Health System Specialist

Military Treatment Facilities under DHA • Kirtland AFB, NM

9d • Onsite

About The Position

This position is located at Kirtland Air Force Base, New Mexico, and is a Direct Hire Solicitation. The Health System Specialist supports improvements to referral management center processes, responds to beneficiaries and providers on TRICARE issues, resolves access-to-health-care complaints, and assists with the patient travel benefit program. The specialist identifies internal and external issues that affect the referral process and reports them to the appropriate point of contact for education or solution recommendations. The role also prepares reports using internal sources to assess the availability and effectiveness of referral management programs.

Requirements

• U.S. citizenship.
• One year of specialized experience assisting with administrative policies, programs, or operations related to health care delivery; assisting in resolving procedural issues; and using automated systems to enter, retrieve, extract, or analyze data; or qualifying graduate education; or an acceptable combination of education and experience.
• A Master's or equivalent graduate degree, or two full years of progressively higher-level graduate education leading to such a degree, with a major study in hospital administration, public health administration, or a related field such as business or public administration with coursework in health care administration, may substitute for experience.
• Foreign education used to meet qualification requirements must be evaluated by a qualified private organization as equivalent to U.S. accredited education, or receive full credit for courses at a U.S.-accredited college or university.
• Applicants may be subject to a suitability or fitness determination and must undergo a personnel security investigation.
• Selectees must consent to seasonal influenza vaccination or provide a recognized exemption; immunization screening is required. Hepatitis B immunization is required for positions with direct patient contact, and proof of other immunizations may be required depending on the position.
• Male applicants born after December 31, 1959 must complete a Pre-Employment Certification Statement for Selective Service Registration.
• Provide proof of U.S. citizenship.
• Complete a one-year probationary period; continued employment requires written certification that it advances the public interest.
• Direct deposit of pay is required.

Responsibilities

• Assist in improving referral management center processes.
• Respond to beneficiaries and providers regarding TRICARE issues and resolve access-to-health-care complaints.
• Assist in the patient travel benefit program.
• Identify internal and external issues affecting the referral process and report them to the appropriate point of contact for education or solution recommendations.
• Prepare reports from internal sources on the availability and effectiveness of referral management programs.

What This Job Offers

• Job Type: Full-time