Summary
The primary function of this position is to contribute to the fulfillment of VHA Health Care System's mission and vision with planning, designing, and maintaining a multi-disciplinary Corporate Compliance Department, with primary responsibilities of auditing and monitoring to ensure compliance with policies and laws governing business operations, health information management practices, privacy, research compliance, records management, ethics and business integrity.
Duties
Duties will include, but may not be limited to the following:
Auditing and Monitoring Duties (70%):
- Assess business functions and those aspects of clinical functions which impact business operations. Makes recommendations for actions when adjustments or a different course of action is necessary.
- Identifies and researches Health Care System risks and program weaknesses for potential non-compliance.
- Develops and performs methodologies for compliance reviews and audits of perceived problem and prioritized risk areas.
- Conducts monitoring and auditing and authors reports in accordance with the implementation and execution of the Unites States Sentencing Guidelines (USSG) and the Office of Inspector General (OIG) practices for an effective Compliance Program.
- Provides reasonable assessments and/or quality reviews of financial, analytical and evaluative work associated with Compliance Program activities.
- Performs analytical and evaluative work, prepares formal reports and presentations on monitoring and auditing results.
- Monitors Program Metrics and independently performs actions to assist in meeting performance targets.
- Performs qualitative and quantitative review of operations in the Health Care System, including internal controls related to prioritized risk areas.
- Provides audits and analyses to manage and mitigate key risks that may adversely impact local Health Care System objectives, to include areas of routine compliance monitoring as required by agency and/or oversight bodies; determines adequacy in preventing compliance failures; prepares and presents findings in standardized audit format.
- Provides technical assistance in the selection of focused audits, criteria development, data retrieval, compilation of findings, and follow-up audits.
- Implements internal controls and solutions in partnership with risk owners.
- Participates in meetings with internal staff and representative operational units within the local Health Care System to determine compliance program status and major milestones.
Compliance Program Operation Duties (20%):
- Assists with preparation, updating and final annual completion and quarterly updates of the Health Care System Risk Assessment, Monitoring, Auditing and Training Plans, and Compliance Program Evaluation.
- Assists in the development of Strategic Planning Initiatives for quality, cost, and evaluation of performance measures/indicators for tracking.
- Assists in developing and implementing appropriate training programs; rules and regulations, mandated program elements and to resolve issues discovered during reviews, audits and monitors.
- Assists with investigations and development of a causation corrective action plan (CCAP) for future mitigation.
Program Support Duties (10%):
- Provides staff support to committees and workgroups under the direction of the Corporate Compliance Program.
- Participates in discussions, develops agenda content for recurring meetings and prepares minutes.
- Promotes ethical behavior and moral principles consistent with the mission, vision and values of the organization and those required by federal law.
- Creates communication processes and tools that are flexible, customizable, and interactive to address the Health Care System's unique compliance challenges and education/training needs.
- Performs other duties as assigned.
Work Schedule:
Monday - Friday 7:30am - 4:00pm
Telework:
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 Ad-hoc telework only. Telework eligibility will be discussed during the interview process.
Virtual:
This is not a virtual position.
Position Description/PD#:
Health System Specialist - Facility Corporate Compliance Auditor/ PD235250
Relocation/Recruitment Incentives:
Not Authorized
Critical Skills Incentive (CSI):
Not Approved
Permanent Change of Station (PCS):
Not Authorized
Requirements
Conditions of employment
- You must be a U.S. Citizen to apply for this job.
- To be considered for this position, you must complete all required steps in the process. In addition to the application and questionnaire, this position requires an online assessment.
- The online assessment measures critical general competencies required to perform the 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.
- 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.
Qualifications
Preferred Experience:
Minimum 3 years prior Auditing experience. Preference given to VA specific Auditing experience.
To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 10/27/2026.
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 GS-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.
You may qualify based on your experience and/or education as described below:
Specialized Experience: You must have at least one (1) full year of specialized experience equivalent to at least the next lower grade level (GS-9) 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 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: (1) Missions, organizations, programs, and requirements of health care delivery systems; (2) Regulations and standards of various regulatory and credentialing groups; and (3) Government-wide, agency, and facility systems and requirements in various administrative areas such as budget, personnel, and procurement.
At this level, applicants would have obtained this experience working within a health care setting; working directly with healthcare professionals and other administrators to solve problems in support of the delivery of patient care and education/training; experience running an administrative component of a health care onboarding process; and analyzes and synthesizes data from diverse data systems to improve business processes.
~OR~ Inservice Placement: Successful completion of an agency-sponsored on-the-job training program may be substituted for qualifying experience, provided it included a formal individualized training plan. Such a training program must have been conducted in an operating health care system and included: Assignments providing a knowledge of basic health system administration philosophies, practices, and procedures, and basic government administrative policies and requirements; Practical assignments providing an opportunity to apply health system administration skills and principles (as the individual progresses, work assignments must be characteristic of the grade level to which he or she is assigned); an Oversight by an experienced health system administrator with periodic evaluation of the individual's progress and appropriate adjustment of the training program.
~OR~ Education: Successfully completed a Ph.D., equivalent doctoral degree, three (3) full years of progressively higher-level graduate education leading to such a degree, Or LL.M in the related field of the position to be filled (i.e., hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration).
The education portion must include courses that demonstrate the knowledge, skills, and abilities necessary to do the work of this position. Education must have been obtained in an accredited college, or university. NOTE: Transcripts must be submitted with your application materials. Education cannot be credited without documentation.
~OR~ Combination: Combinations of successfully completed graduate level education (beyond a master's degree) and specialized experience as described above to meet total experience requirements. The education portion must include graduate courses that demonstrate the knowledge, skills, and abilities necessary to do to the work of this position (i.e., hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration). NOTE: Transcripts must be submitted with your application materials. Education cannot be credited without documentation. Experience must be clearly indicated in your resume.
Additional information
Physical Requirements:
You will be asked to participate in a pre-employment examination or evaluation as part of the pre-employment process for this position. Questions about physical demands or environmental factors may be addressed at the time of evaluation or examination.
Physical Demands:
The work is primarily sedentary, although some slight physical effort may be required.
Work Environment:
The work is typically performed in an adequately lighted and climate-controlled office. May require occasional travel.
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. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.
Reasonable Accommodation (RA) Requests:
If you believe you have a disability (i.e., physical or mental), covered by the Rehabilitation Act of 1973 as amended that would interfere with completing the USA Hire Competency Based Assessments, you will be granted the opportunity to request a RA in your online application. Requests for RA for the USA Hire Competency Based Assessments and appropriate supporting documentation for RA must be received prior to starting the USA Hire Competency Based Assessments. Decisions on requests for RA are made on a case-by-case basis. If you meet the minimum qualifications of the position, after notification of the adjudication of your request, you will receive an email invitation to complete the USA Hire Competency Based Assessments, based on your adjudication decision. You must complete all assessments within 48 hours of receiving the URL to access the USA Hire Competency Based Assessments if you received the link after the close of the announcement.
This job opportunity announcement may be used to fill additional vacancies.
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 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 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/.
Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution. 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 window Learn more about federal benefits. Review our 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.