Supervisory Health Insurance Specialist (Director, Division of State Program Integrity)
Centers for Medicare & Medicaid Services
Posted: March 9, 2026 (0 days ago)
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Veterans Health Administration
Department of Veterans Affairs
Location
Chicago, Illinois
Salary
$68,999 - $89,703
per year
Type
Full-Time
More Management & Supervision jobs →Closes
Base salary range: $51,332 - $66,732
Typical requirements: 1 year specialized experience at GS-8. Master's degree or 2 years graduate study.
Note: Actual salary includes locality pay (15-40%+ depending on location).
This job involves supervising a team of medical support assistants in a VA hospital's community care office, where you'll manage daily workflows, analyze data for reports, and ensure smooth operations for patient referrals and clinical support.
It's a leadership role focused on organizing staff tasks, creating procedures, and handling administrative duties to meet patient needs.
A good fit would be someone with experience in healthcare administration, strong organizational skills, and a background in federal service who enjoys mentoring teams and working with data.
This position is organizationally aligned to the Business Office within the Community Care Service at the Jesse Brown VA Medical Center, Chicago, IL.
The Community Care/RCT ACD Supervisory Program Specialist serves as the direct line supervisor for the Lead Medical Support Assistant(s) and all Medical Support Assistant (MSA) staff in the assigned clinical areas and is a foundational role within the Community Care, Referral Consult Team, and ACD line operations.
To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 03/12/2026.
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-09 position you must have served 52 weeks at the GS-07. 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-07 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 in extracting, developing, reviewing, and analyzing data to provide reports to senior management; performs a variety of administrative functions for several clinicals ; experience writing Standard Operating Procedures (SOPs); understanding of Joint Commission requirements; experience working with different program databases and software to pull information for reports; perform auditing functions; Manage staff workflow, set priorities, deadlines and adjusting work flow to meet team and patient needs; working experience of clinic operations and policy, schedules, and provider's preferences.
OR, Education: Applicants may substitute education for the required experience.
To qualify based on education for this grade level you must have two (2) years of progressively higher-level graduate education leading to such a degree, or LL.
B or J.D., if related, obtained in an accredited college or university, may be substituted to qualify for the grade 9, Program Specialist position.
One year of full-time graduate education is considered to be the number of credit hours that the school attended has determined to represent one (1) year of full-time study.
If that number cannot be obtained from the school, 18 semester hours will be considered an academic year of graduate study.
Part-time graduate education is creditable in accordance with its relationship to a year of full-time study at the school attended. (TRANSCRIPT REQUIRED).
OR, Combination: Equivalent combinations of successfully completed graduate education and specialized experience directly related to the work of the Program Specialist position, which may be substituted to meet the experience requirements of the position.
For example, 6 months of appropriate specialized experience equivalent to GS-07 (50 percent of the experience requirement for GS-9) and 1 year of successfully completed graduate education (18 semester hours), as is described above, (50 percent of the education requirement for the GS-9) would qualify for a GS-9 position.
(TRANSCRIPTS REQUIRED). **** NOTE: Only education in excess of 2 full years of progressively higher-level graduate education may be used to qualify at the grade 09 level.
**** You will be rated on the following Competencies for this position: Accountability Attention to Detail Interpersonal Skills Managing Human Resources 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 required is generally sedentary in nature, but also includes standing, bending, and carrying light or medium loads of paper, office files, supplies and equipment.
Walking, sitting for extended periods of time at a computer terminal, and standing at length while instructing is involved in this position.
Work Environment: Work is performed in an adequately lighted and climate-controlled office and throughout the Medical Center.
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/.
Major Duties:
MAJOR DUTIES: Develops, reviews, analyzes, implements, and conducts training based on departmental needs. Performs analysis of audit findings related to consult management and scheduling.
Assesses training and education efforts to determine the effectiveness of the training program while keeping abreast of any changes or updates to directives related to consult management and scheduling.
Provides detailed guidance to staff concerning consult management and scheduling.
Works with supervisors, managers and service chiefs to resolve discrepancies or conflicts with established consult management.
Provides consultation and assistance in implementation of performance improvement activities.
Provides essential administrative clinic management and scheduling support to Physicians, Advanced Provider Practitioners, Nurses, Dietitians, Social Workers, and other administrative and clinical staff throughout the service area and Community Providers.
Perform other duties as assigned. Work Schedule: Monday- Friday 7:30am - 4:00pm Telework: Ad Hoc Virtual: This is not a virtual position.
Position Description/PD#: Supervisory Program Specialist/PD252810 Relocation/Recruitment Incentives: Not Authorized Critical Skills Incentive (CSI): Not Approved Permanent Change of Station (PCS): Not Authorized
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