Supervisory Financial Administrative Specialist

Summary

The position is located within a CPAC - organizationally aligned under the Chief Operating Officer - serving as the Insurance Verification Manager. The CPAC is a regionally consolidated business entity established to increase revenue within VHA using an industry best model built on regional management of key aspects of the revenue cycle - process standardization - accountability and economies of scale.

About the Role

Serves as the local CPAC's technical authority on the VHA's Insurance Verification, processing departments, and the interface with intake business processes at the medical center. Serves as a subject matter expert for national and regional training initiatives, program reviews, and software development and testing of Insurance Verification, and eBusiness.

Responsibilities

• Serves as the local CPAC Director's subject matter expert on diagnostic and performance measures for IV.
• Provides guidance and technical assistance necessary to identify opportunities for improvement in the recovery of costs for medical care provided by the Veterans Health Administration (VHA) to certain veteran beneficiaries.
• Supports the medical centers within the serviced VISNs, the Network Director, and medical center Business Office Managers and staff.
• Directs, coordinates, and/or oversees work performed by subordinate staff.
• Interprets rules, regulations, and policies, developing and implementing local policies, and defining administrative requirements.
• Implements and manages all aspects of insurance verification activities.
• Establishes and maintains effective working relationships with others throughout the organization as well as externally.

Requirements

• One year of specialized experience equivalent to at least the next lower grade GS-09 in the normal line of progression for the occupation in the organization.
• Examples of specialized experience would typically include:
  • Actively manages reports, ensuring that any detailed reporting is completed timely and efficiently.
  • Provides oversight, guidance, and direction for monitoring activities designed to ensure the integrity and accuracy of insurance information contained on healthcare claims.
  • Identifies negative trends and develops strategies for improvement.
  • Manages information and analytical systems to evaluate and enhance the quality of service provided to patients.
  • Performs analysis of workload, patient service, and similar data to forecast future needs and initiates the necessary action to ensure efficient service delivery.
  • Plans work to be accomplished, and establishes and adjusts long and short term priorities and deadlines.
  • Identifies the developmental and training needs of employees, providing or arranging for such training and development.

Qualifications

To qualify for this position - applicants must meet all requirements by the closing date of this announcement - 07/31/2026. 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 G-11 position you must have served 52 weeks at the GS-09. 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 (VEVO) appointment.

Specialized Experience

• Successfully manages reports, ensuring timely and efficient completion.
• Oversees activities to ensure the integrity and accuracy of insurance information on healthcare claims.
• Identifies and addresses negative trends, developing strategies for improvement.
• Analyzes workload, patient service, and data to forecast future needs and initiate necessary actions.
• Plans and adjusts priorities and deadlines.
• Identifies and fulfills developmental and training needs of employees.

Education

• PhD or 3 full years of progressively higher level graduate education leading to such a degree or LL.M., if related.

Combination

• A combination of successfully completed graduate education and specialized experience directly related to the work of the Supervisory Financial Administrative Specialist position.

Competencies

• Accountability
• Customer Service
• Decisiveness
• Flexibility
• Interpersonal Skills
• Problem Solving
• Resilience

Physical Requirements

The work is primarily sedentary, although some slight physical effort may be required. 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/.

Duties

• Serves as the local CPAC's technical authority on the VHA's Insurance Verification, processing departments, and the interface with intake business processes at the medical center.
• Serves as a subject matter expert for national and regional training initiatives, program reviews, and software development and testing of Insurance Verification, and eBusiness.
• Provides guidance and technical assistance necessary to identify opportunities for improvement in the recovery of costs for medical care provided by the Veterans Health Administration (VHA) to certain veteran beneficiaries.
• Supports the medical centers within the serviced VISNs, the Network Director, and medical center Business Office Managers and staff.
• Interprets rules, regulations, and policies, developing and implementing local policies, and defining administrative requirements.
• Implements and manages all aspects of insurance verification activities.
• Establishes and maintains effective working relationships with others throughout the organization as well as externally.

Experience

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, religious, spiritual, community, student, social).

Physical Requirements

The work is primarily sedentary, although some slight physical effort may be required. 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/.

Relocation/Recruitment Incentives

Not Authorized

Permanent Change of Station (PCS)

Not Authorized

Financial Disclosure Report

Not required