Description du poste
Incumbent serves as a subject-matter authority on provider network management support functions, including provider credentialing, quality of care provided under the auspices of Program Office Care program operations and initiatives, and training. Administers resourcing, auditing, training, and evaluation of guidelines (e.g., policies) and program segment priorities to support healthcare administrative strategic goals, objectives for Veterans' health benefits, and the healthcare network.
PRINCIPALES MISSIONS :
Serves as a subject-matter authority researching issues, collecting data, designing and conducting audits of compliance with performance indicators related to Program Office operational initiatives. Serves as a member of teams/committees/workgroups related to and/or working on non-Agency healthcare initiatives and program efforts (e.g., data quality) and attends necessary engagements and conferences on effects with healthcare and hospital organizations. Develops reporting procedures, sampling techniques, and measurements at various points in the relationship process or operational cycle of private-sector/non-Agency healthcare provider network support and credentialing activities. Identifies problem areas or inherent weaknesses in work processes, procedures, information systems, and content. Consults with technical experts to develop purchased healthcare evaluation procedures and program controls to provide objective evidence of program evaluation effectiveness in administering delivery of healthcare as outlined in contracts. Provides policy guidance and advisory assistance to management in the development of strategies for evaluation of and quality controls on contracted delivery of healthcare under Program Office administration and operations. Assesses current and proposed guidelines and procedures and identifies aspects that indicate they are potentially unfeasible or result in an undeliverable reports or other information related to program operations. Provides authoritative information in discussions of healthcare provider credentialing and facility accreditation topics. Investigates and analyzes adverse findings, quality trends, or conditions and initiates corrective actions to ensure findings are addressed and reviewed against patient safety standards in the event of Veteran-care related issues. Monitors and evaluates quality of Program Office operational implementation and indicators and works to streamline and improve effectiveness of work practices and verify adherence to evaluation plans and requirements, reporting discrepancies to Program Office management. Work Schedule: Monday-Friday, 8:00am-4:30pm Compressed/Flexible: Available Telework: This position may be authorized for ad hoc telework. Ad hoc is defined as occasional, non-recurring telework. Return to Office (RTO): RTO mandates are in effect and selectees will be required to report to in-person work five days per week unless they are approved for an exception, an exemption, or extension while pending space assignment. Position Description/PD#: Health System Specialist/PD55915A Relocation/Recruitment Incentives: Not authorized Critical Skills Incentive (CSI): Not approved Permanent Change of Station (PCS): Not authorized
QUALIFICATIONS REQUISES :
To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 11/16/2026. 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-12 position you must have served 52 weeks at the GS-11. 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