Veterans Affairs, Veterans Health Administration Program Analyst in Bronx, New York
Summary This position is located in the Medical Subspecialty PCC of the James J. Peters VA Medical Center, Bronx, New York. This position functions as a Performance Manager in an Ambulatory Patient Care Center of the James J. Peters VA Medical Center with primary responsibility for assuring that the PCC meets the VA mandated clinical performance measures by performing analyses of all cost utilization and quality data associated with delivery of health care in the PCC. Responsibilities The incumbent is charged with the responsibility for the automation and analysis of data supporting a variety of management programs, develops and disseminates data reports, and works with the PCC leadership on new performance improvement initiatives to assure that the PCC meets all clinical and administrative performance measures. The position requires comprehensive knowledge of the missions, organizations, programs, and requirements of the PCC and the medical center; through familiarity with the regulations and standards of various regulatory and credentialing organizations; knowledge of management principles and processed; and skilled knowledge of the analytical and evaluate methods and techniques for assessing program development or execution and improving organizational effectiveness and efficiency. PRINCIPAL DUTIES AND RESPONSIBILITIES Performs oversight of Workload Capture for the respective PCC; prepares various management reports for review adding recommendations for areas of improvement and efficiency in such areas as clinical access, missed opportunities, productivity, performance measures, and clinical utilization. Performs Data Validation studies, and must be able to analyze, correct, and interpret Current Procedural Terminology (CPT) codes, Evaluation and Management (E&M) codes, and Diagnostic Related Groups (DRG) codes as they relate to the Decision Support System (DSS) productivity statistics. Works closely with other Medical Center PCC Performance Managers to support and assist with implications of key initiatives and to achieve optimal outcomes. Provides, as Automated Data Processing Application Coordinator (ADPAC) for the patient care center, assurance that all the staff are provided with PC, online, hardware, software, needs. The ADPAC serves as a support link between the PCC staff and the Office of Information and Technology (OI&T) personnel. The ADPAC will assist users in understanding information security PC awareness, as well as PC functionality, and submitting work orders for PC repair and maintenance. Serves as the liaison between the PCC and other Medical Center employees to ensure workflow analysis by identifying potential difficulties among software and/or PC hardware usage. Ensures the PCC staffs are assigned appropriate access, e.g., VISTA menus and keys as well as codes needed to gain log on access, in order to fulfill daily functions within the work environment. Monitors required SAIL, clinical and administrative outpatient related metrics to assure timely and accurate patient care and outcomes. Metrics include SAIL and SAIL Components (HEDIS, Patient Satisfaction (SHEP), as well as metrics associated with care events (encounters, consults, clinics, and unsigned notes) to assure that patient care is well documented and that MSS staff receive appropriate workload credit. Instructs administrative and clinical staff in the use of software for data management and analysis. Uses various software programs to provide clear, concise information to providers, support staff, and management. Software programs include Microsoft Word, Excel, Access, PowerPoint, Pyramid Analytics, service specific software, Outlook, the Computerized Patient Record System (CPRS) and the Veterans Health Information Systems and Technology Architecture-(VISTA).Monitors entry clerk productivity such as insurance capture buffer (ICB) usage and performs random audits using the BISL reporting tool. Retrieves and analyzes data to ensure the PCC is receiving maximum reimbursement. Is familiar of the Veterans Equitable Resources Applications (VERA) model. Retrieves data from ARC, validates and analyzed information to determine and recommend areas of improvement. Maintains basic knowledge of VERA methodology. 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 to Friday, 8am to 4:30pm Telework: Not Available Position Description: PD#: 557030 Financial Disclosure Report: Not required Requirements Conditions of Employment You must be a U.S. Citizen to apply for this job All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959 You may be required to serve a probationary period Subject to background/security investigation Selected applicants will be required to complete an online onboarding process Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP) Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details. Qualifications To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 08/25/2022. 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 11 position you must have served 52 weeks at the GS-9 . 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-grade, as required by the announcement. In this instance, you must provide an additional SF-50 that clearly demonstrates one-year time-in-grade. Note: Time-In-Grade requirements also apply to former Federal employees applying for reinstatement as well as current employees applying for Veterans Employment Opportunities Act of 1998 (VEOA) appointment. You may qualify based on your experience and/or education as described below: You will be rated on the following Competencies for this position Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-9 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to: .Monitors required SAIL, clinical and administrative outpatient related metrics to assure timely and accurate patient care and outcomes. Metrics include SAIL and SAIL Components (HEDIS, Patient Satisfaction (SHEP), as well as metrics associated with care events (encounters, consults, clinics, and unsigned notes) to assure that patient care is well documented and that MSS staff receive appropriate workload credit. Knowledge of The ADPAC to serve as a support link between the PCC staff and the Office of Information and Technology (OI&T) personnel. The ADPAC will assist users in understanding information security PC awareness, as well as PC functionality, and submitting work orders for PC repair and maintenance. Is familiar of the Veterans Equitable Resources Applications (VERA) model. Retrieves data from ARC, validates and analyzed information to determine and recommend areas of improvement. Maintains basic knowledge of VERA methodology. OR, Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have a Ph.D. or equivalent degree, or three full years of progressively higher graduate level education leading to such a degree, or LL.M. (if related). OR, Combination: Applicants may also combine education and experience to qualify at this level. You must have an combination of specialized experience and education beyond the first 2 years. Analysis and Problem SolvingAnalytical ThinkingCommunicationsProblem SolvingStrategic Thinking Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. Note: A full year of work is considered to be 35-40 hours of work per week. Part-time experience will be credited on the basis of time actually spent in appropriate activities. Applicants wishing to receive credit for such experience must indicate clearly the nature of their duties and responsibilities in each position and the number of hours a week spent in such employment. Physical Requirements: Work is sedentary, but may require some walking, standing, bending and carrying of light items such as books and papers. For more information on these qualification standards, please visit the United States Office of Personnel Management's website at https://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/. Education There is no educational substitution at this grade level. 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: http://ope.ed.gov/accreditation/. 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: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. Additional Information Special Employment Consideration: VA encourages persons with disabilities to apply, including those eligible for hiring under 5 CFR 213.3102(u), Schedule A, Appointment of persons with disabilities [i.e., intellectual disabilities, severe physical disabilities, or psychiatric disabilities], and/or Disabled veterans with a compensable service-connected disability of 30% or more. Contact the Agency Contact for information on how to apply under this appointment authority via the Selective Placement Coordinator. The Interagency Career Transition Assistance Plan (ICTAP) and 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 for this vacancy. To be well-qualified: applicants must possess experience that exceeds the minimum qualifications of the position including all selective factors, and who are proficient in most of the required competencies of the job. Information about ICTAP and CTAP eligibility is on OPM's Career Transition Resources website at http://www.opm.gov/policy-data-oversight/workforce-restructuring/employee-guide-to-career-transition/. This job opportunity announcement may be used to fill additional vacancies. Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process. To ensure compliance with an applicable preliminary nationwide injunction, which may be supplemented, modified, or vacated, depending on the course of ongoing litigation, the Federal Government will take no action to implement or enforce the COVID-19 vaccination requirement pursuant to Executive Order 14043 on Requiring Coronavirus Disease 2019 Vaccination for Federal Employees. Therefore, to the extent a VA job announcement includes language requiring applicants to be fully vaccinated against COVID-19 pursuant to Executive Order 14043, that requirement does not currently apply to this Job Announcement. VA may request information regarding your vaccination status, if selected, for the purposes of implementing other workplace safety protocols, such as masking, physical distancing, testing, travel, and quarantine. If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.