Supervisory Health System Specialist
5 days left to apply
Salary context
Based on 25 annual-salary jobs in the same occupational series. This role pays above most similar positions.
Job Details
Qualifications & Requirements
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 analyzing beneficiary services health care data (i.e. enrollment, TRICARE, access to care, referral management, etc.), developing administrative or clinical management projects or plans for improved health care beneficiary services, and providing administrative or technical oversight or distribution of work to health care staff. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-11). 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.
Position Overview
About the Position: This position supervises the Beneficiary Counseling and Assistance Coordinators (BCAC) who are responsible for assisting beneficiaries with health plan related concerns. The incumbent of this position needs to be customer services oriented. This is a Direct Hire Solicitation
Duties
- Serve as the Chief, Beneficiary Services and primary Point of Contact (POC) for matters pertaining to the TRICARE program.
- Plan and develop comprehensive management programs and long- and short-range objectives, designed to maximize health care cost containment, enhance level of quality care, and improve access to health care.
- Provide expert assistance, guidance, and direction in validating and developing the Command’s Annual Business Plan for submission to Defense Health Agency (DHA).
- Based on studies conducted, makes recommendations regarding policies and procedures which should be developed and implemented to provide cost effective, accessible, quality health care under the TRICARE program.
- As Contracting Officer’s Technical Representative, prepare and distributes monthly briefing slides, monitor and update current table data, complete and submit semi-annual Commander’s Survey with input regarding Managed Care Support Contractor.
- Supervise and provide performance ratings for personnel providing health benefits support and is responsible for preparation of position descriptions, recommendations for awards, counseling, advertisement, and selections to fill vacant positions.