Health System Specialist - Facility Corporate Compliance Auditor

The primary function of this position is to contribute to the fulfillment of VHA Health Care System's mission and vision with planning, designing, and maintaining a multi-disciplinary Corporate Compliance Department, with primary responsibilities of auditing and monitoring to ensure compliance with policies and laws governing business operations, health information management practices, privacy, research compliance, records management, ethics and business integrity. Major duties: Duties will include, but may not be limited to the following: Auditing and Monitoring Duties (70%): Assess business functions and those aspects of clinical functions which impact business operations. Makes recommendations for actions when adjustments or a different course of action is necessary. Identifies and researches Health Care System risks and program weaknesses for potential non- compliance. Develops and performs methodologies for compliance reviews and audits of perceived problem and prioritized risk areas. Conducts monitoring and auditing and authors reports in accordance with the implementation and execution of the Unites States Sentencing Guidelines (USSG) and the Office of Inspector General (OIG) practices for an effective Compliance Program. Provides reasonable assessments and/or quality reviews of financial, analytical and evaluative work associated with Compliance Program activities. Performs analytical and evaluative work, prepares formal reports and presentations on monitoring and auditing results. Monitors Program Metrics and independently performs actions to assist in meeting performance targets. Performs qualitative and quantitative review of operations in the Health Care System, including internal controls related to prioritized risk areas. Provides audits and analyses to manage and mitigate key risks that may adversely impact local Health Care System objectives, to include areas of routine compliance monitoring as required by agency and/or oversight bodies; determines adequacy in preventing compliance failures; prepares and presents findings in standardized audit format. Provides technical assistance in the selection of focused audits, criteria development, data retrieval, compilation of findings, and follow-up audits. Implements internal controls and solutions in partnership with risk owners. Participates in meetings with internal staff and representative operational units within the local Health Care System to determine compliance program status and major milestones. Compliance Program Operation Duties (20%): Assists with preparation, updating and final annual completion and quarterly updates of the Health Care System Risk Assessment, Monitoring, Auditing and Training Plans, and Compliance Program Evaluation Assists in the development of Strategic Planning Initiatives for quality, cost, and evaluation of performance measures/indicators for tracking. Assists in developing and implementing appropriate training programs; rules and regulations, mandated program elements and to resolve issues discovered during reviews, audits and monitors. Assists with investigations and development of a causation corrective action plan (CCAP) for future mitigation. Program Support Duties (10%): Provides staff support to committees and workgroups under the direction of the Corporate Compliance Program. Participates in discussions, develops agenda content for recurring meetings and prepares minutes. Promotes ethical behavior and moral principles consistent with the mission, vision and values of the organization and those required by federal law. Creates communication processes and tools that are flexible, customizable, and interactive to address the Health Care System's unique compliance challenges and education/training needs. Performs other duties as assigned Work Schedule: Monday - Friday 7:30am - 4:00pm Telework: VA supports the use of telework as a way to help attract and retain talented individuals in public service, increase worker productivity, and better prepare the agency to operate during emergencies. This position may be authorized for Ad-hoc telework only. Telework eligibility will be discussed during the interview process. Virtual: This is not a virtual position. Position Description/PD#: Health System Specialist - Facility Corporate Compliance Auditor/PD235250 Relocation/Recruitment Incentives: Not Authorized Critical Skills Incentive (CSI): Not Approved Permanent Change of Station (PCS): Not Authorized The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being. Requirements: You must be a U.S. Citizen to apply for this job To be considered for this position, you must complete all required steps in the process. In addition to the application and questionnaire, this position requires an online assessment. The online assessment measures critical general competencies required to perform the job. Selective Service Registration is required for males born after 12/31/1959 Physical Requirements: The work required does not inherently include any physical requirements essential for successful job performance that could not otherwise be performed with accommodation or workplace adjustment. A pre-placement physical examination is not required. 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 identification 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, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.