Online Program Manager Jobs in Colorado (NOW HIRING)

Summary
The Director of QSV Quality and Performance provides financial and other program support to the Under Secretary for Health on a wide range of health benefit administration matters. The incumbent is a critical member of the Integrated Veteran Care, Integrated External Networks senior management team. He/She is directly responsible for the QSV Quality & Performance, Community Care Program. With responsibilities encompassing VHA health care delivery nationwide.
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Duties
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Area of Consideration- Eligible applications will be reviewed and referred in the following order:
1. Current VA employees designated as surplus or displaced by the VA - Career Transition Assistance Plan (CTAP) eligible
2. Current IVC employees located at Denver Federal Center, West 6th Avenue & Kipling Street, Lakewood, CO, 80225
3. Current IVC employees located at 810 Vermont Ave NW, Washington, DC 20420
4. Current IVC employees selecting location negotiable
Duties:

• Direct enterprise-wide healthcare payment/medical claim integrity, medical claim invoice reimbursement oversight, claims adjudication, enrollment, and eligibility operations supporting Veterans, beneficiaries, providers, and healthcare facilities.
• Provide executive leadership and strategic direction for IVC IEN Payment and Business Integrity operations, governance, modernization, and organizational transformation initiatives.
• Oversee development and implementation of enterprise governance frameworks, internal controls, compliance oversight, and operational accountability processes related to healthcare payment operations.
• Lead enterprise payment integrity strategies focused on improper payment reduction, operational risk mitigation, claims accuracy, and financial stewardship.
• Direct post-payment review operations, escalation pathways, analytics initiatives, corrective action activities, and continuous process improvement efforts.
• Oversee implementation of automation, advanced analytics, operational reporting, and monitoring capabilities supporting healthcare business operations and payment oversight activities.
• Collaborate with executive stakeholders, clinical leadership, oversight bodies, contractors, and program offices to resolve operational, policy, compliance, and healthcare business issues.
• Provide executive-level advisement and strategic recommendations to senior leadership regarding healthcare payment operations, organizational performance, operational effectiveness, and enterprise business strategy.
• Lead organizational alignment, workforce planning, governance development, and operational readiness activities supporting evolving healthcare business priorities.
• Direct enterprise data-driven analytics initiatives supporting healthcare payment oversight, operational efficiency, risk reduction, and organizational decision-making.
• Oversee development and maintenance of operational guidance, provider documentation, change management frameworks, and document governance processes.
• Lead cross-functional integration efforts aligning healthcare operations, payment oversight activities, clinical quality initiatives, compliance objectives, and organizational priorities.
• Manage enterprise operational resources, staffing allocations, workload balancing, performance accountability, and organizational effectiveness across large-scale healthcare operations.
• Represent IVC IEN Payment and Business Integrity in executive-level meetings, strategic planning initiatives, interagency collaborations, and healthcare operations discussions.

Work Schedule: Monday- Friday 8:00 a.m.- 4:30 p.m. (Flexible)
Telework: This position may be authorized for telework. Telework eligibility will be discussed during the interview process.
Virtual: This position may be authorized for Virtual Work. Virtual Work eligibility is for current VA employees that are already subject to the return to in person work mandate in their current position.
Definition of Virtual Work: Employee works outside of original hiring duty station at a VA owned or leased space.
Return to Office (RTO): RTO mandates are in effect and selectees will be required to report to in person work unless they have an approved exception or an exemption. Any approval for an RTO exception, exemption, or extension will happen after a tentative job offer, but before a final job offer.
Position Description/PD#: Program Manager/PD009290
Relocation/Recruitment Incentives: Not Authorized
Critical Skills Incentive (CSI): Not Authorized
Permanent Change of Station (PCS): Not Authorized
Requirements
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Conditions of employment

• 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
• Physical Requirements: The work required does not inherently include any physical requirements essential for successful job performance that could not otherwise be performed with accommodation or workplace adjustment. A pre-placement physical examination is not required.
• 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.
Qualifications
To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 06/15/2026.
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-15 position you must have served 52 weeks at the GS-14. 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 as described below:

• Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-14 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to:
  
  • Led and directed large-scale national healthcare benefits, claims adjudication, reimbursement, enrollment, and eligibility program operations impacting Veterans and beneficiaries worldwide.
  • Provided executive-level leadership and oversight for highly complex healthcare program operations involving substantial budgets, large multidisciplinary workforces, and geographically dispersed organizations.
  • Directed subordinate managers and supervisors to ensure alignment with mission objectives and consistent operational execution.
  • Improved operational efficiency and effectiveness through data-driven management practices and continuous process improvement strategies.
  • Applied advanced qualitative and quantitative analytical methodologies to assess program performance and identify opportunities for improvement.
  • Provided data-driven recommendations that influenced agency policy, healthcare operations, and executive-level decision-making.
  • Presented complex findings and recommendations to senior leadership, congressional staff, and other high-visibility audiences.

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/.
Education
There is no educational substitution at this grade level.
Additional information
Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.
Reasonable Accommodation (RA) Requests: If you believe you have a disability (i.e., physical or mental), covered by the Rehabilitation Act of 1973 as amended that would interfere with completing the USA Hire Competency Based Assessments, you will be granted the opportunity to request a RA in your online application. Requests for RA for the USA Hire Competency Based Assessments and appropriate supporting documentation for RA must be received prior to starting the USA Hire Competency Based Assessments. Decisions on requests for RA are made on a case-by-case basis. If you meet the minimum qualifications of the position, after notification of the adjudication of your request, you will receive an email invitation to complete the USA Hire Competency Based Assessments, based on your adjudication decision. You must complete all assessments within 48 hours of receiving the URL to access the USA Hire Competency Based Assessments if you received the link after the close of the announcement. To determine if you need a RA, please review the Procedures for Requesting a Reasonable Accommodation for Online Assessments.
This job opportunity announcement may be used to fill additional vacancies.
The Interagency Career Transition Assistance Plan (ICTAP) and Career Transition Assistance Plan (CTAP) provide eligible displaced VA competitive service employees with selection priority over other candidates for competitive service vacancies. To be qualified you must submit appropriate documentation (a copy of the agency notice, your most recent performance rating, and your most recent SF-50 noting current position, grade level, and duty location) and be found well-qualified for this vacancy. To be well-qualified: applicants must possess experience that exceeds the minimum qualifications of the position including all selective factors, and who are proficient in most of the required competencies of the job. Information about ICTAP and CTAP eligibility is on OPM's Career Transition Resources website at http://www.opm.gov/policy-data-oversight/workforce-restructuring/employee-guide-to-career-transition/.
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Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
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.
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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.