Program Manager
VETERANS HEALTH ADMINISTRATION
Summary 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. Learn more about this agency Duties Help
- Coordinates efforts to develop and implement program performance measures based on emerging priorities
- Provides governance and operations oversight for enterprise-wide healthcare payment and medical claim integrity operations.
- 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.
- 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.
- 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.
- Develops procedures for establishing, operating, and assessing administrative controls and line program operations; oversees audits, inspections, internal control reviews, findings, and corrective actions.
- Provides administrative and technical supervision necessary for accomplishing the work of the unit directed; exercises significant responsibilities in dealing with managers of other units and organizations.
- 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 ( 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)
- 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.
- Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-13 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to:
- Oversaw and provided strategic direction for enterprise-wide healthcare payment and medical claim integrity, reimbursement oversight, and operational activities supporting Veterans, beneficiaries, providers, and healthcare facilities.
- Provided leadership, guidance, and coordination to managers, supervisors, and program teams to ensure alignment with mission objectives and consistent operational execution.
- Applied advanced qualitative and quantitative analytical methodologies to assess program performance and identify opportunities for improvement.
- Provided data-driven recommendations that influenced agency policy, healthcare operations, and executive-level decision-making.
- Presented complex findings and recommendations to senior leadership, congressional staff, and other high-visibility audiences.
Vacancy posted 2 days ago
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