About the Position: Advanced In-Hire may be authorized. Advanced Leave Accrual may be authorized. Student Loan Repayment may be authorized. This position will be filled on a permanent basis. This position will be filled at the GS-13 or GS-14 level. If selected at the GS-13 level, noncompetitive promotion to the full performance GS-14 is authorized.

Duties

Determines relationships of TRICARE reimbursement program policies and principles to those present in other government and private health care programs. Interacts with other Federal Health Insurance Agencies Medicare and Medicaid. Conducts research, review and analysis on problems and highly complex issues of provider reimbursement. Consult with the managed care contractors on program reimbursement principles, policies, regulations and instructions. Develops and coordinates the completion of the Regulation, the TRICARE Policy/Reimbursement/Operations/Systems Manuals, and news releases. Develops new provider reimbursement methodologies for the TRICARE program, and updates and maintains existing reimbursement methodologies. Other duties as assigned.

Requirements

• Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
• Must be able to obtain and maintain a secret security clearance.
• Financial Disclosure Report (OGE 278e) or a Confidential Financial Disclosure Report (OGE 450) upon entry, and annually thereafter.

Qualifications

Who May Apply: Only applicants who meet one of the employment authority categories below are eligible to apply for this job. You will be asked to identify which category or categories you meet, and to provide documents which prove you meet the category or categories you selected. Current Civilian Employees of the Defense Health Agency (DHA)Current Permanent Department of Defense (DoD) Civilian EmployeeDefense Civilian Intelligence Personnel System (DCIPS) Interchange AgreementExecutive Order (E.O.) 12721Interagency Career Transition Assistance PlanLand Management Workforce Flexibility ActMilitary Spouses, under Executive Order (E.O.) 13473Non-Appropriated Fund Instrumentality (NAFI)Non-Department of Defense (DoD) TransferOffice of Personnel Management (OPM) Interchange Agreement EligiblePeople with Disabilities, Schedule APriority Placement Program, DoD Military Spouse Preference (MSP) EligibleReinstatementVeterans Employment Opportunity Act (VEOA) of 1998 In order to qualify, you must meet the experience requirements described below. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document. Specialized experience for the GS-13 Specialized Experience: One year of specialized experience which includes assisting in reviewing policies to help with policy development in support of public or private health care organizations' missions; analyzing health economics and/or health care payment policy to complete projects related to health care policies; and creating documents/briefings utilizing strong writing skills to explain health care policy concepts in a concise manner. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-12). Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted. Specialized experience for the GS-14 Specialized Experience: One year of specialized experience which includes leading projects to assist with the development of policy in support of a large public or private health care organization's mission; resolving complex issues related to health care provider payment using quantitative methods, informed by a thorough understanding of health care economics and the U.S. health care system; and utilizing exceptional writing and oral presentation skills to explain complicated health care policy concepts and research findings in a concise manner to diverse audiences, for example, Senior Department leads or Congressional staff. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-13). Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted. You will be evaluated on the basis of your level of competency in the following areas: Health Policy Planning SupportHealth Systems AnalysisOral CommunicationStrategic ThinkingWritten Communication Time in Grade Requirement: Applicants who have held a General Schedule (GS) position within the last 52 weeks must have 52 weeks of Federal service at the next lower grade or equivalent (GS-12 or GS-13).

Education

This job does not have an education qualification requirement.

Contacts

• Address KF-DHA-DDAAFC DEFENSE HEALTH AGENCY HQ DO NOT MAIL Falls Church, VA 22042 US
• Name: Army Applicant Help Desk