This position aligns under the VA Maryland Health Care System (VAMHCS), Quality, Safety and Improvement Office, Quality, Performance, and Accreditation Section. The Administrative Performance Improvement (PI) Specialist position is located primarily in the Baltimore VA Medical Center (VAMC) but also supports Perry Point VAMC, Loch Raven VAMC and Community Based Outpatient Centers within the VAMHCS.
Major Duties Include: Coordinates and facilitates with service line SME's in the development, evaluation, facilitation, documentation, analysis and coordination of short term, mid-term, and long-range plans, programs, and performance improvement projects within VAMHCS to ensure compliance with regulatory standards associated with national accrediting organizations including but not limited to OIG, TJC and LTCI as well as compliance with National Fire Protection Association (NFPA), Life Safety Code, Environmental Protection Agency (EPA), Occupational Safety and Health Administration (OSHA), and other regulations required and enforced by federal, state and local levels.
The incumbent is responsible for providing consultation, recommendations, compliance information and data to their assigned services as well other services on an as needed basis.
The services for which the incumbent is responsible include but are not limited to Facilities and Engineering, Human Resources Management, Acquisition & Materiel Management, Finance and Accounting, Police & Security, Public Affairs and Voluntary Service, Information Resource Management, Environmental Management Services, and Medical Administration Services.
The incumbent will routinely perform administrative support Compliance Tracers using standard Tracer methodology, as directed by the Q, PI&A Director Tracers will be conducted to assess continuous survey/accreditation/regulatory body readiness. Findings will be documented and submitted, as required, to the Q, PI&A Director, the QSI Director, and any required committees or councils.
In this role, the incumbent works with various leaders and service line SME's to ensure continuous survey/accreditation readiness for all supported organizations.
The incumbent will be required to attend council, committee meetings, and work group meeting/discussions, concerned with the monitoring and evaluation of one or more aspects of Quality, Performance Improvement and Accreditation, as well as other organizational committees, councils, or WGs that are responsible for ensuring quality and appropriateness of VAMHCS healthcare operations for assigned Administrative type service lines.
The incumbent serves as a technical and administrative Liaison, guide, and SME for preparations leading to and the actual conduct of surveys and accreditation/regulatory agency visits and inspections, assisting the Q, PI&A Director in overseeing the management and conduct of these visits and inspections.
Provides guidance and technical assistance in overseeing or assisting in the development, implementation and maintenance of the PI program to evaluating the quality of care/service delivery, customer satisfaction with same and achievement of stated/defined performance measures/expectations/goals for the area or function to which they are assigned.
Primary responsibility lies with the Administration SME's and/or Service Chief for the area in which the Specialist functions as advisor. The Administrative PI Specialist provides first line technical and administrative supervision to various VAMHCS personnel supported by the QSI Office. The incumbent is responsible for keeping employees informed regarding policies, procedures and management goals as they relate to the work of VAMHCS.
The Administrative PI Specialist assists in the development and evaluation of the goals, priorities, and work of supported care centers, services, and departments in accordance with organizational goals.
The Specialist assists supported leaders in understanding the requirements of the accreditation manuals relevant to their service/care center/department, and will assist in the development, direction and implementation of policies pertaining to the requirements of the various services/care centers/departments. Work Schedule: Monday-Friday 8am-4:30pm Telework: ADHOC Only Virtual: This is not a virtual position.
Position Description/PD#: Health System Specialist/PD19058O 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/.
Eric.Festor@va.gov · (410) 691-0602
This position is with Veterans Health Administration, Department of Veterans Affairs.
The posted pay range is $102415 – $133142/yr.
This position is eligible for telework.
Applications close on 2026-10-13.
This position is open under the 'Fed Internal Search' hiring path.
Source: USAJOBS.gov — U.S. Federal Government
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