The position is located within the VHA Office of Finance's Revenue Operations Consolidated Patient Account Center (CPAC) with the incumbent serving as the Payer Relations Specialist (PRS) for Revenue Operations. The CPAC is a regionally consolidated business entity established to enhance revenue operations throughout the VISN networks and across the VHA system through the standardization and consolidation of functions and processes, as well as the utilization of VHA and industry best practices. Duties include but are not limited to: Conducts market research and rate verification analysis to determine market rates and payer compliance with federal laws. Monitors and tracks data associated with third party payer community care claim denials. Generates data to support identified trends in claim submissions and follow up activities. Identifies and develops recommendations for agreement modifications. Facilitates resolution of systemic issues related to contracted payer reimbursement and contracted third party payer agreement terms and conditions. Educates revenue operations staff on policies and procedures related to payer agreement issues. Develops communications, tools, templates, presentations and job aids to educate staff responsible for training. Work Schedule: Monday - Friday, 40 hours per week, TOD to be set upon selection 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 telework. Telework eligibility will be discussed during the interview process. Virtual: This is not a virtual position. Position Description/PD#: Financial Administration Specialist/PD94958A Relocation/Recruitment Incentives: Not Authorized Critical Skills Incentive (CSI): Not Authorized Permanent Change of Station (PCS): Not Authorized 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 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.

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