Summary This supervisory position serves as the Major Case Coordination Chief of VHA's Anti- Fraud, Waste and Abuse (FWA) Program, in the Office of Integrity and Compliance (OIC), Veterans Health Administration (VHA), located at the Central Office of the Department of Veterans Affairs (VA) in Washington, DC. Responsibilities Serves as a subject matter expert for VHA anti-fraud, waste, and abuse (FWA) program to include the execution of anti-FWA strategy, research, investigation, remediation, training and education, corrective action planning, and coordination needs with Assessable Units. Serves as the primary POC and leads the VHA's Major Case Coordination meetings with Office of Inspector General, Intergrated Veteran Care (IVC), third-party administrators, anti-FWA team, and other stakeholders. Leads the team to document and track lead, referrals, and case development and administrative outcomes Ensures anti-FWA standard operating procedures and policies are adhered to and up to date. Assists in the development and stewardship of a VHA-wide anti-FWA program that prevents, detects and mitigates FWA. Develops and maintains processes and systems to detect and identify potential FWA. Develops and maintains internal preventative and detective controls to prevent and identify FWA. Train others within OIC and throughout the VHA on FWA and advise OIC, other VHA program offices, Veteran Integrated Service Network (VISNs) and VA Medical Centers (VAMCs) on how to build effective programs to prevent, detect and mitigate FWA. Directly supervises 8 staff. Sets team goals, selects project leaders, assigns team members and administratively and technically directs the work of subordinates. Plans, assigns, reviews and accepts, amends or rejects communication projects (verbal and written communication) done by subordinates. Makes major recommendations upon significant internal and external program and policy issues affecting the overall organization. Understands how to provide value to stakeholders across VA and work collaboratively and flexibly to accomplish shared goals. Integrating the work of a team or group where each member contributes a portion of the analysis, facts, information, proposed actions, or recommendations; and/or ensuring compatibility and consistency of interpretation, judgment, logic, and application of policy. Other duties as assigned. Work Schedule: 8:00 am - 4:30 pm, Monday - Friday Compressed/Flexible: May be available. Telework: Available (applicant is required on site 50% of work schedule per pay period) Virtual: This is a virtual position. Position Description/PD#: Supervisory Management & Program Analyst/PD478040 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 You may be required to serve a probationary period Subject to background/security investigation Selected applicants will be required to complete an online onboarding process Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP) Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details. Qualifications To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 12/30/2024. 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-14 position you must have served 52 weeks at the GS-13. 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. Selective Placement Factor (SPF) Requirement: This position includes a selective placement factor (skill, knowledge, ability, or other worker characteristic basic to - and essential for - satisfactory performance of the job). Selective placement factors are a prerequisite to appointment and represent minimum requirements for a position. Applicants who do not meet the SPF are ineligible for further consideration. Complex fraud and/or abuse investigations Partnering with OIG and/or DOJ on FWA-related investigations Ethics and conflict of interest investigations You may qualify based on your experience as described below: Specialized Experience Requirement: Have 1 year of specialized experience equivalent to at least GS-13 in the normal line of progression for the occupation which includes, but is not limited to, the following examples. In order to meet the minimum qualifications for this position, you must meet 3 of 5 of the following examples of specialized experience. leading and/or overseeing teams complex and large-scale criminal/civil and administrative investigations requiring the participation of various agency investigators, analyzing and recommending course of action/resolution of complex fraud, waste, and abuse (FWA) investigative issues, developing, recommending, and implementing process improvements for FWA enterprise-wide programs and projects that have investigative oversight, developing policy and processes that minimize and mitigate risks associated with FWA vulnerabilities, and developing, testing, implementing, and monitoring of systems solutions to address emerging FWA issues and key risks. Writing Sample: Writing sample required. Writing sample must include 1.) case summary and 2.) analysis of fraud risk(s) and recommendations for how to mitigate those vulnerabilites. Qualify Ranking Factor (QRF): A quality ranking factor (QRF) is a knowledge, skill, or ability (KSA) that could be expected to enhance performance in a position but are not essential for satisfactory performance. Applicants who possess a QRFs may be ranked above those who do not, but no applicant may be rated ineligible (i.e., screened out) for failure to possess a QRF. Fraud, Waste, Abuse (FWA) experience applicable to Federal health insurance programs and/or health care systems Partnering with other Corporate Functions including HR, Finance, Audit, Operations, etc. to complete an investigation Data analysis and environmental scanning to detect FWA including lead generation You will be rated on the following Competencies for this position: Accountability Decision Making Influencing/Negotiating Teamwork 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: Nature, frequency and intensity of physical activity: typical office-based work with opportunities to sit, stand, and walk regularily. Describe any special characteristics or special abilities or dexterity needed to perform the job tasks: none. 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 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 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. 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.