Supervisory Program Specialist

Veterans Health Administration • Miami, FL

5d • Onsite

About The Position

This position is assigned as the Supervisor, for Enrollment, Eligibility, and Registries (S,EE&R) within the Health Administration Service (HAS) of the Miami VA Healthcare System and serves as the Enrollment Coordinator for the HCS. The primary responsibility encompasses three key functions: facilitating all administrative aspects of the enrollment process; health benefits eligibility determinations, and related aspects of health benefits administration.

Requirements

• Must be a U.S. Citizen to apply for this job.
• Complete all required steps in the process, including an online assessment.
• Selective Service Registration is required for males born after 12/31/1959.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process.
• Acceptable forms of identification will be required to complete pre-employment requirements.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• Must serve a 1-year probationary period or 2-year trial period.
• 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-9 position you must have served 52 weeks at the GS-7.
• Screening, processing and assisting Veterans-non-Veterans and beneficiaries seeking multiple medical treatment benefits.
• Responsible for the Enrollment Program Processes and health benefits eligibility determinations.
• Prepares verbal and written responses to inquiries and complaints of veterans and congressional staff.
• Perform daily monitoring by formulating data validation activities and analysis reports.
• Collection, compilation, research, and/or tracking of data and program information.
• Implementing communication and education activities to disseminate enrollment and health benefits eligibility information.
• Identify developmental and training needs of employees.
• Evaluates work performance of subordinates.
• Coordinates inpatient/outpatient activities.
• Prepares and conducts public speaking presentations.
• A master's degree or equivalent graduate degree; or, two full years of progressively higher level graduate education leading to such a degree; or, LL.B. or J.D.
• Combination of specialized experience and graduate-level education beyond 18 semester hours counting towards a master's degree.

Nice To Haves

• A one year supervisory probation period may be required for this position.

Responsibilities

• Facilitating all administrative aspects of the enrollment process, making health benefits eligibility determinations, and managing related aspects of health benefits administration.
• Ensuring the timely and accurate processing of enrollment applications, verifying and adjudicating eligibility for VA health care benefits, and serving as a subject matter expert and point of contact for enrollment and eligibility matters across MVAHS, its satellite clinics, Community Based Outpatient Clinics (CBOCs), and Community Outpatient Program.
• Responsible for programmatic oversite of the Enrollment Program and will be responsible for informing management and executive leadership of any problems or trends regarding enrollment issues and health benefits administration.
• Prepares verbal and written responses to inquiries and complaints of veterans and congressional staff regarding health care benefits.
• Serve as primary contact for deceased veterans' families who are applying for the veterans' benefits.
• Prepares reports and replies for the Chief of HAS and executive leadership in response to internal or externals requests for program information and data such as statistical data to the National Enrollment Program, VISN and/or National reports.
• Independently develop, administer, and maintain training materials on all aspects of eligibility.
• Assisting veterans, non-veterans and beneficiaries seeking multiple medical treatment benefits.
• Daily analyzing of benefit utilization and implementing extensive body of VA and DoD regulations, rules, policies, procedures and practices associated with inpatient/outpatient activities.
• Implement communication and education activities at the local level to disseminate enrollment and health benefits eligibility information.
• Responsible for researching and verifying all deceased notices from Health Eligibility.
• Provides advisory and technical assistance in a compassionate manner.

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.
• Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager