, contractor, and other internal and external stakeholders to assess program needs, align clinical policies with payment guidelines, resolve reimbursement gaps, and strengthen healthcare payment integrity across community care programs.
- →Works with Program Office external stakeholders/organizations, including contractors, private-sector health care providers, and trade organizations, to assess needs and provide project goals, objectives, and guidelines.
- →Administratively manages quality, resource, financial, training, and performance evaluation activities in accordance with applicable policies, principles, and operational priorities that support health care administration strategic goals and objectives.
- →Creates, facilitates, prioritizes, and negotiates resolution of operational issues with VHA leaders and private-sector health care providers/networks.
Requirements
- ✓You must be a U.S.
- ✓Citizen to apply for this job To be considered for this position, you must complete all required steps in the process.
- ✓In addition to the application and questionnaire, this position requires an online assessment.
- ✓The online assessment measures critical general competencies required to perform the job.
- ✓Selective Service Registration is required for males born after 12/31/1959 Physical Requirements: The work required does not inherently include any physical requirements essential for successful job performance that could not otherwise be performed with accommodation or workplace adjustment.
- ✓A pre-placement physical examination is not required.
- ✓Subject to background/security investigation Selected applicants will be required to complete an online onboarding process.
- ✓Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents).
- ✓Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
- ✓Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP) As a condition of employment for accepting this position, you will be required to serve a 1-year probationary period or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest.
- ✓In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service.
- ✓Upon completion of your probationary period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.
- ✓There is no educational substitution at this grade level.
Personality Fit
Job ID: 87a92aaa-d691-4290-b413-5fbf040306c8
Posted via USAJobs