About the Position: This position is wiht the Defense Health Agency, Naval Hospital, Directorate of Resource Management, Performance Analysis and Evaluation, Agana Heights, Guam.

Duties

Serve as technical expert in developing, coordinating, and evaluating the Medical Services Accounts (MSA)/Third Party Collection Program (TPCP)/Medical Affirmative Claims and Debt Management of U.S. Naval Hospital Guam. Monitor the work of subordinate in the absence of the Uniform Business Office Manager. Serve as Contact Representative for medical fraud for U.S. Naval Hospital Guam. Investigate all suspected fraud cases for U.S. Naval Hospital Guam in accordance with applicable regulations pertaining to authorized medical care. Compile statistical information and reports on all reported and verified cases of fraud. Identify developmental and training needs of employees, providing or arranging for needed development and training.

Requirements

• Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
• This position requires the incumbent be able to obtain and maintain a determination of eligibility for a Secret security clearance or access for the duration of employment.
• Appointment to this position is subject to a one-year probationary period unless the appointee has previously met the requirements as described in 5 CFR Part 315. While probationary the incumbent can be terminated with limited appeal rights.
• This position has a mandatory seasonal influenza vaccination requirement and is subject to annual vaccination.
• This position is subject to screening and update of required immunizations unless exempted for medical or administrative reasons in accordance with Army Regulation 40-562, Chapters 3 and 4.
• A job offer to an applicant who is not a current employee subject to this requirement will be withdrawn if the candidate refuses to undergo immunization screening.
• This position is designated "Mission Essential."
• Temporary duty (TDY) at least 10% of the time.
• THIS IS A FINANCIAL MANAGEMENT Level 2 Certified position designated IAQ the National Defense Authorization Act (NDAA) 2012, Public Law 112-81, Subtitle F-Financial Management, section 1051, amending 10 United States Code, section 1599d.
• Incumbent of this position is required to comply with all Department of Defense and Department of the Army requirements of this certification program.
• This certification requirement is a condition of employment for this position. Failure to obtain this certification within the required time may subject the incumbent to adverse action.

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)Domestic Defense Industrial Base/Major Range and Test Facilities Base Civilian Personnel WorkforceInteragency Career Transition Assistance PlanLand Management Workforce Flexibility ActMilitary Spouses, under Executive Order (E.O.) 13473Priority Placement Program, DoD Military Reserve (MR) and National Guard (NG) Technician EligiblePriority Placement Program, DoD Military Spouse Preference (MSP) EligiblePriority Placement Program, DoD MR and NG Preference Eligible Tech Receiving Disability RetirementPriority Placement Program, DoD Retained Grade Preference EligibleVeterans Employment Opportunity Act (VEOA) of 1998 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 which includes reviewing and auditing payments/denials for proper reimbursements; performing internal audits on inpatient and outpatient claims to ensure proper billing and accounting codes are being used; and utilization of office automation software programs to maintain accounts data and to enter and extract accounts data reports. This definition of specialized experience is typical of work performed at the second lower grade/level position in the federal service (GS-07). 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 Accounting, Finance, Business, or HealthCare Finance. (Note: You must attach a copy of your transcripts.) 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. You will be evaluated on the basis of your level of competency in the following areas: Computer SkillsConcepts, Policies and Principles of FinanceDecision SupportFinancial Stewardship 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-07).

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: https://sites.ed.gov/international/recognition-of-foreign-qualifications.

Contacts

• Address JT-DHA-DD83FJ DHA INDO PACIFIC MKT-GUAM DO NOT MAIL Agana Heights, GU 96910 US
• Name: Army Applicant Help Desk