Health System Specialist - Facility Corporate Compliance Auditor

Veterans Health Administration•Des Moines, IA

21h•Onsite

About The Position

The Health System Specialist – Facility Corporate Compliance Auditor contributes to the VHA Health Care System’s mission by supporting the planning, design, and maintenance of a multidisciplinary Corporate Compliance Department. The role primarily audits and monitors compliance with policies and laws governing business operations, health information management, privacy, research compliance, records management, ethics, and business integrity. The position assesses business functions and clinical activities that affect business operations, identifies risks and program weaknesses, develops and conducts compliance reviews and audits, and reports findings. It also supports risk assessments, compliance plans, training, investigations, corrective action planning, committees, and communications. The work is primarily sedentary in a climate-controlled office, with occasional travel possible. The schedule is Monday through Friday, 7:30 a.m. to 4:00 p.m. Ad-hoc telework may be authorized; this is not a virtual position.

Requirements

At least one full year of specialized experience equivalent to GS-9 in the Federal Service, involving progressively responsible analytical, administrative, clinical management, or supervisory work in the health care field; or qualify through the specified in-service training, education, or combination pathways.
Specialized experience must include work in a healthcare setting involving collaboration with facility managers and analysis or coordination of administrative, clinical, or other service activities.
Qualifying experience must provide knowledge of healthcare delivery system missions, organizations, programs, and requirements; regulations and standards of regulatory and credentialing groups; and government, agency, and facility administrative systems and requirements such as budget, personnel, and procurement.
Applicants qualifying through the in-service placement pathway must have completed an agency-sponsored on-the-job training program with a formal individualized training plan and the specified healthcare administration assignments, oversight, and evaluation.
Applicants qualifying through education must have a Ph.D. or equivalent doctoral degree, three full years of progressively higher-level graduate education toward such a degree, or an LL.M. in a related field, with relevant coursework; transcripts are required.
Applicants qualifying through a combination must have relevant graduate education beyond a master’s degree and specialized experience; transcripts are required.
Current Federal employees who held a GS grade during the past 52 weeks must meet the GS-11 time-in-grade requirement of 52 weeks at GS-9 and submit supporting SF-50 documentation.
Must be a U.S. Citizen.
Male applicants born after December 31, 1959, must meet Selective Service registration requirements.
Must complete the required application steps and online assessment.
Must undergo a background/security investigation and complete online onboarding and acceptable identity-document requirements.
Participation in the seasonal influenza vaccination program is required for VA Health Care Personnel.
Must serve a one-year probationary period or two-year trial period, as applicable.

Nice To Haves

At least three years of prior auditing experience; preference is given to VA-specific auditing experience.

Responsibilities

Assess business functions and clinical activities that affect business operations, and recommend adjustments or alternate courses of action when needed.
Identify and research Health Care System risks and program weaknesses that may result in noncompliance.
Develop and conduct compliance review and audit methodologies for perceived problems and prioritized risk areas.
Conduct monitoring and audits, and prepare reports consistent with the United States Sentencing Guidelines and Office of Inspector General practices for effective compliance programs.
Review financial, analytical, and evaluative work associated with Compliance Program activities.
Analyze and evaluate Health Care System operations, including internal controls for prioritized risk areas; prepare and present findings in a standardized audit format.
Monitor program metrics and take independent actions to help meet performance targets.
Provide technical assistance with focused audit selection, criteria development, data retrieval, findings compilation, and follow-up audits.
Partner with risk owners to implement internal controls and solutions.
Meet with internal staff and operational units to assess compliance program status and milestones.
Assist with annual and quarterly updates to the Health Care System Risk Assessment, Monitoring, Auditing, and Training Plans, and Compliance Program Evaluation.
Assist in developing strategic initiatives and performance measures for quality, cost, and performance evaluation.
Assist with developing and implementing training programs addressing rules, regulations, mandated program elements, and issues found during reviews, audits, and monitoring.
Assist with investigations and develop causation corrective action plans for future mitigation.
Support Corporate Compliance Program committees and workgroups, including developing meeting agenda content and preparing minutes.
Promote ethical behavior and principles consistent with organizational values and federal law.
Create flexible, customizable, and interactive communication processes and tools to address compliance challenges and education and training needs.
Perform other duties as assigned.