About the Position: Serves as a Health System Specialist at the Defense Health Agency (DHA), Small Market and Stand Alone Organization (SSO) Medical Treatment Facility (MTF), West Point, NY. This is a Direct Hire Solicitation.

Duties

Coordinate the planning and development of studies with other organizational areas as well as between military treatment facilities to develop and implement efficient, cost-effective healthcare referral processes. Perform general or focus prospective, concurrent and retrospective reviews of healthcare referral patterns and utilization models. Complete data abstraction and provides analysis of data and information as part of the review. Utilize Diagnosis Related Groups (DRG), Current Procedure Terminology (CPT), and International Classification Diseases-10 CD-9) codes and enters and retrieves data from databases as required. Prepare reports containing proposals, findings, analysis, and evaluation of data and recommendations for changes in procedures, practices, or organization. Prepare and develops databases and updates as necessary. Analyzes internally produced data on referral patterns to identify specific areas of command interest and action. The employee manages the internal and external health care referral process for beneficiaries at Keller Army Community Hospital. Serve as a Subject Matter Expert within KACH, Medical Command (MEDCOM), for Referral Coordination issues. As the Referral Management Coordinator, supervises and oversees the work of Referral Clerks to include Clear and Legible Reporting clerk(s).

Requirements

• Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
• Appointment to this position is subject to a background investigation to determine your suitability for Federal employment.

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 which includes counseling and assisting beneficiaries and staff concerning medical and dental care; analyzing databases for program accuracy and compliance; and resolving claims issues. 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 or LL.B. or J.D. in a field which demonstrates the knowledge, skills, and abilities necessary to do the work of the position such as hospital administration, public health administration, or related fields 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-DD83CL DHA STAND-ALONE MKT-KELLER ACH DO NOT USE West Point, NY 10996 US
• Name: Army Applicant Help Desk