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Veterans Health Administration in Tomah, WI seeks a Program Support Assistant to manage enrollment and eligibility processes, coordinating with the Health Eligibility Center and VA Medical Facility. The role requires strong administrative oversight of health benefits determinations and collaboration with clinical staff for operational needs.
Your responsibilities include processing enrollment changes, coordinating NEAR processes, and assisting leadership in meeting program objectives within
This position is organizationally aligned to the Veterans Health Administration at the Tomah VA Health Care System in the Health Administration Service, in Tomah, WI. The incumbent will facilitate all administrative aspects of the enrollment eligibility process and serve as a liaison between the VA Medical Facility, the Health Eligibility Center, and Member Services.
Duties include, but not limited to: Analyzes and resolves complex eligibility questions to ensure Veterans, non-Veterans, and beneficiaries receive appropriate medical benefits. Interprets VA rules and regulations relating to determining legal entitlement to benefits. Ensures that appropriate legal, regulatory, and policy requirements are met. Provides written and oral reporting of incidents involving beneficiaries, employees, as well as other safety issues.
Responsible for achieving management objectives and supporting the decision of management. Directly intervenes when problems regarding patient activity occurs, advising clinical staff of appropriate administrative actions. Receives and responds to non-routine patient condition inquiries and other administrative inquiries from concerned veterans, family visitors, and law enforcement officials.
Collaborates with the Public Affairs Officer to share accurate eligibility information with the public, including through outreach events and coordination with news media. Provides advice to medical staff regarding VA administrative actions. Provides administrative authority and guidance to Medical Officer of the Day, Nursing Officer of the Day, and other clinical staff concerning administrative matters necessary for operation of the medical center.
Managing the Enrollment Program to include all administrative processes, health benefits eligibility determinations, and all aspects of the health benefits package. Coordinating the implementation of all enrollment software changes to the Electronic Health Records (EHR) with the local Information Resource Management Staff and the Business Office Program Integrator (BOPI).
Assists in the New Enrollee Appointment request (NEAR) Coordinator, with managing the NEAR List and NEAR processes. 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: Fulltime; Monday - Friday 8:00am - 4:30pm Virtual: This is not a virtual position. Position Description/PD#: Program Support Assistant/PD253610 and PD253620 Relocation/Recruitment Incentives: Not Authorized. Critical Skills Incentive (CSI): Not Approved. Permanent Change of Station (PCS): Not Authorized.
There is no educational substitution at this grade level. 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/.
This position is with Veterans Health Administration, Department of Veterans Affairs.
The posted pay range is $45409 – $65599/yr.
Applications close on 2026-10-01.
This position is open under the 'Fed Internal Search' hiring path.
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Source: USAJOBS.gov — U.S. Federal Government