Supervisory Medical Management Specialist

Description:

The Supervisory Medical Management Specialist (Patient Benefits Manager) position is assigned to Health Administration Service (HAS) within the VA Salt Lake City Health Care System. The Patient Benefits Manager's primary purpose is to oversee the operations of the Patient Benefits Section, which includes the Enrollment & Eligibility Office, Health Administrative Specialist on Duty (HOD/AOD), and phone operator teams.

Requirements:

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 02/17/2026.

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.

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: (1) Patient eligibility determinations-including verification of veteran documentation such as the DD-214, Purple Heart and Medal of Honor recipients, Veteran Benefits Administration documentation as well as others; (2) Establishing, implementing and monitoring the nationally mandated means test monitoring systems, which requires system data collection, analysis, development of recommendations and follow-up on needed actions; (3) Patient enrollment -including the accurate and timely capture of all means tests data, insurance data capture, demographic information, (veteran and non-veteran) recruitment and outreach, HOD/AOD administration, veteran identification card system (VHIC), sharing agreement data capture, after hours benefits counseling, ECU and clinic (workload capture as assigned) and the State Veterans Home Program; (4) Responsible for the after-hours Emergency Care Unit (ECU) administrative functions through the management and supervision of the HOD/AOD; (5) Delegated responsibility for the planning, budgeting, direction, control, coordination, operation, evaluation, and staffing of the Enrollment Office activities and serves as the subject matter expert on budgetary, eligibility, enrollment, workload, insurance, and sharing agreement data capture, patient recruitment, benefits and any other area of management interest related to the section; (6) Conducts analytical studies on operational processes, issue topics, or related special projects (as assigned).

OR,

• Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have have a 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 a combination of specialized experience and education beyond a Master's Degree.

You will be rated on the following Competencies for this position:

• Administration and Management
• Analytical Reasoning
• Communication
• Employee Development

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: Work is sedentary although some movement, lifting, and stooping are required when using files or delivery documents. Position requires long periods of interaction at computer terminals, causing strain to the eyes and back

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/ .