Health System Specialist

Duties
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• Develop and implement internal policies, procedures, and methodologies to support TRICARE Operations and achieve mission objectives.
• Ensure compliance with applicable regulations, policies, and standards.
• Forecast and plan resource requirements, including personnel, supplies, equipment, and budgetary needs, to ensure effective mission execution
• Conduct data-driven analyses of healthcare utilization trends, beneficiary demographics, and economic indicators to inform strategic planning and business forecasting.
• Prepare and evaluate financial documentation for resource sharing agreements and support contracts, ensuring fiscal responsibility and alignment with organizational goals.
• Recommend strategies and requirements for the development, implementation, and evaluation of health systems, patient care initiatives, and population health improvement programs.
• Coordinate and optimize work operations to enhance program delivery, improve workflow efficiency, increase productivity, and reduce operational costs.
• Provide subject matter expertise in health care systems and lead Business Process Reengineering (BPR) efforts to improve quality, performance, and organizational outcomes.

Requirements
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Conditions of employment

• Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
• Male applicants born after December 31, 1959 must complete a Pre-Employment Certification Statement for Selective Service Registration.
• You will be required to provide proof of U.S. Citizenship.
• One year trial/probationary period may be required.
• Applicants must comply with the Exceptional Family Member Program requirements as outlined in the DoD Instruction 1315.19.
• Must be able to satisfy the requirements of the 26JUL12 DODI 1400.25 V1230, DoD Civilian Personnel Management System: Employment in Foreign Areas and Employee Return Rights. Visit https://www.esd.whs.mil/DD/DoD-Issuances/140025/.
• This position has a mandatory annual seasonal influenza immunization requirement and is therefore subject to annual seasonal influenza vaccinations in accordance with Department of Defense Instruction (DoDI) 6205.02
• This position requires you to be able to obtain and maintain a determination of eligibility for a Secret security clearance of access for the duration of employment which includes a background investigation and credit check.

Qualifications

Who May Apply: US Citizens

In order to qualify, you must meet the 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 experience in healthcare system operations, policy implementation, or program management within a military or civilian healthcare delivery setting. This includes experience managing or evaluating healthcare delivery systems (e.g., TRICARE, MHS Genesis, or other managed care programs); applying healthcare policy, regulations, and operational procedures; analyzing healthcare data to improve access, quality, or efficiency of care; and utilizing automated healthcare systems to enter and retrieve data for reports and analysis. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-11). NOTE: This information must be supported in your resume to be considered for the position.

Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted.

Education

This job does not have an education qualification requirement.

Additional information

• Direct Deposit of Pay is required.
• U.S. citizens overseas under ordinarily resident status are not eligible for appointment under the Status of Forces Agreement.
• Locality pay does not apply in the overseas area.
• If an employee brings a child to an overseas location and that child is entitled to attend a DoD school on a space-required basis in accordance with DoDEA Regulation 1342.13, the DoDEA and the Military Department responsible for providing related services will ensure that the child, if eligible for special education, receives a free appropriate public education, including related services pursuant to DoDI 1342.12 and DoDM 1342.12.
• If an employee brings an infant or toddler (up to 3 years of age) to an overseas location, and that infant or toddler, but for the child's age, is entitled to attend the DoDEA on a space-required basis in accordance with DoDEA Regulation 1342.13, then the Military Department responsible for EIS will provide the infant or toddler with the required EIS in accordance with the eligibility criteria consistent with DoDI 1342.12 and DoDM 1342.12.
• Employees (and family members) who require medical or dental care in the overseas location will be responsible for obtaining and paying for such care. Access for civilian employees and their families to military medical and dental treatment facilities is on a space-available and reimbursable basis only.
• Selectees may receive certain foreign area benefits such as: Living Quarters Allowance (LQA) or government quarters, home leave, etc. Selectees will have their eligibility for foreign area benefits determined at the time of hire in accordance with Department of State Standardized Regulation (DSSR) and DoDI 1400.25 volume 1250.
• For positions in a foreign country, that country's laws or international agreements may have a direct impact on the ability of an employee's same sex domestic partner or spouse to accompany the employee and receive certain benefits. If you believe you may be affected by these laws and agreements, you should familiarize yourself with relevant information and direct questions concerning a specific country (Foreign Duty Location) to the appropriate Human Resources point of contact prior to the acceptance of employment and your entrance on duty.
• The initial length of this overseas tour is 36 months.
• Defense National Relocation Program will NOT be authorized.
• Multiple positions may be filled from this announcement.
• When you perform a Civilian Permanent Change of Station (PCS) with the government, the Internal Revenue Service (IRS) considers the majority of your entitlements to be taxable. Visit https://www.dfas.mil/civilianemployees/civrelo/Civilian-Moving-Expenses-Tax-Deduction/ for more information.
• Permanent Change of Station (PCS) allowances MAY be authorized, subject to the provisions of the Joint Travel Regulations and an agency determination that a PCS move is in the Government Interest.
• Living Quarters Allowance (LQA) MAY be authorized.