Program Analyst

Summary

As a Program Analyst with the US Office of Personnel Management, Office of the Inspector General, Office of Legal and Legislative Affairs, you will analyze health care provider misconduct cases, research and evaluate information, recommend administrative sanctions, monitor implementation of sanctions, maintain program data, and provide guidance to health insurance carriers and health care providers.

Duties

• Analyzes health care provider misconduct cases to determine whether administrative sanctions statutes and regulations apply. Researches and develops case information from documentary, online, governmental, and private-sector sources to support administrative sanction actions. Prepares decision memoranda applying laws and regulations to case facts and recommending suspensions, debarments, financial penalties, waivers, exceptions, or reinstatements. Evaluates health insurance carriers' implementation of sanctions, identifies noncompliance, and coordinates corrective action with appropriate officials. Develops, maintains, and reconciles sanctions data on health care providers and health insurance carriers for program administration and reporting. Recommends policies, methods, procedures, and improvements for administering the sanctions program. Provides information and guidance to health insurance carriers and health care providers regarding sanction orders and applicable due process procedures.

Qualifications

For the GS 13: You must have one year of specialized experience equivalent to at least the GS-12 level in the Federal service (or equivalent). You must include evidence of this specialized experience in your resume, including dates of experience (month/year), to be considered qualified for this position. Specialized experience for this position must include ALL of the following: Analyzing cases involving alleged misconduct or noncompliance to determine the applicability of statutes, regulations, or policies; Evaluating information from documentary, electronic, governmental, or other sources to develop factual records supporting administrative actions; Preparing written analyses that apply governing requirements to case facts and provide recommendations for administrative action; AND Evaluating compliance with administrative or enforcement actions. Merit promotion applicants must meet the time-in-grade requirement as defined in 5 CFR 300, Subpart F. One year at the GS-12 grade level is required to meet the time-in-grade requirements for the GS13 level. You must meet all qualification and eligibility requirements within 30 days of the closing date of this announcement. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community, student, social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

Requirements

Must be a U.S. Citizen or National Males born after 12-31-59 must be registered for Selective Service Suitable for Federal employment, determined by a background investigation May be required to successfully complete a probationary period Candidates will not be hired based on their race, sex, color, religion, or national origin Complete the initial online assessment and USAHire Assessment, if required You will be required to report to an OPM assigned office. This position is not eligible for inclusion in a bargaining unit.

How to apply

Please read the entire announcement and all the instructions before you begin an application. To apply and be considered for this position, you must complete all required questionnaires, assessments and submit all required documentation as specified in the How to Apply and Required Documents section. The complete application package must be submitted by 11:59 PM (ET) on the closing date of the announcement to receive consideration. The application process is as follows: 1. Click the Apply Online button. 2. Answer the questions presented in the application and attach all necessary supporting documentation. 3. Click the Submit Application button prior to 11:59 PM (ET) on the announcement closing date. 4. If you are required to complete any USA Hire Assessments, you will be notified after submitting your application. The notification will be provided in your application submission screen and via email. The notification will include your unique assessment access link to the USA Hire system and the completion deadline. Additionally, in USAJOBS you can click "Track this application" to return to your assessment completion notice. 5. Access USA Hire using your unique assessment link. Access is granted through your USAJOBS login credentials. 6. Review all instructions prior to beginning your assessments. You will have the opportunity to request a testing accommodation before beginning the assessments should you have a disability covered under the Rehabilitation Act of 1973 as amended. 7. Set aside at least 3 hours to take the USA Hire Assessments; however, most applicants complete the assessments in less time. If you need to stop the assessments and continue later, you can re-use your unique assessment link. 8. Your responses to the USA Hire Assessments will be reused for one year (in most cases) from the date you complete an assessment. If future applications you submit require completion of the same assessments, your responses will be automatically reused. For more general information, system requirements, reasonable accommodation information, and to request assistance regarding the USA Hire Assessments, review the following resources: https://help.usastaffing.gov/Apply/index.php?title=USA_Hire_Assessments To update your application, including supporting documentation: During the announcement open period, return to your USAJOBS account, find your application record, and click Edit my application. This option will no longer be available once the announcement has closed. To view the announcement status or your application status: Click on this: https://www.usajobs.gov/Help/how-to/application/status/. Your application status page is where you can view your application status, USA Hire assessment completion status, and review your notifications sent by the hiring agency regarding your application. You may preview the assessment questionnaire by clicking here: https://apply.usastaffing.gov/ViewQuestionnaire/13042001