Program Specialist

Program Specialist

Duties include but are not limited to:

• The Program Specialist ensures that the outcomes, guidelines, resources, accountability, and consequences are aligned with the administrative support of the care team's clinical, research and educational mission.
• The PS develops and implements reports intended to analyze and improve delivery of care, efficiency of administration, and reduction of cost. Reports include those requested by or developed for VISN and VACO administration. Further, the Program Specialist establishes processes in coordination with the Health System Specialist to train and validate complete medical record documentation, and ensure encounter form completion, as well as accurate encounter coding through accountability, education, and communication.
• Complete workload reporting results in optimal medical center reimbursement, medical cost containment, and recovery.
• The Program Specialist develops and sustains a training program to maintain provider accountability and complete workload reporting which encompasses the core values, mission, performance measures and directives of the VASLCHCS.
• The Program Specialist works with the Health System Specialist to analyze data, test theories, implement change and redesign clinical grids. The Program Specialist measures results, evaluates effectiveness, and standardizes improvements.
• The Program Specialist evaluates and improves processes and services in achieving desirable outcomes and utilizes collected data to improve CBOC clinic quality
• The PS is responsible for the education of Community Based Outpatient clinical staff in compliance issues and for the care team maintaining target levels of compliance parameters
• The PS designs studies, training programs, and organizational strategies for identifying opportunities to improve internal customer service and process quality.
• Auxiliary training for secure messaging, My HealtheVet, consult reconciliation, clinic profiles, unsigned notes and other process related problems is instituted. Works in conjunction with Primary Care, Medicine, Surgery, Mental Health, and Fiscal in order to maintain consistent performance by clinic staff and in support of accurate and timely patient records.
• Consults with technical experts to examine and analyze unusual or problem situations indicated by changes in program quality indicators. Performs in-depth research, analyzes operating contingencies and special situations.
• Assists technical managers and staff in developing process solutions
• The PS is the lead CBOC contact with HR and educates Primary Care leadership and staff on Human Resources Management practices in recruitment; staffing, classification, employee relations, pay and leave administration, training, and other Human Resources Management programs (performance appraisals, proficiencies, performance pay, and the Ongoing Professional Practice Evaluation)
• The incumbent develops, implements, and manages compliance monitoring programs to ensure adherence to VHA policies related to workload capture, provider productivity, documentation accuracy, scheduling standards, coding compliance, and electronic health record requirements.
• Routine audits are conducted to evaluate part-time and full-time provider utilization, encounter validation, clinic coding accuracy, and completeness of health record documentation. Using recognized quality improvement methodologies such as PDCA and FOCUS models, the incumbent designs and conducts performance studies to detect adverse quality trends or systemic inefficiencies.
• Results are compiled, analyzed, and presented to service-level leadership, VISN, and VACO stakeholders. Based upon findings, corrective action plans are developed and implemented to standardize best practices and enhance program performance.

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 through Friday 8:00 a.m. to 4:30 p.m.

Telework: This position may be authorized for telework. Telework eligibility will be discussed during the interview process.

Virtual: This is not a virtual position.

Position Description/PD#: Program Specialist/ PD148040, PD148050, and PD148060

Relocation/Recruitment Incentives: Not authorized

Placement Policy: The posting of this announcement does not obligate management to fill a vacancy or vacancies by promotion. The position may be filled by reassignment, change to lower grade, transfer, appointment, or reinstatement. Management may use any one or any combination of these methods to fill the position.