The Rating Quality Review Specialist (RQRS) is an integral part of the Decision Review Operations Center (DROC) quality assurance program, and is a key technical adviser to decision makers.
Summary
The Rating Quality Review Specialist (RQRS) is an integral part of the Decision Review Operations Center (DROC) quality assurance program, and is a key technical adviser to decision makers.
This vacancy announcement is open ONLY to current, permanent VBA Regional Office employees and current/former VA employees who are CTAP eligible. For the purpose of this job announcement. Salary will be based on location.
This position is located in the DROC at the VBA Seattle Regional Office. The primary duties of this position include but are not limited to:
Responsible for performing quality reviews for the individual DROs and RVSRs in accordance with an established monthly schedule. Results of station reviews will indicate the appeals and rating quality level for that station. Performs individual quality reviews to determine the appeals ad rating quality level of individual DROs and RVSRs for purposes of individual performance standards.
Tracks and analyzes all appeals and rating quality exceptions for the station and for individuals, to include exceptions called by Central Office. Responsible for sharing authorization quality trend information with management on an ongoing basis and with the DROs and RVSRs during training sessions. Develops reports and discusses report findings with the division manager, Coaches, and employees on a routine basis. Maintains secure records showing the cases reviewed and the types and number of errors found as required by the performance standards.
Reviews products or activities for quality of performance and enters the results into the online STAR checklists. Evaluates and identifies deficiencies of all elements of a claim from evidence development, through rating and appeal decisions. Provides and explanation of errors and includes comments where attention is warranted. Returns completed claims called in error to the originating DRO or RVSR for correction. The outcome of reviews is to improve performance especially in accuracy, timeliness and customer satisfaction. When warranted, assists the Coach in conducting expanded reviews if individual performance is found to be deficient.
Performs in-depth research, analyzes operating contingencies and special situations. Assists technical managers and staff in developing claims processing solutions. Conducts statistical analysis of STAR reviews to identify trends in quality, significant problem areas and processes requiring improvement. Performs quality management activities that are designed to improve quality of case processing. Monitors qualitative and quantitative measurements to identify quality program trends. Identifies areas needing further analysis.
Reviews existing procedures and directives to detect contradictory instructions and deficiencies. Recommends corrective action when deficiencies are noted. Prepares new procedures and directives to reflect changes in the law or regulations. Develops methods to ensure quality processing of veterans' claims. Develops various quality assurance processes with emphasis on work procedures and techniques that address unique work conditions and practices, Ensures all program requirements imposed by Compensation and Pension Service and the Court of Appeals for Veterans Claims are met or implemented. Performs quality reviews and develops local operating procedures for the team to supplement regulations and directives as needed.
Work Schedule: Monday through Friday Compressed/Flexible: Available Telework: Available in accordance with agency policy Virtual: This is a Remote position, Salary will be based on location. Position Description/PD#: Decision Review Officer (Rating Quality Review Specialist); 37138 Financial Disclosure Report: Required
Selective Service Registration is required for males born after 12/31/1959
Subject to background/security investigation
Selected applicants will be required to complete an online onboarding process
Must be at least 16 years old by closing date of this vacancy announcement
Qualifications
To qualify for this position, applicants must meet all requirements by the closing date of this announcement. 08/16/2021
Time-In-Grade Requirement: Applicants who are current Federal employees and have held a GS-12 grade any time in the past 52 weeks must also meet time-in-grade requirements.
To support your claim of time in grade, you must submit your most recent appointment, promotion, or within grade increase SF-50 (not an award or general adjustment SF-50). Some applicants may have to submit more than one SF-50 to demonstrate their eligibility
Specialized Experience is experience that has equipped the applicant with the particular knowledge, skills, and abilities to perform successfully the duties of the position(s), and that is typically IN OR RELATED TO the work of the position to be filled. Specialized Experience should be substantive and relevant and may have been gained in the federal, military, or private sector, functioning in either a capacity performing training, analyst or information systems duties of a claims management process.
You may qualify based on your experience and/or education as described below:
Specialized Experience: is experience that has equipped the applicant with the particular knowledge, skills, and abilities to perform successfully the duties of the position(s), and that is typically IN OR RELATED TO the work of the position to be filled. Specialized Experience should be substantive and relevant and may have been gained in the federal, military, or private sector, functioning in either a capacity performing training, analyst or information systems duties of a claims management process.
Conducting reviews to analyze the quality of completed rated cases.
Conducting evaluations and reviews, on a quantitative or qualitative basis, of claims development programs and operations to determine the effectiveness in meeting established goals and objectives;
Preparing or conducting training activities;
Identifying knowledge/skill gaps and planning training strategies;
Providing and implementing data for one or more information management systems accurately and timely or providing technical guidance and direction to staff in the daily operation and maintenance of claims management systems.
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: The work is mostly sedentary. However, there may be some walking, standing and carrying of light items such as papers, books, claims folders and files from one desk to another and for returning to storage. Carts are utilized to carry large numbers of claims folders. This will require the incumbent to push or pull the cart from one area to another. Claimants or callers may become upset, unruly, or threatening. In these cases, the incumbent must exercise good judgment and professional demeanor in attempting to calm the situation.
There is no educational substitution for the GS-13 level.
Additional 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 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 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/.
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.
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.
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
How you will be evaluated
You will be evaluated for this job based on how well you meet the qualifications above.
IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE WILL NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE.
You will be rated on the following Competencies for this position:
Expresses ideas and facts to individuals or groups effectively; makes clear and convincing oral presentations; listens to others; facilitates an open exchange of ideas
Identifies and analyzes problems; uses sound reasoning to arrive at conclusions; finds alternative solutions to complex problems; distinguishes between relevant and irrelevant information to make logical judgements.
Uses knowledge that is acquired through formal training or extensive on-the-job experience to perform one's job; works with, understands, and evaluates technical information related to the job; advises others on technical issues
Uses correct English grammar, punctuation, and spelling to communicate thoughts, ideas, information, and messages in writing.
Applies the process of discovery that involves the diagnosis of a problem or issue, identification and gathering of relevant information, formulation and evaluation of alternative solutions or courses of action, and selection or recommendation of the preferred solution or course of action
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.
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
To apply for this position, you must provide a complete application package to include the documents detailed below. Your resume and supporting documentation will be verified; errors, omissions, or failure to submit the documents as specified will affect your rating or result in loss of consideration for employment.
Resumedetailing specialized experience and competencies as they relate to this position.
For each position in your resume, you must specify the start and end dates (month/year) and a description of duties. If the position was Federal, you must also indicate the grade level. Resumes containing a general summary of all positions held, not specifying start/end dates, and/or not including Federal grade level(s) are insufficient to determine basic qualifications.
Your most recent NON-AWARD SF-50. The SF-50 must indicate proof of status and should identify your position title, series, grade, step, salary, tenure and type of service (Competitive or Excepted).
Your SF-50 reflecting when you entered your highest grade (e.g. Promotion, Appointment, etc.) in order to verify time-in-grade requirements.
Transcript if you are using education to qualify.
Please use this checklist to 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), or CTAP documentation (for displaced Federal employees). You will not be contacted for additional information.
Complete the questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 08/16/2021 to receive consideration. It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/11180598.
To begin, click Apply Online to create a USA JOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire.
Click Submit My Answers to submit your application package.
NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date. To verify your application is complete, log into your USA JOBS account, https://my.usajobs.gov/Account/Login, select the Application Status link and then select the more information link for this position. The Application page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process. To return to an incomplete application, log into your USA JOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USA JOBS account or your application will be incomplete.
Seattle Regional Benefit Office
915 2nd Avenue
Seattle, WA 98174
US
Next steps
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.
You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center.
The Federal hiring process is set up to be fair and transparent. Please read the following guidance.
To apply for this position, you must provide a complete application package to include the documents detailed below. Your resume and supporting documentation will be verified; errors, omissions, or failure to submit the documents as specified will affect your rating or result in loss of consideration for employment.
Resumedetailing specialized experience and competencies as they relate to this position.
For each position in your resume, you must specify the start and end dates (month/year) and a description of duties. If the position was Federal, you must also indicate the grade level. Resumes containing a general summary of all positions held, not specifying start/end dates, and/or not including Federal grade level(s) are insufficient to determine basic qualifications.
Your most recent NON-AWARD SF-50. The SF-50 must indicate proof of status and should identify your position title, series, grade, step, salary, tenure and type of service (Competitive or Excepted).
Your SF-50 reflecting when you entered your highest grade (e.g. Promotion, Appointment, etc.) in order to verify time-in-grade requirements.
Transcript if you are using education to qualify.
Please use this checklist to 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), or CTAP documentation (for displaced Federal employees). You will not be contacted for additional information.
Complete the questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 08/16/2021 to receive consideration. It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/11180598.
To begin, click Apply Online to create a USA JOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire.
Click Submit My Answers to submit your application package.
NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date. To verify your application is complete, log into your USA JOBS account, https://my.usajobs.gov/Account/Login, select the Application Status link and then select the more information link for this position. The Application page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process. To return to an incomplete application, log into your USA JOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USA JOBS account or your application will be incomplete.
Seattle Regional Benefit Office
915 2nd Avenue
Seattle, WA 98174
US
Next steps
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.
You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center.
Fair and transparent
The Federal hiring process is set up to be fair and transparent. Please read the following guidance.
