Program Manager

Job Title

Program Manager

Duties

Coordinates efforts to develop and implement program performance measures based on emerging priorities.

Provides governance and operations oversight for enterprise-wide healthcare payment and medical claim integrity operations.

Plans, organizes, and completes program segment plans, operational analyses, data collection, and legislative responses.

Oversees healthcare payment and medical claim integrity control activities to strengthen reimbursement accuracy.

Conducts market research, management surveys, research projects, and advisory services on issues of substantial scope and impact throughout the organization.

Plans, schedules, and carries out major projects, internal reviews, and program evaluations to assess, improve, and ensure compliance of programs and operations with national impact.

Collaborates with clinical, policy, financial, operational, contractor, and other internal and external stakeholders to assess program needs.

Works with Program Office external stakeholders/organizations, including contractors, private-sector health care providers, and trade organizations, to assess needs and provide project goals, objectives, and guidelines.

Administratively manages quality, resource, financial, training, and performance evaluation activities in accordance with applicable policies, principles, and operational priorities that support health care administration strategic goals and objectives.

Creates, facilitates, prioritizes, and negotiates resolution of operational issues with VHA leaders and private-sector health care providers/networks.

Develops procedures for establishing, operating, and assessing administrative controls and line program operations; oversees audits, inspections, internal control reviews, findings, and corrective actions.

Provides administrative and technical supervision necessary for accomplishing the work of the unit directed; exercises significant responsibilities in dealing with managers of other units and organizations.

Work Schedule: Monday- Friday 8:00 a.m.- 4:30 p.m. (Flexible)

Telework: This position may be authorized for telework. Telework eligibility will be discussed during the interview process. Virtual: This position may be authorized for Virtual Work. Virtual Work eligibility is for current VA employees that are already subject to the return to in person work mandate in their current position. Definition of Virtual Work: Employee works outside of original hiring duty station at a VA owned or leased space. Return to Office (RTO): RTO mandates are in effect and selectees will be required to report to in person work unless they have an approved exception or an exemption. Any approval for an RTO exception, exemption, or extension will happen after a tentative job offer, but before a final job offer.

Position Description/PD#: Program Manager/ PD03218A

Relocation/Recruitment Incentives: Not Authorized

Permanent Change of Station (PCS): Not Authorized