Program Analyst (Compliance Program Auditor)
What you'd do
This position is located at the Durham VA Health VA Health Care System in the Corporate Compliance Section. The Program Analyst performs functions associated with monitoring, auditing, and data analysis processes that are an integral part of an effective Corporate Compliance Program. Additionally, the individual will be responsible for preparing reports and presentations on monitoring and auditing results for the CCS, medical center staff, and Executive Leadership.
Major duties
The position is responsible for facility-wide compliance auditing of business operations impacting compliance. Additionally, the position delivers subject matter expertise in billing and coding functions within the facility. Leads internal compliance auditing and conduct external Compliance Auditing Initiatives to support risk assessment plans, Monitoring and Auditing Plan, and Training/Education Plan as it relates to potential and identified facility risks. Briefs leadership and the Compliance Committee on audit findings with recommendations of system changes or corrective actions to address areas of system failure. The position also serves as the Controlled Substance Coordinator (CSC) and is responsible for managing the Controlled Substance Inspection Program (CSIP) for DVAMC, and ensuring the Medical Center follows VA regulations and mandates. The CSC recommends appointment and release of the inspectors appointed to the CSIP and coordinates, conducts, and ensures the documentation of their training and assignments. The CSC is the principal advisor on issues of organizational compliance and is responsible for providing timely and accurate analytical reports to the Director, Chief of Corporate Compliance, Chief of Pharmacy, Police, Nursing, and other clinical and administrative services as appropriate. Utilizes flow charts, staff interviews, and auditing tools to identify weaknesses within the program, and maintains awareness of laws and regulations (e.g., VHA Handbook 1108.2), keeping appraised of current changes that may affect CSIP. The Position will investigate complaints and findings related to possible diversion activities (e.g., quantity shortage, mail prescriptions not received, etc.), document and report any findings and make improvement recommendations to policies and procedures as necessary. The position develops procedures and tracking systems for establishing, assessing, and calculating data and information related to administrative, operational, fiscal, and clinical services. These procedures may be applied to audits, inspections, strategic initiatives, research, management decisions, clinical reviews, and performance monitoring. The activities apply to the medical center and results may impact the entire organization from local departments to national levels. Performs surveys, reviews, and audits, including Veterans Health Administration (VHA) facility and network OIC audits upon request, related program reviews and performance audits, follow-up audits, and special audits generated by high-level administration officials which are in accordance with VHA and generally accepted government auditing standards. Initiates and develops concepts relating to review and evaluation of health records and related revenue cycle processes, purchased care processes, and business systems. Independently develops audit methodology. Prepares final reports and audit programs for senior leadership. Prepares, organizes, and completes comprehensive position paper files that include complete summaries of evidentiary data to support conclusions relevant to audit objectives. Gathers information about the assigned organization or single-issue function scheduled for audit and determines the overarching audit objectives. Examines business processes, related financial records, and controls to obtain sufficient and reliable evidence of business reliability. The position is responsible for completing programmatic auditing of facility-wide revenue process and non-VA care. Through extensive auditing and tracking, the position ensures that all policies, procedures, and guidance are implemented with respect to facility billing to third party payers (such as insurance carriers). The position is responsible for validating through formal auditing of payments provided through reimbursement in areas such as Aid and Attendance/caregiver programs to ensure the VHA is only reimbursing for covered services. Upon completion of facility-wide revenue and non-VA care audit reviews/coordination (i.e. Veteran's Community Care documentation/reimbursement review, non-VA care inpatient services), the position develops, coordinates with process owners/facility leadership, and recommends corrective action plans to ensure compliance with billing/reimbursement procedures. 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. Work Schedule: Monday-Friday 8:00a.m.-4:30p.m. Compressed/Flexible: Not Authorized Telework: Ad-hoc telework may be available at the discretion of the Service Chief or equivalent Virtual: This is not a virtual position. Position Description/PD#: Program Analyst (Compliance Program Auditor)/PD502470
What you need to qualify
To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 08/04/2026. 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-09 position you must have served 52 weeks at the GS-07. 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-07 in the normal line of progression for the occupation in the organization. Examples: 1 year of specialized experience equivalent to at least GS-7, which should include: Analyzing complex program or operational issues to identify significant factors, gather pertinent data, and recommend solutions. Planning and organizing work to meet program or agency objectives. Applying analytical and evaluative methods to assess program development or execution and improve organizational effectiveness and efficiency. Communicating effectively orally and in writing to management and other stakeholders OR, Education: NOTE: Successful completion of a master's or equivalent graduate degree, successfully completed two (2) full years of progressively higher level graduate education leading to such a degree, LL.B or J.D. if related. Such education must demonstrate the knowledge, skills, and abilities necessary to do the work of this. Copies of transcripts must be submitted with your application materials. Education cannot be credited without documentation. 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. For example:1 year of GS-7 experience plus partial graduate education, or Partial graduate education plus partial GS-7 experience, if the total equals the required time. NOTE: One (1) 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. Positions in this series require: Understanding of agency missions, policies, and objectives. Knowledge of management principles and processes. Proficiency in fact-finding, investigative techniques, and report/presentation development. Familiarity with budgetary and financial management principles. For GS-11 in the Management and Program Analysis Series (0343), the OPM qualification standard requires either: Education: A successfully completed a Ph.D. or equivalent doctoral degree, or 3 full years of progressively higher level graduate education leading to such a degree, or an LL.M. if related that demonstrates the knowledge, skills, and abilities necessary to do the work of this position. OR Specialized experience at the GS-9 in the Federal service level includes: Analyzing complex program or operational issues to identify significant factors, gather pertinent data, and recommend solutions. Planning, organizing, and directing work to achieve program or organizational objectives. Applying advanced analytical and evaluative methods to assess program effectiveness, efficiency, and productivity. Communicating findings and recommendations effectively in writing and orally to senior management and stakeholders. You must have at least one (1) full year of specialized experience equivalent to at least the next lower grade level (GS-9) in the Federal Service, that is directly related to the work of the position and has equipped you with the particular knowledge, skills and abilities to successfully perform the duties as a Program Analyst. OR Combination: Combination of successfully completed education and specialized experience directly related to the work of the position as outlined above that meets the requirements of the position. Only education in excess of a master's or equivalent graduate education may be used to qualify applicants for the GS-11 level. Physical Requirements and Work Environment: Regular and recurring work is mostly sedentary involving sitting at a desk, although the position requires the ability to move from one geographic location of the facility to another. The incumbent works with a computer screen and keyboard. Some physical effort such as standing, walking, bending or prolonged sitting may be required. The incumbent may be exposed to walking to outlying areas. The work places no special physical demands on the employee. 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/.
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