Executive Director Revenue Operations

About the role

The incumbent will be the Executive Director, Revenue Operations, who serves as the principal advisor to the Office of Health, Chief Financial Officer as well as other key officials within the Department of Veterans Affairs on matters pertaining to the oversight of activities associated with revenue cycle operations, member services, including health benefits administration, and purchased care programs.

What you will do

• Oversees and monitors the claims process from end-to-end, cross boundary dependencies, and down-stream effects.
• Establishes policy and procedures to assure cost effective compliance to claims management services standards and client service requirements.
• Ensures issues raised by patients and/or their representatives are adequately addressed.
• Manages reimbursable support agreements for healthcare organizations.
• Monitors management reports related to the claims performance process.
• Serves as a single point of contact across the organization to address any claims operational issues.

Education

If you are qualifying for this position by substituting education or training for experience, an official transcript or equivalent will be required if you are selected. Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications.

Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.

Foreign Education: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university.

If you are qualifying based on foreign education, you must submit proof of creditability of education as evaluated by a credentialing agency. For further information, visit: Recognition of Foreign Qualifications | International Affairs Office (ed.gov)

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above. Once the application process is complete, a review of your resume and supporting documentation will be conducted.

If you meet minimum qualifications, your Application Package will be further reviewed to determine if you possess the Executive Core Qualifications (ECQ) and Technical Qualifications (MTQ) listed above. ECQs and TQs must be thoroughly addressed within your two (2) page resume. Separate narratives will not be accepted or reviewed.

Highly Qualified applicants may undergo one or more interviews and may be referred to the selecting official for further consideration.

Upon selection, if not already a member of the SES serving under a career appointment, the individual selected must have his/her executive qualifications certified by the U.S. Office of Personnel Management's SES Qualifications Review Board (QRB) before appointment to this position.

The selected individual's application will be forwarded to the OPM for review and certification by the QRB, unless the selectee provides evidence of their noncompetitive status (i.e., a current SES, OPM QRB certified SESCDP graduate, or SES reinstatement eligible). Upon QRB certification, the selected individual will be required to serve a one-year probationary period.

For more information regarding the SES, go to ***

Documents you must provide

• A complete application includes items described below.
• Please note that if you do not provide all required information, as specified in this announcement, you may not be considered for this position (or may not receive the special consideration for which you may be eligible).
• Please carefully review the following list to determine what documentation you need to submit.
• Some documents may not apply to all applicants.
• RESUME: All applicants are required to submit a resume limited to two (2) pages showing all relevant experience.
• Your resume must address your technical and executive core qualifications for the position, and it may not exceed two (2) pages.
• Your 2-page (or less) resume must be in PDF format, with no smaller than a 1" margin and no smaller than a 10-point font.
• If you submit a resume that exceeds the two-page limit and/or does not meet the margin or font limitations stated herein, you will be deemed ineligible for this position and will receive no further consideration.
• VACANCY QUESTION/ASSESSMENT QUESTIONNAIRE RESPONSES: Responses are automatically submitted through USA Jobs when you apply to this vacancy.
• ADDITIONAL REQUIRED DOCUMENTS: Applicants are required to submit the following supporting documentation for non-competitive consideration, if applicable: CURRENT OR FORMER SES MEBERS: Must provide your SES appointment SF-50 (Notification of Personnel Action), and an SF-50 showing current career SES status or career SES reinstatement eligibility.
• SES CANDIDATE DEVELOPMENT PROGRAM (SESCDP) GRADUATES: Verification of successful completion of an OPM-approved SESCDP and OPM SES QRB certification.
• Non-Competitive Consideration: You are considered a non-competitive applicant if you are a current career Senior Executive, graduate of a Senior Executive Service (SES) Candidate Development Program (CDP) or an individual with SES reinstatement eligibility and your ECQs have been certified by the OPM QRB.
• You may be considered non-competitively for appointment to this position if you meet the mandatory technical qualifications requirements.
• You must clearly state your status in your resume.
• Proof of non-competitive eligibility is required.
• The agency has the option of considering you non-competitively or including you in the competitive process.
• DO NOT SUBMIT ANY ADDITIONAL INFORMATION: Extraneous materials not listed in required documents, such as written narratives, letters of recommendation, award certificates, etc. will not be considered.

What to expect next

To verify the status of your application, sign in to your USAJOBS account (***), all of your applications will appear on the Welcome screen. The Application Status will appear along with the date your application was last updated. For information on what each Application Status means, visit: ***

Once your online application is submitted you will receive a confirmation notification by email. Your application will be evaluated by the Corporate Senior Executive Management Office (CSEMO) to determine your eligibility for the position.

Those who meet the qualifications will be referred to the Executive Resources Board (ERB), a panel of SES members to determine the "best qualified" candidates.

Once a selection is made, the selectee's application will be forwarded to the Office of Personnel Management (OPM) for approval by an OPM independent Qualifications Review Board (QRB), unless the selectee is a current/former SES executive or has successfully completed an OPM approved SES Candidate Development Program and is QRB certified.

Additional information

Veteran Preference does not apply to the Senior Executive Service.: *** Drug Testing: All applicants tentatively selected for VA Senior Executive Service employment in any position are subject to urinalysis to screen for illegal drug use prior to appointment and will be subject to random testing thereafter.

Applicants who refuse to be tested will be denied employment with VA. Mobility: Organizational and geographical mobility is essential in developing and managing SES leaders. Individuals selected for SES positions may be subject to reassignment across geographical, organizational, and functional lines, and may be required to sign a Reassignment Rights and Obligation Agreement.

VA structures its SES positions into pay bands. This is a pay band 3 position and the salary range is $151,661 to $209,600. The categories are based on the position scope, breadth, functions, and placement within the structure of organizational levels across the Department/Agency.

Exceptions to the cap of the range may be considered in certain circumstances.

Equal Employment Opportunity (EEO) Policy Statement: *** Employment Information Resources - Resource Center: *** Males born after 12-31-1959 must be registered or exempt from Selective Service (see ***) OPM must authorize any employment offers made to current or former (within the last 5 years) political Schedule A, Schedule C, or Non-career SES employees in the executive branch.

If you are currently, or have been within the last 5 years, a political Schedule A, Schedule C, or Noncareer SES employee in the executive branch, you must disclose that to the Human Resources Office.