Senior Program Review Specialist

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Aptive Resources

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2012

🎖️ Defense

📦 Logistics

📣 Marketing

Defense • Logistics • Marketing

Aptive Resources is a management consulting firm based in Alexandria, Virginia, specializing in providing innovative solutions to federal government agencies, particularly in veteran and civilian health sectors. With a strong focus on performance optimization, human capital, and data analytics, Aptive aims to improve the quality and accessibility of health care services for veterans and the general public. The company utilizes technology and human-centered services to bridge divides and enhance public service delivery for multiple agencies, including Veterans Affairs, Defense, and others.

📋 Description

• Lead end-to-end reviews of applications, submissions, or case files using approved policies, procedures, templates, and evaluation criteria • Assess eligibility, program alignment, documentation completeness, internal consistency, and credibility of supporting evidence • Prepare review records documenting evidence considered, findings, unresolved issues, and recommendation rationale • Develop and maintain standardized review checklists, decision trees, evidence matrices, and reviewer job aids • Identify missing, unclear, or inconsistent information and coordinate clarification requests through applicant communications • Ensure conclusions are traceable to governing requirements and distinguish factual findings from professional judgment or recommendations • Conduct secondary reviews of complex, sensitive, or borderline cases and elevate interpretive questions • Lead reviewer calibration sessions to improve consistency, reduce rework, and document guidance or precedents • Analyze recurring deficiencies and recommend updates to intake instructions, templates, SOPs, and quality controls • Protect applicant information and maintain accurate records in the designated document repository and tracking system

🎯 Requirements

• Bachelor’s degree in public policy, healthcare administration, business administration, social sciences, law, compliance, or a related field • Minimum of 5 years of experience performing technical, eligibility, compliance, policy, or documentation reviews • Ability to interpret statutes, regulations, policies, or program requirements and apply them consistently to individual cases • Experience assessing evidence, documenting findings, and developing defensible written recommendations • Exceptional attention to detail and ability to identify gaps, inconsistencies, and unsupported claims • Strong writing skills and ability to communicate review findings clearly to technical and non-technical audiences • Ability to manage a steady volume of assignments while meeting turnaround and quality expectations • Legal authorization to work in the U.S. • Desired: Experience supporting VA, federal health agencies, Veterans’ programs, healthcare navigation, public benefits, or community partnerships • Desired: Experience reviewing nonprofit, volunteer, community-based, healthcare, or public-service organizations • Desired: Experience with credentialing, certification, eligibility, licensing, grants, claims, or formal application-review processes • Desired: Experience developing review rubrics, checklists, standard work, or knowledge-management resources • Desired: Familiarity with Lean methods, reviewer calibration, and root-cause analysis

🏖️ Benefits

• Equal opportunity employer • Veterans, members of the Reserve and National Guard, and transitioning active-duty service members are highly encouraged to apply • Talent Community notifications about new job opportunities, company news, and upcoming career events