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

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• 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.

Requirements

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Conditions of employment

• 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.

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.

Additional information

Relocation expenses will not be paid.

Incentive payments may be considered.

If you are unable to apply online and would like to request information about the Alternate Application process, please use the contact information at the bottom of this announcement.

This job opportunity announcement may be used to fill additional similar vacancies across OPM.

During the application process you will have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions.

Veterans Employment Opportunity Act (VEOA): To be eligible for a VEOA appointment under Merit Promotion procedures, the veteran must be a preference eligible or a veteran separated after 3 years or more of continuous active service performed under honorable conditions.

Noncompetitive Appointment Authorities: For more information on noncompetitive appointment authority eligibility

requirements visit the following websites:

• Persons with Disabilities-Schedule A
• Special Hiring Authorities for Veterans
• Special Hiring Authority for Certain Military Spouses
• Other Special Appointment Authorities

Males born after 12-31-59 must be registered or exempt from Selective Service (see https://www.sss.gov/Home/Registration)

Benefits

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A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

Review our benefits

Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.