Program Analyst

Veterans Health Administration•Lakewood, CO

13h

About The Position

The Program Analyst supports agency operations by analyzing program data, identifying trends, and monitoring healthcare processing activities. The role works with contractors, field facilities, and internal partners to define requirements, support initiatives, and promote effective program execution. The analyst provides guidance, analysis, and recommendations to improve performance and inform decisions. The position addresses escalated provider issues involving unpaid claims, monitors provider appeals, and coordinates with agency regional healthcare networks, medical centers, contractors, and other stakeholders. It analyzes program operations and data, evaluates performance against goals, identifies deficiencies or anomalies, and develops recommendations and action plans. The analyst also prepares reports, issue briefs, correspondence, and presentations; develops training materials; and coordinates project team activities and deadlines. The position is full-time, 40 hours per week, Monday through Friday, with eight-hour days based on business needs. Compressed or flexible scheduling is not available. Telework or virtual work may be authorized subject to eligibility and applicable requirements. Return-to-office mandates are in effect, and selectees generally must report in person unless an exception or exemption is approved. The work is primarily sedentary, with some walking, standing, bending, and carrying light items. The position may be filled at GS-11 or GS-12; promotion to the full performance level may be possible without further competition when regulatory, qualification, and performance requirements are met.

Requirements

U.S. citizenship is required.
Complete all required application steps, including an online assessment.
Selective Service registration is required for males born after December 31, 1959.
Meet the applicable qualifications by the announcement closing date of October 19, 2026.
For GS-11, have one year of specialized experience equivalent to GS-09; alternatively, qualify through a related Ph.D. or equivalent doctoral degree, three years of progressively higher-level graduate education leading to such a degree, or an eligible combination of specialized experience and graduate education beyond a master's degree.
For GS-12, have one year of specialized experience equivalent to GS-11; education cannot substitute for experience at this grade.
Current and certain former federal employees must meet applicable time-in-grade requirements: 52 weeks at GS-09 for GS-11, or 52 weeks at GS-11 for GS-12.
Submit an SF-50 demonstrating time-in-grade when applicable. Submit transcripts if relying on education to qualify; foreign education requires a certificate of foreign equivalency.
Specialized experience may include program analysis and evaluation; interpreting healthcare or benefits program documents; stakeholder communication and issue resolution; using databases or software to analyze workload or program data; preparing reports and correspondence; monitoring trends and escalating issues; conducting comprehensive analyses and root-cause analysis; and gaining stakeholder acceptance of recommendations.
Complete a background or security investigation and the online onboarding process; provide acceptable identification for pre-employment requirements.
Participate in the seasonal influenza vaccination program as required for VA Health Care Personnel.
Serve a one-year probationary period or two-year trial period, as applicable.
The work is primarily sedentary, with some walking, standing, bending, and carrying light items.

Responsibilities

Prioritize escalated provider issues involving unpaid claims and coordinate with regional healthcare networks, medical centers, and contractors to resolve them.
Monitor provider appeals within assigned geographic areas and support local medical centers or third-party administrators in addressing provider issues.
Communicate issues to stakeholders, develop action plans to improve quality metrics, and maintain contact throughout the appeals process.
Communicate and negotiate with internal and external stakeholders to gain acceptance and implementation of recommendations involving resources, procedural changes, and stakeholder impacts.
Produce reports and documents as requested by management.
Conduct data analyses, data validations, and program analyses to evaluate the efficiency and effectiveness of field-facility processes related to program operations.
Analyze trends across geographic regions and nationally for initiatives such as network adequacy, provider complaints, and credentialing compliance; identify deficiencies or irregularities for further review.
Evaluate quantitatively and qualitatively how effectively broader employing-office operations meet established goals and objectives.
Draft responses to external inquiries and develop issue briefs for appropriate management or staff.
Deliver formal and informal presentations describing the history, current status, and objectives of analyses and quality-improvement responsibilities.
Develop training content and presentation materials for program partners on operations, policies, and processes related to provider network management administration.
Coordinate assigned project team members across organizations, including scheduling, progress tracking, status updates, and adherence to deadlines and requirements.
Develop strategies that account for current program operations, associated systems, and future initiatives.
Perform other duties as assigned.