Health System Specialist BILLINGS, MT

Job Title:Health System Specialist

Department:Department Of Health And Human Services

Agency:Indian Health Service

Job Announcement Number:IHS-14-BI-1214769-ESEP/MP

$39,179.00 to $75,376.00 / Per YearTuesday, September 16, 2014 to Monday, September 29, 20141 vacancy in the following location:
Billings, MT
Candidates eligible under Indian Preference appointing authority; All Federal employees serving on a career or career-conditional appointment; Reinstatement eligible; Veterans Preference including Veterans Employment Opportunities Act of 1998 (VEOA); Interagency Career Transition Assistance Plan (ICTAP) eligible; Schedule A, and/or PHS Commissioned Corps Personnel.

The Indian Health Service (IHS) is the principal federal health care provider and health advocate for American Indians and Alaska Natives (AI/AN). The IHS goal is to raise Indian health status to the highest possible level. IHS provides leadership and direction to programs and activities designed to improve health outcomes to over 1.9 million AI/AN through a system of IHS, Tribal, and Urban operated facilities and programs.

The IHS is required by law to give absolute preference to qualified applicants who meet the Secretary of the Interior's definition of Indian for appointment to vacancies within the IHS in accordance with established IHS policy as outlined in the Indian Health Manual Part 7, Chapter 3. The IHS is an Equal Opportunity Employer.

This position is organizationally located in the Contract Health Service (CHS) Branch, Billings Area Office, Indian Health Service, Billings, MT and works under the direct supervision of the CHS Branch Chief. The incumbent shares responsibilities for program planning, program development, management, operation, and evaluation of a comprehensive CHS program.

Occasional TravelOccasional travel is requiredYesPaid, travel, transportation, and relocation expenses are authorized and will be paid only if this would NOT be the first official duty station for the new appointee. If relocation expense allowances are paid, employee will be required to sign a one-year service agreement. Failure to fulfill the one-year service agreement may require repayment of relocation expense allowances.The selected applicant will be subject to a pre-employment background investigation, which will include a fingerprint check.If applicable-Selective Service registration (Males born after 12/31/59)U.S. Citizenship is requiredDevelops, coordinates, and integrates operational plans in accordance with approved policies and directives pertinent to the administration and management of the area contract health care and alternate resources programDevelops statistical data from available reports and other sources for the purpose of reviewing, approving, and recommending changes to Service Unit CHS program operations of budgetsReviews denial letters ascertain whether the Service Units are making appropriate decisions in keeping with the appeal process contained in Federal regulations or policiesResponsible for the reporting of Catastrophic Health Emergency Fund (CHEF) casesEnsures that current eligibility criteria followed in the administration of the CHS program which requires familiarity with the regulations and ability to explain the regulations to providers and the Service Unit staffTo qualify for this position, your resume must reflect sufficient experience and/or education, to perform the duties of the position for which you are applying. Your resume is key in evaluating your experience, as they relate to this position. Therefore, we encourage you to be clear and specific when describing your work experience.

BASIC REQUIREMENT(S):

Undergraduate and Graduate Education: Major study -- hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration.

OR

Specialized Experience (for positions above GS-5): Progressively responsible analytical or administrative, or clinical management or supervisory experience in the health care field. This work may have been performed in an operating health care facility or a higher organizational echelon with advisory or directional authority over such facilities. Work must have involved a close working relationship with facility managers and analysis and/or coordination of administrative, clinical, or other service activities, and provided knowledge of the following:

· Missions, organizations, programs, and requirements of health care delivery systems;

· Regulations and standards of various regulatory and credentialing groups; and

· Government-wide, agency, and facility systems and requirements in various administrative

  areas such as budget, personnel, and procurement.

· In addition to the requirements listed above, the Excepted Service Qualification Standards

  also require the following:

- Applicants must also possess:

- Management ability to delegate authority, evaluate and oversee people and

  programs, recognize and adapt to changing priorities; and

- Knowledge of the interrelationships and interdependencies among various medical

  and administrative services and programs.

In addition, to the Basic Requirements, you must also meet the Minimum Qualifications stated below-

GS-7: One (1) year of specialized experience equivalent to at least the GS-5 grade level OR one (1) full year of graduate level education OR superior academic achievement.

GS-9: One (1) year of specialized experience equivalent to at least the GS-7 grade level OR master's or equivalent graduate degree OR two full years of progressively higher level graduate education leading to such a degree.

GS-11: One (1) year of specialized experience equivalent to at least the GS-9 grade level OR Ph.D. or equivalent doctoral degree OR three (3) full years of progressively higher level graduate education leading to such a degree.

Specialized Experience: Experience that equipped the applicant with the particular knowledge, skills, and abilities to perform successfully the duties of the position, and that is typically in or related to the work of the position to be filled. To be creditable, specialized experience must have been equivalent to at least the next lower grade level in the normal line of progression for the occupation in the organization. Applicants who have the 1 year of appropriate specialized experience, as indicated above, are not required by this standard to have general experience, education above the high school level, or any additional specialized experience to meet the minimum qualification requirements.

Specialized Experience: For GS-7 level, you must have one year of experience (equivalent to the GS-5) that included duties such as:

Assure funds have been obligated within deadlines and unused obligations are cancelled. Being responsible for making sure transactions affecting funds are promptly processed. Effectively communicate with fiscal intermediaries, vendors and contractors. Review invoices to determine if authorizations have been issued. Research and take appropriate action on authorization errors/issues. Assist in determining patient eligibility. Respond to Contract Health Service inquiries through telephone, correspondence and personal visits. Identifies error messages in Resource Patient Management System and take corrective action. Independently determines patient eligibility. Use of RPMS, CHS/MIS system for issuing of documents and program reporting.

Specialized Experience: For GS-9 level, you must have one year of experience (equivalent to the GS-7) that included duties such as:

Independently determine patient eligibility, assists with scope and priority level of funding for the CHS program. Responds to CHS inquiries and requests for CHS assistance. Assures adequate funds are set aside for all authorized referrals, emergency call-ins and follow up care referrals. Responsible for keeping up-to-date pending and completed CHS patient files, with documented status of all written and verbal transactions. Creates and maintains an understanding of the CHS program to promote consumer and provider satisfaction and understanding. Assists with the reporting of catastrophic Health Emergency Fund (CHEF) cases and obligates these funds.  Assists with research and response to CHS appeals.  Familiar with applicable federal regulation and policies s i.e. IHS/CHS Manual, IHS/CHS eligibility, Prompt payment, Anti Deficiency Act, Federal Acquisition.

Specialized Experience: For GS-11 level, you must have one year of experience (equivalent to the GS-9) that included duties such as:

Interpreting and/or implementing policies and procedures for Contract Health Services. Involved in assuring the local CHS operating program guidelines, policies and procedures are being followed.   Work with other departments, health care facilities such as IHS Service Units and/or Tribal Clinics.   Interact with Federal and State agencies, hospitals, physicians and other health care providers for the purpose of creating, maintaining and understanding the CHS program and to promote consumer and provider satisfaction.  Monitored funding levels and determine priority level of funding for the CHS program. Assures adequate funds are set aside for all authorized referrals, emergency call-ins and follow up care referrals.  Independently research and prepare responses to CHS appeals assuring files are complete.  Independently identifies and processes catastrophic health emergency (CHEF) cases.  Knowledge and application of applicable federal regulation and IHS policies and procedures s i.e. IHS/CHS Manual, IHS/CHS eligibility, Prompt payment, Anti Deficiency Act, Federal Acquisition.

SUPERIOR ACADEMIC ACHIEVEMENT (SAA): SAA is based on (1) class standing - applicants must be in the upper third of the graduating class in the college, university, or major subdivision, such as the College of Liberal Arts or the School of Business Administration, based on completed courses; (2) grade point average - applicants must have a grade-point average of 3.0 or higher out of a possible 4.0 based on 4 years of education, or on courses completed during the final 2 years of the curriculum; or 3.5 or higher out of a possible 4.0 based on the average of the required courses completed in the major field or the required courses in the major field completed during the final 2 years of the curriculum; OR (3) honor society membership - election to membership in a national scholastic honor society.

Graduate Education: Education at the graduate level in an accredited college or university in the amounts shown in the table meets the requirements for positions at GS-7 through GS-11. Such education must demonstrate the knowledge, skills, and abilities necessary to do the work.Indian Preference applicants will be rated in accordance with the Indian Health Service Excepted Service Qualification (Preston) Standards.  Time-In-Grade requirements, if applicable, will not apply to Excepted Service Examining Plan applicants. 

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 the requirements of the job by 11:59 (Eastern Standard Time) of the closing date: Monday, September 29, 2014

You will be rated based on the information provided in your resume (your resume must state specific duties that relate to this position) and your responses to the assessment questions will be evaluated against the duties you provided in your resume, along with your submitted documentation to determine your ability to demonstrate the following:

Technical CompetenceCustomer ServicePlanning and EvaluatingInterpersonal Skills 

You will receive a numeric rating based on your responses to the Assessment questions. If after reviewing your resume and responses to the assessment questions, a determination is made that you have overstated your qualifications and/or experience, you may lose consideration.

The following links below provide information on how you may be eligible for various hiring authorities. If you are a Veteran, qualified CTAP and ICTAP eligible, or an individual with a disability, please refer to the following links below for additional guidance:

Click here to view vacancy questions: View Assessment Questions. All documents above MUST be received by 11:59 (Eastern Standard Time) of the closing date of, Monday, September 29, 2014, to be considered.

This position meets the criteria specified in pillar number one of the five pillars of the PHS Commissioned Corps. PHS Commissioned Officers interested in performing the duties of this position within the Commissioned Corps MUST apply online under the merit promotion announcement indicated above in order to receive consideration. For more information on PHS Commissioned Corps, visit the website at: http://www.usphs.gov/ 

Additional selections of candidates may be possible within 90 days from the date the certificate of eligible was issued for this announcement, for filling additional or similar positions. However if there are no qualified Indian Preference candidates on the Certificate the vacancy must be re-announced.

A one/two-year probationary/trial period may be required upon selection/placement (ESEP only)

This position is covered by a Bargaining Unit.

CONDITIONS OF EMPLOYMENT:

·         Security Clearance: If you are selected for this vacancy, you must undergo a fingerprint check. Fingerprint results must be cleared prior to hire. You will receive instructions on how to obtain and submit fingerprints. After you begin your employment, your continued employment is contingent upon the outcome of a complete background investigation as determined by the sensitivity level of your position. The investigation must find that you are suitable for Federal employment in your position. If you are found not suitable, you will be terminated after you begin work. If you make a false statement in any part of your application, you may not be hired; you may be fired after you begin work; or subject to possible criminal charges.

·         Measles and Rubella immunization required for selectees born after 1957.

·         Males over the age of 18, and born after December 31, 1959, are required to be registered with the Selective Service System (or have an exemption) in order to be eligible for employment with the Federal Government.

·         Selectee(s) are required to have a viable bank account at a financial institution for electronic direct deposit of salary payment.

·         All information provided by the candidate will be verified, reference checks will be conducted from current and past supervisors on the tentative selectee.

·         The law prohibits public officials from appointing, promoting, or recommending their relatives.

·         Federal annuitants (military and civilian) may have their salaries reduced. All employees must pay any valid delinquent debt or the agency may garnish their salary. http://www.hhs.gov/careers/jobs/tips/

·         Candidates must meet qualification requirements, licensure requirements, performance requirements, citizenship and suitability requirements, and any other eligibility requirements before appointment. 

IHS-Operated Properties are tobacco free

Required Documentation for Eligibility and Preference: Resume:  You are highly encouraged to use USAJOBS Resume Builder.Indian Preference Applicants: - If claiming Indian preference for the first time, or if you have no previous documentation of preference, applicants must provide a completed copy of the Form BIA-4432 (expiration date 11/30/2014), “Verification of Indian Preference for Employment in the BIA and IHS Only.” Indian preference will not be given unless a properly signed and dated form is submitted with your application, including any verification by an authorized Tribal Representative or BIA Official of tribal enrollment records. For detailed instructions, see form BIA-4432. You must also complete the family history chart if necessary. Current IHS employees with a BIA form on file in their Official Personnel Folder are required to submit a copy of that form with their application. Refer to BIA-4432 link: http:/www.bia.gov/cs/groups/xbie/documents/text/idc015515.pdfVeterans Employment Opportunity Act (VEOA) or other Veterans preference (VRA and 30%or more disabled) – include a copy of your DD-214, if you're claiming Vet preference. For more information please see link at: http://fehb.opm.gov/StaffingPortal/vetguide.asp Career Transition Assistance Program (CTAP)/Interagency Career Transition Assistance Program (ICTAP) – If you are claiming CTAP/ICTAP, follow the instructions below: http://www.opm.gov/policy-data-oversight/workforce-restructuring/employee-guide-to-career-transition/ctap_guideline.pdf.Current or former Federal employee: Include your most recent SF50. Childcare Addendum form must be included for this position and is available for downloading at: http://www.ihs.gov/NonMedicalPrograms/DHR/Documents/ChildcareAddendumOMBApprovedForm.docTranscripts - Transcripts must be provided if substituting education for experience and/or if education is required for this position. Unofficial transcripts are acceptable but official transcripts will be required before entrance on duty. 

Your application package MUST be complete by 11:59  pm Eastern Standard Time (EST) on Monday, September 29, 2014, the closing of this announcement.

Once the online questionnaire is received you will receive an acknowledgement email that your submission was successful. Applicant MUST verify the completeness and successful submission of their applications by logging into the USAJobs Application Manager to check the “Status”. Your qualifications for the job will be reviewed against other applicants to determine, if you will be referred to the hiring manager for further consideration and possible interviews. We will notify you of the outcome after each of these steps have been completed. After making a tentative job offer, we will conduct a suitability/security background investigation.

You will no longer need to call the HR Office to determine your application status. USAJOBS has added an alert setting to their system to provide status updates for applicants. You can elect to activate the status updates from your USAJOBS profile at any point during the application process.

If all required documentation is not submitted with your application you will lose consideration. It is the applicant’s responsibility to verify that information and documents entered, uploaded, or faxed is received, legible and accurate. HR will not modify answers submitted by an applicant.

~ ~ ~ Indian Health Service is an Equal Opportunity Employer ~ ~ ~

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