Supervisory Financial Administrative Specialist (IV Manager)

About the role

The position is located within a CPAC, organizationally aligned under the Chief Operating Officer, with the Incumbent serving as the Insurance Verification Manager for the first and third party Revenue Program (MCCF) and Pharmacy Team.

What you will do

• Serves as the local CPAC's technical authority on the VHA's Insurance Verification, Pre-registration and Pharmacy Claims Processing departments and the interface with intake business processes at the medical center.
• Directs the development of the most critical and complex MCCF diagnostic measures reporting mechanisms to showcase and spotlight areas in need of improvement, or areas that have excelled in reporting.
• Advises the CPAC Program Managers' of potential areas of concern and process breakdowns impacting insurance data capture and pharmacy claims processing with recommendations for improvement.
• Implements and manages all aspects of insurance verification activities for CPAC clients including the E-IIV program, contractor sourced new insurance uploads, routine verification and re-verification of patient specific insurance coverage: pre-registration of patients with scheduled admissions and ambulatory procedures prior to appointment, processing (data entry and verification) of newly identified insurance card data and the entire pharmacy claims processing including; billing, EOB review, accounts follow-up and closure.
• Provides management oversight, guidance, and direction for monitoring activities designed to ensure the integrity and accuracy of insurance information contained on healthcare claims.
• Develops, implements, and evaluates management procedures in order to enhance provider relations and productivity.
• Performs analysis of workload, patient service, and similar data to forecast future needs of the CPAC and initiates the necessary action to ensure efficient service delivery.
• Establishes and maintains effective working relationships with others throughout the organization as well as externally.
• These include high ranking Department of Veterans Affairs officials, officials of other Government agencies, members of the public as well as colleagues and subordinates.
• Plans work to be accomplished by subordinates, and establishes and adjusts long and short term priorities and deadlines.
• Assigns work based upon program priorities, capabilities, and assignment requirements.
• Establishes standards for the performance of work.
• Conducts periodic evaluations of the work performance of subordinates.
• Provides advice, counsel or instructions to employees on administrative and technical matters.
• Designs, plans, schedules and conducts studies and organizational strategies to identify opportunities to improve customer service and quality.
• Facilitates the innovative application of industry and agency best practices and quality management methods.
• Performs other directly related duties as assigned.
• Work Schedule: Monday - Friday, 8:00 am - 4:30 pm Compressed/Flexible: May be available at supervisors discretion Telework: This position may be authorized for telework.
• Telework eligibility will be discussed during the interview process.
• Virtual: This is not a virtual position.
• Financial Disclosure Report: Not required

Requirements

• As a condition of employment for accepting this position, you will be required to serve a 1-year probationary period (OR INSERT "2-year trial period") during which we will evaluate your fitness and whether your continued employment advances the public interest.
• In determining if your employment advances the public interest, we may consider: 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.
• Upon completion of your probationary period (OR INSERT "trial period"), your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.
• You must be a U.S. Citizen to apply for this 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.
• As a condition of employment for accepting this position, you will be serving in a position in Schedule Policy/Career of the excepted service.
• You will obtain competitive status after two years of service in this position, if applicable.
• Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.

Education

A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: ***

If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: ***

How you will be evaluated

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC.

WE WILL NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE.

Narrative responses are not required at this time. If you are referred for consideration, you may be asked to submit additional job related information, which may include, but not limited to; responses to the knowledge, skills and abilities; completion of a work sample, and/or contact for an interview.Your resume and/or supporting documentation will be verified.

Please follow all instructions carefully. Errors or omissions may affect your rating or consideration for employment.

Documents you must provide

• Resume SF-50/ Notification of Personnel Action The following documents are accepted and may be required if applicable to your eligibility and/or qualifications for this position.
• Please make sure you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former Federal employees), documentation to support Veterans Preference claims, or ICTAP/CTAP documentation (for displaced Federal employees).
• You will not be contacted for additional information.
• Cover Letter Other (1) Performance Appraisal Resume Separation Notice (RIF) SF-50/ Notification of Personnel Action Transcript SF-50, Notification of Personnel Action (if applicable for Time in Grade and/or Eligibility): Most recent SF-50 if you are a current or former Federal employee An SF-50 showing 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-grade, as required by the announcement.
• In this instance, you must provide an additional SF-50 that clearly demonstrates one-year time-in-grade Award 50's do not provide sufficient information and will not be accepted for the purpose of verifying time-in-grade.
• Examples of appropriate SF-50's include: Within grade increases at the highest grade held; or Promotions with an effective date more than one year old; or SF-50's at the highest grade held with an effective date more than one year old."

What to expect next

Once your online application is submitted you will receive a confirmation notification by email. After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met.

After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.

Additional information

Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer (TJO). Please visit the Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at *** for more information.

VA supports the use of telework as a way to help attract and retain talented individuals in public service, increase worker productivity, and better prepare the agency to operate during emergencies. This position may be authorized for telework. Telework eligibility will be discussed during the interview process.

The Career Transition Assistance Plan (CTAP) provide eligible displaced Federal/VA competitive service employees with selection priority over other candidates for competitive service vacancies.

To be qualified you must submit appropriate documentation (a copy of the agency notice, your most recent performance rating, and your most recent SF-50 noting current position, grade level, and duty location) and be found well-qualified (have a final rating of 85 or more) for this vacancy.

Information about ICTAP and CTAP eligibility is on OPM's Career Transition Resources website at *** 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. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

This job opportunity announcement may be used to fill additional vacancies. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

For more information on the "Who may apply" eligibility requirements, please refer to the OHRM Status Candidates and Other Candidate Definitions document. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.