Senior Program Analyst, Federal Health

Commence

Sr. Program Analyst focusing on VA disability benefits adjudication and federal program analysis in remote setup for Commence.

Posted 7/27/2026full-timeRemote • Arizona, Colorado, Florida, Illinois, Kansas, Kentucky, Maryland, Massachusetts, Mississippi, Missouri, Montana, Nevada, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Washington, West Virginia, Wisconsin • 🇺🇸 United StatesSenior💰 $130,000 - $160,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expert-level knowledge of VA disability benefits adjudication, including 38 CFR Parts 3 and 4, and the ability to translate complex regulatory criteria into structured business logic for AI model training. Proficient in evaluating evidence sufficiency and producing detailed documentation for federal program delivery.

Highest-signal resume keywords

VA Disability Benefits Adjudication38 CFR Part 3 KnowledgeM21-1 Adjudication ProceduresEvidence Sufficiency AssessmentVA Public Trust Clearance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Regulatory AnalysisBusiness Logic TranslationAI Model TrainingCriteria DocumentationQuality ReviewAnalytical Memo WritingCondition-Specific StandardsEvidentiary Requirements MappingClaims Development PathwaysEdge Case Log Maintenance

Soft Skills

Clear Written CommunicationSubject Matter ExpertiseTraining and Mentoring

Industry Keywords

VA Disability ClaimsCompensation Claim RatingVeteran Service RepresentativeRegulatory CitationsHigh-Volume Condition Types

Tech Stack

Tools & technologies

VBA

About the role

Key responsibilities & impact

Serve as a subject matter expert (SME) in VA disability benefits adjudication and federal program analysis
Translate deep regulatory knowledge of VA disability rating criteria into structured business logic for AI model training and validation
Evaluate evidence sufficiency across VA disability claims
Support federal program delivery activities
Define and operationalize the regulatory and evidentiary definition of Ready for Decision (RFD) across targeted VA disability condition types
Produce a condition-by-condition RFD Criteria Reference Guide mapping evidentiary requirements to 38 CFR Parts 3 and 4 and M21-1 adjudication standards
Review and validate AI-generated determinations against the claim file or synthesized data; assess accuracy, reasoning quality, and correct identification of missing or incomplete development
Review AI-compiled medical records and generated assessments for completeness and validity against applicable rating criteria
Translate VA rating knowledge into structured business logic suitable for AI model training and workflow validation
Maintain a running Edge Case Log documenting claim scenarios where AI determinations are incorrect or incomplete, with specific regulatory citations
Provide ad hoc SME consultation on condition-specific standards, regulatory updates, and claims development pathways throughout program delivery.

Requirements

What you’ll need

Minimum 2 years of direct compensation claim rating experience as a VBA Rating Veteran Service Representative (RVSR)
Broad familiarity across high-volume VA disability condition types and prior experience as a subject matter expert, trainer, or quality reviewer in a VA program context
Expert-level knowledge of 38 CFR Part 3 (Adjudication) and Part 4 (Schedule for Rating Disabilities)
Working knowledge of M21-1 adjudication procedures, including evidentiary sufficiency standards and Ready for Decision (RFD) criteria
Ability to assess the sufficiency of private medical records (PMR), service treatment records (STR), C&P exam reports, nexus opinions, buddy statements, VA Form 201 (personnel file)
Ability to translate complex regulatory knowledge into clear written deliverables — including analytical memos, criteria documentation, and structured feedback — suitable for technology development teams and senior executive audiences
Ability to obtain and maintain a VA Public Trust clearance.

Benefits

Comp & perks

Reasonable accommodations for individuals with disabilities
Equal employment opportunity policies