Posted June 30, 2026
Program Analyst - Compliance
Durham VA Medical Center
Raleigh, NC
Full Time
Reference: DurhamVAMedicalCenter874771200
This position is located at the Durham VA Medical Center (DVAMC) in the Corporate Compliance Section. This individual performs functions associated with monitoring, auditing, and data analysis processes that are an integral part of an effective Corporate Compliance Program. Additionally, the individual will be responsible for preparing reports and presentations on monitoring and auditing results for the CCS, medical center staff, and Executive Leadership. A transcript must be submitted with your application if you are basing all or part of your qualifications on education.
Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/. The position is responsible for facility-wide compliance auditing of business operations impacting compliance. Additionally, the position delivers subject matter expertise in billing and coding functions within the facility. Leads internal compliance auditing and conduct external Compliance Auditing Initiatives to support risk assessment plans, Monitoring and Auditing Plan, and Training/Education Plan as it relates to potential and identified facility risks. Briefs leadership and the Compliance Committee on audit findings with recommendations of system changes or corrective actions to address areas of system failure.
The position also serves as the Controlled Substance Coordinator (CSC) and is responsible for managing the Controlled Substance Inspection Program (CSIP) for DVAMC, and ensuring the Medical Center follows VA regulations and mandates. The CSC recommends appointment and release of the inspectors appointed to the CSIP and coordinates, conducts, and ensures the documentation of their training and assignments. The CSC is the principal advisor on issues of organizational compliance and is responsible for providing timely and accurate analytical reports to the Director, Chief of Corporate Compliance, Chief of Pharmacy, Police, Nursing, and other clinical and administrative services as appropriate. Utilizes flow charts, staff interviews, and auditing tools to identify weaknesses within the program, and maintains awareness of laws and regulations (e.g., VHA Handbook 1108.2), keeping appraised of current changes that may affect CSIP. The Position will investigate complaints and findings related to possible diversion activities (e.g., quantity shortage, mail prescriptions not received, etc.), document and report any findings and make improvement recommendations to policies and procedures as necessary.
The position develops procedures and tracking systems for establishing, assessing, and calculating data and information related to administrative, operational, fiscal, and clinical services. These procedures may be applied to audits, inspections, strategic initiatives, research, management decisions, clinical reviews, and performance monitoring. The activities apply to the medical center and results may impact the entire organization from local departments to national levels.
Performs surveys, reviews, and audits, including Veterans Health Administration (VHA) facility and network OIC audits upon request, related program reviews and performance audits, follow-up audits, and special audits generated by high-level administration officials which are in accordance with VHA and generally accepted government auditing standards.
Initiates and develops concepts relating to review and evaluation of health records and related revenue cycle processes, purchased care processes, and business systems. Independently develops audit methodology.
Prepares final reports and audit programs for senior leadership. Prepares, organizes, and completes comprehensive position paper files that include complete summaries of evidentiary data to support conclusions relevant to audit objectives. Gathers information about the assigned organization or single-issue function scheduled for audit and determines the overarching audit objectives.
Examines business processes, related financial records, and controls to obtain sufficient and reliable evidence of business reliability.
The position is responsible for completing programmatic auditing of facility-wide revenue process and non-VA care. Through extensive auditing and tracking, the position ensures that all policies, procedures, and guidance are implemented with respect to facility billing to third party payers (such as insurance carriers).
The position is responsible for validating through formal auditing of payments provided through reimbursement in areas such as Aid and Attendance/caregiver programs to ensure the VHA is only reimbursing for covered services. Upon completion of facility-wide revenue and non-VA care audit reviews/coordination (i.e. Veteran's Community Care documentation/reimbursement review, non-VA care inpatient services), the position develops, coordinates with process owners/facility leadership, and recommends corrective action plans to ensure compliance with billing/reimbursement procedures.
Promotion Potential: The selectee may be promoted to the full performance level without further competition when all regulatory, qualification, and performance requirements are met. Selection at a lower grade level does not guarantee promotion to the full performance level.
Work Schedule: M-F 8-4:30 pm
Compressed/Flexible: Not Authorized
Telework: Ad-hoc
Virtual: This is not a virtual position.
Position Description/PD#: Program Analyst - Compliance/PD502470
To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 07/08/2026.
Time-In-Grade Requirement: Merit promotion applicants must meet applicable time-in-grade requirements to be considered eligible. One year at the GS-07is required to meet the time-in-grade requirements for the GS-09 level.
You may qualify based on your experience and/or education as described below:
Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/. The position is responsible for facility-wide compliance auditing of business operations impacting compliance. Additionally, the position delivers subject matter expertise in billing and coding functions within the facility. Leads internal compliance auditing and conduct external Compliance Auditing Initiatives to support risk assessment plans, Monitoring and Auditing Plan, and Training/Education Plan as it relates to potential and identified facility risks. Briefs leadership and the Compliance Committee on audit findings with recommendations of system changes or corrective actions to address areas of system failure.
The position also serves as the Controlled Substance Coordinator (CSC) and is responsible for managing the Controlled Substance Inspection Program (CSIP) for DVAMC, and ensuring the Medical Center follows VA regulations and mandates. The CSC recommends appointment and release of the inspectors appointed to the CSIP and coordinates, conducts, and ensures the documentation of their training and assignments. The CSC is the principal advisor on issues of organizational compliance and is responsible for providing timely and accurate analytical reports to the Director, Chief of Corporate Compliance, Chief of Pharmacy, Police, Nursing, and other clinical and administrative services as appropriate. Utilizes flow charts, staff interviews, and auditing tools to identify weaknesses within the program, and maintains awareness of laws and regulations (e.g., VHA Handbook 1108.2), keeping appraised of current changes that may affect CSIP. The Position will investigate complaints and findings related to possible diversion activities (e.g., quantity shortage, mail prescriptions not received, etc.), document and report any findings and make improvement recommendations to policies and procedures as necessary.
The position develops procedures and tracking systems for establishing, assessing, and calculating data and information related to administrative, operational, fiscal, and clinical services. These procedures may be applied to audits, inspections, strategic initiatives, research, management decisions, clinical reviews, and performance monitoring. The activities apply to the medical center and results may impact the entire organization from local departments to national levels.
Performs surveys, reviews, and audits, including Veterans Health Administration (VHA) facility and network OIC audits upon request, related program reviews and performance audits, follow-up audits, and special audits generated by high-level administration officials which are in accordance with VHA and generally accepted government auditing standards.
Initiates and develops concepts relating to review and evaluation of health records and related revenue cycle processes, purchased care processes, and business systems. Independently develops audit methodology.
Prepares final reports and audit programs for senior leadership. Prepares, organizes, and completes comprehensive position paper files that include complete summaries of evidentiary data to support conclusions relevant to audit objectives. Gathers information about the assigned organization or single-issue function scheduled for audit and determines the overarching audit objectives.
Examines business processes, related financial records, and controls to obtain sufficient and reliable evidence of business reliability.
The position is responsible for completing programmatic auditing of facility-wide revenue process and non-VA care. Through extensive auditing and tracking, the position ensures that all policies, procedures, and guidance are implemented with respect to facility billing to third party payers (such as insurance carriers).
The position is responsible for validating through formal auditing of payments provided through reimbursement in areas such as Aid and Attendance/caregiver programs to ensure the VHA is only reimbursing for covered services. Upon completion of facility-wide revenue and non-VA care audit reviews/coordination (i.e. Veteran's Community Care documentation/reimbursement review, non-VA care inpatient services), the position develops, coordinates with process owners/facility leadership, and recommends corrective action plans to ensure compliance with billing/reimbursement procedures.
Promotion Potential: The selectee may be promoted to the full performance level without further competition when all regulatory, qualification, and performance requirements are met. Selection at a lower grade level does not guarantee promotion to the full performance level.
Work Schedule: M-F 8-4:30 pm
Compressed/Flexible: Not Authorized
Telework: Ad-hoc
Virtual: This is not a virtual position.
Position Description/PD#: Program Analyst - Compliance/PD502470
To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 07/08/2026.
Time-In-Grade Requirement: Merit promotion applicants must meet applicable time-in-grade requirements to be considered eligible. One year at the GS-07is required to meet the time-in-grade requirements for the GS-09 level.
- You must submit your SF-50 that shows Time-in-Grade eligibility and reflects your title, series, and grade. No award SF-50 will be accepted; recommended SF-50s include promotions and step increases (within grade increases).
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 7 in the normal line of progression for the occupation in the organization.
- Personnel Management's website at https://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/.
