Clarification from the agency

Open to current and permanent employees of VISN 20 and CTAP eligibles.

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Major duties include but not limited to:

• The incumbent manages all VISN 20 Network Business Office aspects, including capturing insurance data and other pre-registration. The position is responsible for verifying insurance data with veterans and private/Other Health Insurance (OHI). Pre-admission certificates, Community Care & CHOICE/MISSION utilization review, and billing for co-payments. Also, captures pharmacy copayments, other third party, tort cases, Office of Workers Compensation cases, Humanitarian, Ineligible Claims, Personal Violence Claims, Bills of Collections, and Sharing Resource Agreements such as CHAMPVA and TRICARE; manages and reviews activities for billing, auditing, collecting and follow-up for all the above.
• The incumbent develops and carries through both long and short-range plans. Participates in managerial planning to represent the Business Offices in the decision-making process. Responsible for concurrent and retrospective analysis and auditing of medical records and reporting results to appropriate committees for recommendations and follow-up action.
• The incumbent has the authority to perform investigations, audits, and fact findings on behalf of senior management. These investigations may be directed or carried out on behalf of the Office of Inspector General, Office of Special Counsel, Office of the Medical Inspector, Secretary of Veterans Affairs, and Members of Congress.
• Directly Supervises the GS-13 Deputy BIM, GS-13 Health System Specialist, and GS-13 Program/Data Analyst. The Deputy BIM supervises GS13 HIMS Chief Medical Administrator, GS13 Community Care Manager, and GS-12 Mobility Manager.
• Provides leadership in all areas of patient administration, such as the application process, entitlement issues, admissions and discharges, compensation and pension examinations, Community Care activities, transcription, etc.
• Interacts with staff and supervisors in the registration, admission, and clinic areas at each facility within the VISN to ensure the complete and accurate capture of patient insurance information and works to ensure the performance measures established by the VISN are met.
• Ensures the integrity of medical documentation on bills submitted to third-party insurance companies standards established by HIMS, HCFA, HHS, or any other regulating body.
• Establishes clear accounting and administrative procedures for the operation of the revenue office and maintains efficiency and work quality within the VISN.
• Develops and directs local policy, procedures, and guidelines to accomplish revenue collection goals and objectives.
• Develops data, completes statistical reports, and recommends action in response to self-initiated inquiries or requests from other VISN or VACO staff. Analyzes VISTA/EHRM data and other reporting systems to provide accurate data and analysis to senior management at the VISN and the Medical Center levels. Oversees implementation, on a VISN-wide basis, of new policies and programs approved by VACO and Office of Community Care; collaborates and serves as liaison with the OCC, Network Leadership, Medical Center Directors, and others to develop and implement network-wide and national policies and procedures. Actively participates in resolving conflicts between local needs, Network priorities, and VACO requests.
• Collaborates daily with the VISN ELT and support staff on business practice-related activities. Compiles various types of correspondence to respond to general, technical, and congressional inquiries relating to program area responsibilities. Makes presentations on current program status and activities to senior management at the VISN and the Medical Center level, as well as to stakeholders, VSO, etc.

Work Schedule: Monday - Friday, 8:00am - 4:30pm, PST
Telework: This position may be authorized for telework. Telework eligibility will be discussed during the interview process.
Virtual: This is not a virtual position.
Position Description/PD#: Supervisory Health System Specialist/PD104440
Relocation/Recruitment Incentives: Not Authorized

Conditions of employment

• You must be a U.S. Citizen to apply for this job
• 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. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). 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.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP)

As a condition of employment for accepting this position, you will be required to serve a 1-year probationary period or 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 trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.

Qualifications

To qualify for this position, applicants must meet all requirements within 30 days of the closing date of this announcement, 12/22/2025.

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-15 position you must have served 52 weeks at the GS-14. 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 specialized experience as described below:

For GS-15 Level:

• You must have at least one (1) full year of specialized experience equivalent to at least the next lower grade level (GS-14) in the Federal Service, that is directly related to the work of the position and has equipped you with the particular knowledge, skills and abilities to successfully perform the duties as a Supervisory Health System Specialist. Qualifying specialized experience is defined as progressively responsible analytical or administrative, or clinical management or supervisory experience in the health care field. This work may have been performed in an operating health care facility or a higher organizational echelon with advisory or directional authority over such facilities. Work must have involved a close working relationship with facility managers and analysis and/or coordination of administrative, clinical, or other service activities, and provided knowledge of the following:
  • Missions, organizations, programs, and requirements of health care delivery systems;
  • Regulations and standards of various regulatory and credentialing groups; and
  • Government-wide, agency, and facility systems and requirements in various administrative areas such as budget, personnel, and procurement.
• Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-14 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to:
  • Must have strong business practice-related skills involving Business Office Function and enhancement, consults etc. for the Medical Center Network and Leadership
  • Developing and implementing both long- and short-range strategic plans
  • Participating in managerial planning to represent the Business Office in the network; decision-making process
  • Analyzing and auditing of medical records and reporting results to appropriate committees
  • Interpreting policies and processes at national level on managing provider, staff, space and equipment supply/demand at facilities and clinics
  • Developing policies/guidance and designing processes on managing supply/demand of providers, support staff, space, and equipment at facilities and clinics
  • Analyzing financial impact of proposed policies and provides recommendations to leadership
  • Ensuring alignment with national guidance is adhered to
  • Prioritizing workloads, analyzing data to ensure effective reporting and internal evaluation programs within the organization and leadership
• Preferred Experience:
  • 5+ years of related experience in the VHA with experience in ensuring a high-quality patient experience by acting on continued feedback from the Veterans, family/significant others, employees, and expert clinical teams
  • Managing and supervising of all Ambulatory Care Services throughout the Medical Center Network

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 primarily sedentary, requiring no special physical demands, although occasional travel is 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/.

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.

Resume Reminder - Your resume must include the following information for each job listed:

• Job title
• Duties (be as detailed as possible)
• Month & year start/end dates (e.g. June 2007 to April 2008)
• Full-time or part-time status (include hours worked per week)
• Salary/Rank etc
• Series and Grade, if applicable, for all Federal positions you have held
• References, current or recent supervisor

Please be aware that your answers will be verified against information provided on your resume. Be sure that your resume clearly supports your responses to all of the questions by addressing your work experience in detail. The experience stated in your resume must support your assessment responses.

Recommended: Even though we do not require a specific resume format, your resume must be clear so that we are able to fully evaluate your qualifications. To ensure you receive appropriate consideration, please list the duties you performed under each individual job title. If we are unable to match your experiences with the positions held, you may lose consideration for this vacancy. We cannot make assumptions regarding your qualifications.


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.

The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.

For more information on the "Who may apply" eligibility requirements, please refer to the OHRM Status Candidates and Other Candidate Definitions document.

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.

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.