Health System Specialist (TCF Trainee) - Direct Hire Authority
What you'd do
This position is assigned to the Office of Integrity and Compliance (OIC) Program as a trainee in the VA Technical Career Field (TCF) Master's Program and contributes to the fulfillment of the elements of an effective compliance program to include: compliance program committee oversight; training and education; auditing and monitoring; risk assessment; open lines of communication; enforcement, recognition; investigation and response.
Major duties
DIRECT HIRE AUTHORITY: This position is being filled using Direct-Hire Authority (5 CFR 337.205) for this occupation. The VA has adopted Core Values and Characteristics that apply universally across the Department. The five Core Values define "who we are," our culture, and how we care for Veterans, their families and other beneficiaries. The Values are Integrity, Commitment, Advocacy, Respect and Excellence ("I CARE"). That's why we created the Technical Career Field (TCF) Program - one of the largest training programs at VA. TCF positions equip professionals (including veterans) with the specialized knowledge they need to support the delivery of quality health care for our Nation's veterans. The TCF career fields represent those technical fields where VA-specific knowledge and experience is desirable for success in the field. Individuals selected follow a formal training plan for two years during which they are trained, coached, and supervised by a preceptor. Preceptors are selected annually, through an extensive application process, for their technical expertise, their commitment to training and the suitability of their facility as a training location. *Selectees will be required to sign Mobility, Training, and Continued Service Agreements. This is a developmental position leading to a GS-11, performing assignments intended to broaden skills and provide practical experience leading to progressively more complex assignments performed under progressively less supervision. The selectee may be promoted to the full performance level without further competition when all regulatory, qualification, and performance requirements are met. Selection at a lower grade level does not guarantee promotion to the full performance level. The Integrity and Compliance Officer (ICO) TCF Trainee assists in the planning, development and implementation of compliance initiatives within the Veterans Affairs Medical Center (VAMC) and Community Based Outpatient Clinics (CBOC)s. Duties include, but are not limited to: Assists in planning, developing, and implementing programs to effectively identify, plan, assess, respond, and monitor areas of high risk, and coordinates efforts to improve performance as deemed necessary Develops expertise to serve as an advisor on compliance regulations, references, and program initiation and implementation throughout the facility. Maintains access and authority to review all documents, patient records, and other information relevant to compliance activities, including, but not limited to claim submissions; financial, quality, external review and purchased care reports; communication from first and third-party payers; privacy records; reports of investigations, and arrangements with other parties; obtains access on an "as needed" basis in order to conduct specific audits or investigations Assesses written compliance policies, and procedures consistent with those established by VHA and Federal Laws that reflect industry standards and practices Ensures policies and procedures are accessible and communicated through a variety of forums to all employees, volunteers, contractors, management, and other business stakeholders; ensures policies and procedures identify and describe core compliance elements and implementation thereof. Promotes and supports the culture to make it easier for the employee to adhere to programs and policies and to help ensure that all employees adhere to ethical business practices as outlined in the Standards of Ethical Conduct for Employees of the Executive Branch (5 CFR, Part 2635) Assists with establishment of the Compliance Committee with membership including senior-most officers responsible for the facility's business-related activities and health information practices, in accordance with OIC Directives and Handbooks. Develops and implements a OIC assessment process used internally to determine the efficiency and effectiveness of the OIC Program Work Schedule: Monday - Friday 7:30 AM - 4:00 PM or 8:00 AM - 4:30 PM Position Description Title/PD#: Health System Specialist (TCF Trainee) - Direct Hire Authority/PD99534S Physical Requirements: There are no unusual physical demands. The work is performed in an office setting. Travel to the VISN and various trainee and external meetings or training is required. Promotion Potential: The selectee may be promoted to the full performance level without further competition when all regulatory, qualification, and performance requirements are met. Selection at a lower grade level does not guarantee promotion to the full performance level.
What you need to qualify
To qualify for this position, applicants must meet all requirements by the closing date of this announcement. GS-09 Grade Determination: Specialized Experience: One (1) full year of specialized experience equivalent to the GS-7 level in the Federal service that has equipped me 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 this Health System Specialist position. Qualifying specialized experience is defined as progressively responsible analytical or administrative, or clinical management or supervisory experience in the health care field. This work may have been performed in an operating health care facility or a higher organizational echelon with advisory or directional authority over such facilities. Work must have involved a close working relationship with facility managers and analysis and/or coordination of administrative, clinical, or other service activities, and provided knowledge of the following: (1) Missions, organizations, programs, and requirements of health care delivery systems; (2) Regulations and standards of various regulatory and credentialing groups; and (3) Government-wide, agency, and facility systems and requirements in various administrative areas such as budget, personnel, and procurement. At this level, applicants would have obtained this experience working within a health care setting; working directly with healthcare professionals and other administrators to solve problems in support of the delivery of patient care; and experience assisting an administrative component of a health care onboarding process. OR Applicants may substitute education for the experience required for the GS-09 level. Successfully completed a master's or equivalent graduate degree or successfully completed two (2) full years of progressively higher level graduate education leading to such a degree, LL.B or J.D. in a related field of the position to be filled (i.e., hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration). Education at the graduate level must have been obtained in an accredited college or university and must demonstrate the knowledge, skills, and abilities necessary to do the work of this position. NOTE: Transcripts must be submitted with your application materials. Education cannot be credited without documentation. OR Applicants may also combine education and experience to qualify at the GS-09 level. Equivalent combination of successfully completed graduate level education (beyond the first year) and specialized experience as described above, to meet the total experience requirements. The education portion must include graduate courses that demonstrate the knowledge, skills, and abilities necessary to do to the work of this position (i.e. hospital administration, public health administration, or related fields such as course work in health care administration). This education must have been obtained in an accredited college or university. NOTE: Transcripts (unofficial or official) must be submitted with your application materials. Education cannot be credited without documentation. Experience must be clearly indicated in your resume. 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.
Before you apply
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