This position is located with the Division of Financial Management at the Gallup Indian Medical Center in Gallup, NM. The purpose of this position is serve as the Supervisor of Purchase Referred Care (PRC) in a large service unit setting and to provide support and technical assistance to the Service Unit management on matters involving PRC including medical, surgical, dental, hospital and clinical services to all eligible beneficiaries in conjunction with care provided outside IHS facilities.

Duties

Manages the overall Purchase Referred Care (PRC) program. Develops, coordinates, and integrates operational plans in accordance with approved policies and directives pertinent to the administration and management of the service unit Purchase Referred Care (PRC) and alternate resources programs. Develops statistical data from available reports and other sources for the purpose of reviewing, approving, and recommending changes to Service Unit PRC program operations of budgets. Reviews, analyzes, and summarizes pertinent financial, statistical, and program data. The utilization level of contract services is maintained and all responsible officials are advised as to the current usage of existing contracts to maintain maximum efficiency, and effectiveness. Ensures that current eligibility criteria followed in the administration of the PRC program that requires familiarity with the regulations and ability to explain the regulations to providers and the Service Unit staff. Works closely with PRC staff, and Medical Staff to report, manage, and monitor the high cost cases funded through the Catastrophic Health Emergency Fund (CHEF) program as established by P.L. 100-713 Section 202. Works with vendors to ensure access to services with timely reimbursement

Requirements

Qualifications

To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying. 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; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week. MINIMUM QUALIFICATIONS: GS-12: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Planning and Administrative functions, consultative and technical assistance to facility management regarding the Purchased Referred Care (PRC) program. Knowledge of policies and regulations, the alternate resource program, and ability to interpret provisions of the program. Ability to ensure the PRC program is in compliance with all regulations, laws and guidance. Experience approving/disapproving funding requests, obligations, expenditures on the basis of interpretation of regulations, policies, and status of funding. Experience reconciling program accounts from month to month to ensure facility and programs stay within their spending plans. Reviews and evaluation of facility and program operations to determine progress, conformity to program requirements and identifies deficiencies and problems affecting costs and delivery of services. Experience in overseeing employees, recommending corrective actions, working with staff to resolve problems and achieve compliance with policies. Distributing workload, reviewing work products and assures effective and timely internal and external reporting. Researches and analyzes and prepares correspondences such as Congressional and tribal inquires, working with Federal facilities, tribal entities, and the private sector. Supervisory Work: Competencies Most Important For Supervisory Work. Accountability-Holds self and others accountable for measurable high-quality, timely, and cost-effective results. Determines objectives, sets priorities, and delegates work. Accepts responsibility for mistakes. Complies with established control systems and rules. Customer Service-Anticipates and meets the needs of both internal and external customers. Delivers high-quality products and services; is committed to continuous improvement. Decisiveness-Makes well-informed, effective, and timely decisions, even when data are limited or solutions produce unpleasant consequences; perceives the impact and implications of decisions. Flexibility-Is open to change and new information; rapidly adapts to new information, changing conditions, or unexpected obstacles. Integrity/Honesty-Behaves in an honest, fair, and ethical manner. Shows consistency in words and actions. Models high standards of ethics. Interpersonal Skills-Treats others with courtesy, sensitivity, and respect. Considers and responds appropriately to the needs and feelings of different people in different situations. Oral Communication-Makes clear and convincing oral presentations. Listens effectively; clarifies information as needed. Problem Solving-Identifies and analyzes problems; weighs relevance and accuracy of information; generates and evaluates alternative solutions; makes recommendations. Resilience-Deals effectively with pressure; remains optimistic and persistent, even under adversity. Recovers quickly from setbacks. Written Communication-Writes in a clear, concise, organized, and convincing manner for the intended audience. Time In Grade Federal employees in the competitive service are also subject to the Time-In-Grade Requirements: Merit Promotion (status) candidates must have completed one year of service at the next lower grade level. Time-In-Grade provisions do not apply under the Excepted Service Examining Plan (ESEP). You must meet all qualification requirements within 30 days of the closing date of the announcement.

Education

There are no education requirements.

Contacts

• Address Gallup Service Unit 516 E Nizhoni Blvd P O Box 1337 Gallup, NM 87301 US
• Name: Navajo Area IHS Human Resources
• Email: [email protected]