About the Position: This position is located at the Brooke Army Medical Center (BAMC) in Fort Sam Houston, Texas. This is a Direct Hire Solicitation

Duties

Manage an enrolled population of beneficiaries enrolled to multiple Patient Centered Medical Homes (PCMHs). Educate MTF staff on the Supplemental Health Care Program (SHCP) used primarily to pay for private sector (purchased) care for active-duty uniformed service members. Assist BAMC Referral Management Office with verification of covered services. Manage all aspects of the Tricare Plus Program including developing local policy, letter mail-outs and quality assurance checks to ensure compliance with enrollment requirements. Serve as benefits counselor, providing dedicated service and assistance to Military Health System (MHS) beneficiaries in understanding and obtaining TRICARE benefits and services. Review out of area referral and non-covered service requests, verifying direct care, local and network capability before submission to MTF leadership for approval. Develop marketing plans that address beneficiary and provider education.

Requirements

• Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
• This position requires an immunization screening. Employees are required to be screened from immunization regardless of series, based on occupational risk.
• A Pre-Employment Physical is required.

Qualifications

Who May Apply: US Citizens In order to qualify, you must meet the education and/or 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: One year of specialized experience equivalent to the GS-07 grade level in the Federal service which includes authorizing referrals, counseling beneficiaries regarding health care program benefits, and utilizing databases to verify eligibility and enrollment status within a healthcare program. OR Education: Master's or equivalent graduate degree or 2 full years of progressively higher level graduate education leading to such a degree in a field which demonstrates the knowledge, skills, and abilities necessary to do the work of the position, such as: business or public administration with course work in health care administration. OR Combination of Education and Experience: A combination of education and experience may be used to qualify for this position as long as the computed percentage of the requirements is at least 100%. To compute the percentage of the requirements, divide your total months of experience by 12. Then divide the total number of completed graduate semester hours (or equivalent) beyond the first year (total graduate semester hours minus 18) by 18. Add the two percentages.

Education

FOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Contacts

• Address JT-DHA-DD83DB DHA SAN ANTONIO MKT-BROOKE AMC DO NOT MAIL Fort Sam Houston, TX 78234 US
• Name: Army Applicant Help Desk