Summary This position is located in the Health Administration Services (HAS), Eligibility Section, under the direct supervision of the Supervisory Medical Administration Specialist (Enrollment Coordinator). This position performs analysis, evaluation and assignments related to Enrollment and Eligibility initiatives aligned under the HAS. This position serves as an advisor and analyst for the delivery and quality of health care services. Responsibilities Plan, direct and manage the Eligibility/Enrollment Program which include all functions directly related to Veterans entitlement to VA healthcare benefits and medical services. Interprets rules and regulations relating to legal entitlement to benefits for hospital admissions, nursing homes, dental treatment, domiciliary, fee basis patient transfers beneficiary travel, prosthetic appliances and outpatient care. Ability to effectively communicate both orally and in writing, to a wide variety of people (Veterans, administrative personnel, line supervisors, service chiefs, top management) from various educational and socioeconomic backgrounds utilizing various communication mediums; initiate and lead groups and to establish relationships with professional and/or other health-related groups. Respond to non-routine patient condition inquiries and other administrative inquiries from concerned Veterans, families, visitors, law enforcement officials, representatives from private hospitals, Veterans Service Organization representatives, VA Central Office, Congressional offices, military personnel, private physicians, medical, and the general public. Responsible for the determination of applicants' eligibility; obtaining income and insurance information for appropriate non-service connected applicants; counseling non-service connected Veterans to determine ability to defray costs of medical care elsewhere. Provides training to staff throughout the facility and the CBOCs on rapidly changing regulatory guidelines of eligibility and benefits. Provides new orientation to new enrollees accepted for enrollment. The incumbent is responsible for ensuring that goals are met and are compatible with organizational goals, guidelines, and effectiveness in achieving desired outcomes or metrics. Meets with outside agencies to provide information on veteran enrollment and eligibility programs. Provides orientation and technical advice to new physicians and VA staff regarding VA policies and procedures as it related to patient entitlement and understanding of which Veterans may or may not be legally eligible for VA medical services. Possess in-depth knowledge of public laws, federal regulations, VA directives, major issues, program goals and objectives, work processes, and administrative operations associated with enrollment, Tricare, CHAMPVA, eligibility health benefits, details, admissions, and scheduling. Alternate Enrollment Coordinator represents facility leadership in multiple settings related to enrollment and eligibility activities, such as meeting, briefings, workshops, outreach, etc. Assist Service and Medical Center in understanding and the appeals process by providing expertise on eligibility issues. Provide training to staff throughout the facility and the CBOCs on rapidly changing regulatory guidelines of eligibility and benefits. Provides new orientation to new enrollees accepted for enrollment. Responsible for ensuring that goals are met and are compatible with organizational goals, guidelines, and effectiveness in achieving desired outcome. Meet with outside agencies to provide information on veteran enrollment and eligibility programs. Work Schedule: Monday-Friday, 8:00am-4:30pm (Subject to change based on the needs of the Agency) Virtual: This is not a virtual position. Position Description/PD#: Supervisory Program Specialist/PD036110 Relocation/Recruitment Incentives: Not Authorized Critical Skills Incentive (CSI): Not Approved Permanent Change of Station (PCS): Not Authorized Requirements Conditions of Employment You must be a U.S. Citizen to apply for this job 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 form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP) As a condition of employment for accepting this position, you will be required to serve a 1-year probationary period or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service. Upon completion of your probationary period or trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest. Qualifications To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 05/05/2026. 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. The grade may have been in any occupation, but must have been held in the Federal service. An SF-50 that shows your time-in-grade eligibility must be submitted with your application materials. If the most recent SF-50 has an effective date within the past year, it may not clearly demonstrate you possess one-year time-in-grade, as required by the announcement. In this instance, you must provide an additional SF-50 that clearly demonstrates one-year time-in-grade. Note: Time-In-Grade requirements also apply to former Federal employees applying for reinstatement as well as current employees applying for Veterans Employment Opportunities Act of 1998 (VEOA) appointment. You may qualify based on your experience and/or education as described below: Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-7 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to: Experience performing supervisory duties such as managing personnel resources and distributing workload, approving leaving, providing mentorship and training to staff, reviewing staff performance. Applying laws, regulations, VA directives, manual guidelines, policies and procedures related to the eligibility and authorization. Experience dealing with health care benefits available to Veterans, health care entitlements for Veterans. Providing guidance and instructions regarding Care Programs. Provided supervision, advice on laws, regulations and policies, direct and assign work to employees. Experience in healthcare administration or in a hospital setting or medical clinic where the individual has developed an understanding of planning, organizing, initiating, controlling and coordinating operational activities of an organization. Provides administrative support such as being a first point of contact for customers and routing information and effective written and verbal communication skills. OR, Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have successfully completed a master's degree OR equivalent graduate degree that pertains directly to the duties of the position. OR, You have successfully completed two full years of progressively higher-level graduate education leading to such a degree. Such education must demonstrate the knowledge, skills, and abilities necessary to do the work. OR You have a LL.B. if related. NOTE: Official/unofficial transcripts must be submitted with your application or your application will not be reviewed. Education cannot be credited without documentation. OR, Combination: Applicants may also combine education and experience to qualify at this level. You must have some specialized experience but less than one year, and more than one year but less than two years of graduate education. You must compute the percentage of the requirements that you meet, and the total is at least 100% of the requirement for the GS-9 grade level. (Transcript AND Details of your work history must be provided in your resume; failure to supply sufficient details may result in not meeting the basic requirements for this position). You will be rated on the following Competencies for this position: Critical Thinking Customer Service Organizational Stewardship Leadership 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; religions; 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. Note: A full year of work is considered to be 35-40 hours of work per week. Part-time experience will be credited on the basis of time actually spent in appropriate activities. Applicants wishing to receive credit for such experience must indicate clearly the nature of their duties and responsibilities in each position and the number of hours a week spent in such employment. Physical Requirements: The work is sedentary. No unusual physical exertion is required. For more information on these qualification standards, please visit the United States Office of Personnel Management's website at https://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/. Education A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/. Additional Information Receiving Service Credit for Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. This job opportunity announcement may be used to fill additional vacancies. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.
