Description du poste
The VISN Business Implementation Manager responsible for managing and overseeing all Business Office functions across a large and complex geographic region that includes one of the five VISNs, multiple Health Service Areas and VHA Medical Centers, Outpatient Clinics, and Community-Based Outpatient Clinics (CBOCs).
PRINCIPALES MISSIONS :
Major duties include, but are not limited to: Manages and oversees all VISN Business Office operations, including capture and verification of Veteran insurance data, pre-registration, and pre-admission certification, and drives performance to VISN-established measures. Recommends improvements, action plans, contracts, and other vehicles to accomplish Business Office work by applying analytical, evaluative, developmental, and advisory skills. Serves as the VISN Business lead or executive advisor for enterprise-wide access management initiatives and high-profile strategic projects, in conjunction with the Chief Medical Officer team. Provides SME input to, or leads implementation, monitoring, and performance improvement of, national and VISN initiatives such as scheduling optimization, capacity management, and transformational care delivery models. Collaborates with facility leadership, Health Service Areas, clinical operations, workforce management officials, and national program offices to identify barriers to access, develop corrective action plans, and implement sustainable process improvements. Evaluates performance measures, access metrics, scheduling timeliness indicators, consult management data, capacity utilization reports, and workload projections to identify trends, assess organizational risk, and recommend strategic interventions. Oversees billing for co-payments and pharmacy co-payments and manages third-party recoveries (including tort and OWCP cases), humanitarian and ineligible claims, personal violence claims, collection bills, and sharing/resource agreements (CCN, NextGen CCN, TRICARE). Directs and collaborates with CPAC on billing, auditing, collections, and follow-up; develops and executes short- and long-range plans; and represents Business Office interests in VISN managerial planning and decision-making. Exercises delegated authority on behalf of senior management to perform investigations, audits, and fact-finding, including actions requested by OIG, OSC, OMI, the Secretary of Veterans Affairs, White House inquiry teams, and Members of Congress. Safeguards the integrity of medical documentation on bills submitted to third-party insurers and other federal agencies, and identifies staff training needs to meet HIM, CMS, HHS, and other regulatory standards. Collaborates with managers, Chiefs of Staff, physicians, healthcare providers, and compliance officers to ensure adherence to billing and documentation guidelines and requirements. Ensures effective training resources for intake, integrated billing, accounts receivable, coding/compliance, electronic data interchange, and utilization review, and participates in VISN committees. Communicates with and educates Veterans, VSOs, and community organizations on Business Office functions and the impact of regulatory and legislative changes, fostering cooperation to support legitimate recovery of funds. Work Schedule: Monday - Friday 8:00a.m.-4:30p.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#: Business Implementation Manager/PD0036VS 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, 11/20/2026. 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 requirem