Program Specialist

The Program Specialist, located within VHA's Integrated External Networks, Contracts Management and Performance, supports community care contract administration by tracking performance issues, analyzing data, preparing reports, and developing contract documents. The role requires knowledge of healthcare operations, claims processing, and regulatory requirements.

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 11/10/2026. 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-11 position you must have served 52 weeks at the GS-9. 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. Quality Ranking Factor (QRF): Experience in healthcare operations and/or managed care operations. 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-09 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 reviewing and interpreting regulations, policies, and procedures to support program operations and ensure compliance. Experience analyzing data, conducting research, and preparing reports to identify issues, evaluate findings, and support management decision-making. Experience communicating with internal and external stakeholders to provide guidance, resolve issues, and support organizational objectives. Experience monitoring program, project, or contract activities to track performance, validate results, and recommend process improvements. Experience demonstrating knowledge of medical terminology and healthcare reimbursement systems sufficient to support healthcare program operations, claims review activities, and payment processes. OR, Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have Ph.D. or equivalent doctoral degree or 3 full years of progressively higher level graduate education leading to such a degree or LL.M., if related OR, Combination: Applicants may also combine education and experience to qualify at this level. You must have an combination of specialized experience and education beyond the under graduate level. Only graduate education in excess of the amount required for the next lower grade level may be used to qualify applicants for positions at grades GS-9 and GS-11. 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/.