HEALTH SYSTEM SPECIALIST

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The primary purpose of this position is to serve as a TRICARE Health Plan subject matter expert and advocate in support of active duty Exceptional Family Member Program (EFMP) enrolled families.

In order to qualify, you must meet the specialized experience requirements described in the Office of Personnel Management (OPM) Qualification Standards for General Schedule Positions, Administrative and Management Positions, GS-0671 series.

SPECIALIZED EXPERIENCE: I have one year of specialized experience equivalent to the GS-11 grade level in the Federal service. Specialized experience must include: Comprehensive knowledge of the missions, programs and requirements of integrated healthcare delivery systems to include regulations, standards, procedures, methods, and techniques to be applied in the DoD and civilian sector. Knowledge of healthcare issues, program goals/objectives and medical administrative procedures to plan, schedule and conduct projects and studies to evaluate and recommend ways to improve the effectiveness/efficiency of health care delivery to exceptional family members. Knowledge of management and organizational principles and practices and comprehensive knowledge of those practices into the healthcare service field. Knowledge of patient administration departmental procedures, medical treatment facility management policies, and familiarity with general principles of health care administration. Knowledge of benefits authorized by public law and regulations, to included knowledge of the TRICARE health plan and contracts. Knowledge of medical records policies and procedures, and understanding of healthcare related privacy laws and policies. Knowledge and skills in statistics, data analysis, and economic principles to apply various methods and techniques for analyzing data for trends, variances and productivity to identify deficiencies to determine effect and impact on AF health plans management and provide consultations to other AF medical staff. Knowledge of and ability to use information management software such as Microsoft Office products, to include Excel.

FEDERAL TIME-IN-GRADE (TIG) REQUIREMENT FOR GENERAL SCHEDULE (GS) POSITIONS: Merit promotion applicants must meet applicable time-in-grade requirements to be considered eligible. One year at the GS-11 level is required to meet the time-in-grade requirements for the GS-12 level. TIG applies if you are in a current GS position or held a GS position within the previous 52 weeks. NOTE: Applicants applying as VEOA candidates who are current GS civil service employees or are prior GS civil service employees within the past 52 weeks must also meet time-in-grade requirements.

KNOWLEDGE, SKILLS AND ABILITIES (KSAs): Your qualifications will be evaluated on the basis of your level of knowledge, skills, abilities and/or competencies in the following areas:

1. Comprehensive knowledge of the missions, programs and requirements of integrated healthcare delivery systems to include regulations, standards, procedures, methods, and techniques to be applied in the DoD and civilian sector. Knowledge of healthcare issues, program goals/objectives and medical administrative procedures to plan, schedule and conduct projects and studies to evaluate and recommend ways to improve the effectiveness/efficiency of health care delivery to exceptional family members.

2. Knowledge of management and organizational principles and practices and comprehensive knowledge of those practices into the healthcare service field.

3. Knowledge of patient administration departmental procedures, medical treatment facility management policies, and familiarity with general principles of health care administration. Knowledge of benefits authorized by public law and regulations, to included knowledge of the TRICARE health plan and contracts. Knowledge of medical records policies and procedures, and understanding of healthcare related privacy laws and policies.

4. Knowledge and skills in statistics, data analysis, and economic principles to apply various methods and techniques for analyzing data for trends, variances and productivity to identify deficiencies to determine effect and impact on AF health plans management and provide consultations to other AF medical staff.

5. Ability to use information management software such as Microsoft Office products, to include Excel. Understanding of information systems used in Air Force MTFs, to include DEERS, MHE GENESIS, CHCS, and AHLTA.

6. Skill in communicating, both orally and in writing, to provide seasoned consulting to operating managers and other specialists; lead team studies, negotiate complex, controversial issues; provide informational briefings to include options and recommendations to high level management; and establish and maintain effective and positive working relationships.

PART-TIME OR UNPAID EXPERIENCE: Credit will be given for appropriate unpaid and or part-time work. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week.

VOLUNTEER WORK EXPERIENCE: Refers to paid and unpaid experience, including volunteer work done through National Service Programs (i.e., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student and social). Volunteer work helps build critical competencies, knowledge and skills that can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

IF USING EDUCATION TO QUALIFY: If position has a positive degree requirement or education forms the basis for qualifications, you MUST submit transcripts with the application. Official transcripts are not required at the time of application; however, if position has a positive degree requirement, qualifying based on education alone or in combination with experience, transcripts must be verified prior to appointment. An accrediting institution recognized by the U.S. Department of Education must accredit education. Click here to check accreditation.

FOREIGN EDUCATION: Education completed in foreign colleges or universities may be used to meet the requirements. You must show proof the education credentials have been deemed to be at least equivalent to that gained in conventional U.S. education program. It is your responsibility to provide such evidence when applying.

U.S. Citizenship Required | Males must be registered for Selective Service, see www.sss.gov | If authorized, PCS will be paid IAW JTR and AF Regulations. If receiving an authorized PCS, you may be subject to completing/signing a CONUS agreement. More information on PCS requirements, may be found at: https://afciviliancareers.com/regulatory/ | This position is subject to provisions of the DoD Priority Placement Program | Disclosure of Political Appointments | Depending on the type of position (competitive/excepted) you are selected for, you will be required to serve a 1-year probationary period OR 2-year trial period. | Upon completion of your probationary/trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest. | Work may require travel away from the normal duty station on military or commercial aircraft. | Bachelor's Degree in hospital, healthcare, business management, or a health-related is highly desired. Master's degree in business management or a health-related field is preferred. | (cont.) Eight (8) years' experience working within the TRICARE and Military Health System and providing customer support and professional interaction is highly desired.