USAJOBS · 2 months ago
Health System Specialist (Compliance and Business Integrity Officer)
San Diego, California, USA
Full-time
Onsite
Mid, Senior Level
$101K/yr - $156K/yr
1+ years expUSAJOBS is seeking a Health System Specialist (Compliance and Business Integrity Officer) for the Department of Veterans Affairs. The role involves providing support to health care management officials by analyzing, evaluating, and coordinating health care delivery systems and operations, as well as ensuring compliance with operational policies and federal regulations.
ConsultingGovernmentHuman ResourcesInformation TechnologyInternetStaffing Agency
No H1B
U.S. Citizen Only
Responsibilities
The incumbent functions as the primary liaison to multiple staff offices and serves as the conduit for information flow and management of assignments between such offices. Monitors and manages incoming actions and requests from initial receipt to completion and closeout
Analyzes the subject matter of incoming information for appropriate distribution to offices internal and external to the office
The Compliance Officer provides guidance and counsel on incorporating compliance related activities into operations areas. It is the incumbent's responsibility to instill the elements of the Office of Inspector General's model compliance plan into the VHA Compliance program
Distribute written policies and procedures that promote commitment to compliance and address specific areas of potential fraud, such as billing, collections, and coding
Performs an annual system wide prioritized risk assessment, develops and/or provides effective education and training programs for all affected employees to mitigate identified risks, develops and/or performs auditing and monitoring of identified risk areas, including newly identified risks throughout the year; assists service lines departments in developing appropriate monitoring and auditing processes that mirror facility goals
Maintenance of a process, such as a helpline, to receive complaints, and the adoption of procedures to protect the anonymity of complainants
Maintains high visibility and an open-door policy to encourage employees to report potential compliance issues
Conducts investigation and remediation of system problems identified through the helpline, employee and patient communications, and interaction with professional counterparts. Develops policies addressing the non-employment or retention of sanctioned individuals
Responds and takes appropriate action to allegations of improper/illegal activities and regulations, or federal health care program requirements
Develops, coordinates and/or conducts audits and/or other evaluation techniques to monitor compliance and to assist in the reduction of identified problem areas
Reviews periodic reports with senior management detailing compliance initiatives throughout the year and recommends changes and improvements to the VA San Diego CBI program and operational compliance related activities
Analyzes audit results, develops educational tools to address audit findings, and recommends system changes, as appropriate
Manages and coordinates of all online communication tools such as assigned intranet, websites, internal SharePoint website collection, and other related informational tools in consultation with communication specialists. Assures compliance with all applicable policies, and development and maintenance of internal management processes related to these online tools
Qualification
Required
U.S. citizenship
Subject to a background/suitability investigation
May serve a probationary period
Selective Service Registration is required for males born after 12/31/1959
A complete application package; Resume, Transcripts, etc
Selected applicants will be required to complete an online onboarding process
Undergraduate or graduate education in a major field of study hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration
Specialized experience: Progressively responsible analytical or administrative, or clinical management or supervisory experience in the health care field
Successful completion of an agency-sponsored on-the-job training program, it included a formal individualized training plan
One year of specialized experience (equivalent to the GS-11 grade level in the federal service) for GS-12 grade level
One year of specialized experience (equivalent to the GS-12 grade level in the federal service) for GS-13 grade level
Benefits
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.
Company
USAJOBS
USAJOBS enables federal job seekers to access job opportunities across hundreds of federal agencies and organizations.
10001+ employees
Funding
Current Stage
Late StageRecent News
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