Summary
Position serves as a Program Analyst to support agency operations by analyzing program data, identifying trends, and monitoring healthcare processing activities. This role collaborates with contractors, field facilities, and internal partners to define requirements, support initiatives, and ensure effective program execution. The Program Analyst provides expert guidance, clear analysis, and actionable recommendations to enhance performance and inform decision-making.
Duties
Applicant Count: This job announcement will remain open for 5 business days. Applications received up to 11:59pm EST on the date in which 50 applications is reached will receive first consideration (initial cutoff). Applications received after 11:59pm EST on the date in which 50 applications are received may not receive consideration unless otherwise requested by management. Additional applications will be reviewed in one-day increments at management request. Note: Submitting multiple applications will change the order in which your application is reviewed. Duties include: Prioritizing escalated provider issues related to unpaid claims for services provided and coordinates with Agency regional healthcare networks (i.e., Veterans Integrated Service Networks) and medical centers and contractors to resolve them. Monitoring appeals from providers within assigned geographic areas and provides support to the local Agency medical centers or third-party administrator as needed to ensure providers' issues are addressed. Communicating issues to stakeholders and helps create action plans to improve quality metrics and maintaining contact with stakeholders throughout the appeal process. Communicating and negotiating with internal and external stakeholders to accept and implement recommendations involving resources, required changes in established procedures, and impacts to the stakeholder; independently produces reports and documents per management's request. Conducting data analyses, data validations, and program analyses to assess the efficiency and effectiveness of processes in place at field facility associated with the Program Office's operations Analyzing trends for a range of initiatives (e.g., network adequacy, provider complaints, credentialing compliance) compared across Program Office geographic regions on a national level, identifying areas where deficiencies or irregularities that may need further review, research, and/or analysis to determine anomalies between sites. Quantitatively and qualitatively analyzing and evaluating the effectiveness of wider employing office operations in meeting established goals and objectives. Drafting responses to external inquiries and develops issue briefs, routing to appropriate management/staff as required. Making formal and informal presentations outlining the history, current status, and objectives of analyses and quality improvement functional responsibilities. Developing training content and associated presentation material to educate/inform Program Office partners (e.g., contractors, Agency field staff) on Program Office operations, policies, and processes related to provider network management administration. Administering and integrating the work of assigned project team members from different organizations for assigned projects to include scheduling, tracking progress, providing project and task status updates to project team members and management, and adhering to due dates and other requirements. Developing strategies that include considerations of current program operations, associated systems, and future initiatives. Other duties as assigned. 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: Full-time, 40 hours per week, Monday through Friday, 8 hours a day based on business needs Compressed/Flexible: Not available. Telework: This position may be authorized for telework. Telework eligibility will be discussed during the interview process. Virtual: This position may be authorized for Virtual Work. Virtual Work eligibility is for current VA employees that are already subject to the return to the in-person work mandate in their current position. Definition of Virtual Work: Employee works outside of original hiring duty station at a VA-owned or leased space. Return to Office (RTO): RTO mandates are in effect and selectees will be required to report to in-person work unless they are approved for an exception or an exemption. Any approval for an RTO exception, exemption, or extension will happen after a tentative job offer, but before a final job offer. Position Description/PD#: Program Analyst/PD05098A and PD56770A Relocation/Recruitment Incentives: Not authorized. Critical Skills Incentive (CSI): Not approved. Permanent Change of Station (PCS): Not authorized.
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 is primary sedentary, although some walking, standing, bending and carrying of light items is required. 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.
Education
There is no educational substitution at the GS-12 grade level. A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.
How you will be evaluated
Your qualifications will be evaluated based on your application materials (e.g., resume, supporting documents), your responses on the application questionnaire, and your responses to all assessments required for this position. You will be assessed on the following Competencies for this position: Accountability Attention to Detail Customer Service Decision Making Flexibility Influencing/Negotiating Integrity/Honesty Interpersonal Skills Learning Reading Comprehension Reasoning Self-Management Stress Tolerance Teamwork 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. 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. During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions. Special Employment Consideration: VA encourages persons with disabilities to apply, including those eligible for hiring under 5 CFR 213.3102(u), Schedule A, Appointment of persons with disabilities [i.e., intellectual disabilities, severe physical disabilities, or psychiatric disabilities], and/or Disabled veterans with a compensable service-connected disability of 30% or more. Contact the Agency Contact for information on how to apply under this appointment authority via the Selective Placement Coordinator.