Management and Program Analyst

Military Treatment Facilities under DHA • Patuxent River, MD

11d

About The Position

The incumbent serves as Program Manager and Accreditation Officer for the Department of Quality Management at Naval Health Clinic Patuxent River and its outlying clinics. The role oversees accreditation and readiness programs in alignment with standards established by The Joint Commission and serves as the Military Treatment Facility’s senior technical expert for the Performance Improvement (PI) program.

The position develops and implements facility-wide processes, policies, governance, and training for accreditation compliance and performance improvement. It supports the Chief Medical Officer and works with executive staff, department chiefs, clinical staff, and other organizational partners to identify vulnerabilities, improve outcomes, and ensure compliance with Defense Health Agency regulations and applicable quality and process improvement requirements.

This is a Direct Hire Authority solicitation for appointment to a position in the competitive service. Travel of up to 15% may be required to Naval Branch Health Clinics in Indian Head, Dahlgren, and Joint Base Andrews.

Requirements

• One year of specialized experience supporting hospital readiness and accreditation programs aligned with The Joint Commission standards.
• One year of specialized experience collaborating with hospital leadership and clinical staff to identify operational deficiencies and recommend process improvements.
• One year of specialized experience interpreting and applying regulatory guidance to ensure compliance with healthcare regulations.
• One year of specialized experience retrieving, analyzing, and interpreting data from electronic health systems to identify trends.
• Specialized experience must be at the GS-11 level or equivalent; education cannot substitute for the required experience.
• Must be a U.S. citizen.
• Must be able to obtain and maintain eligibility for a Secret security clearance or access for the duration of employment; a background investigation and credit check are required.
• A one-year trial or probationary period may be required; the announcement also states a one-year probationary period is required.
• Must meet mandatory seasonal influenza vaccination requirements unless exempted for medical or religious reasons, with exemption documentation provided upon hire.
• Immunization screening for Hepatitis B is required; proof of other immunizations may be required depending on the position.
• Tuberculosis testing is required.
• Male applicants born after December 31, 1959 must complete a Pre-Employment Certification Statement for Selective Service Registration.
• Direct deposit of pay is required.
• Must provide proof of U.S. citizenship.

Nice To Haves

• Recruitment or relocation incentives may be authorized for highly qualified candidates.

Responsibilities

• Develop processes to assess and validate compliance checklists applicable to The Joint Commission standards.
• Analyze and provide accreditation compliance reports, executive summaries, and briefings to executive staff.
• Develop and implement facility-wide mock surveys, analyze results, and identify and mandate correction of vulnerabilities.
• Manage preparation and reporting of significant findings related to patient care practices to the Quality Council, Medical Executive Committee (MSEC), and Executive Committee.
• Provide critical support to the Chief Medical Officer to ensure the organization operates in compliance with Defense Health Agency regulations.
• Ensure data is relevant and meets regulatory requirements for The Joint Commission, Department of Defense compliance, and Quality Improvement/Process Improvement programs.
• Advise department chiefs and other staff on analytical findings and recommend methods for improving outcomes.
• Serve as the Military Treatment Facility’s senior technical expert for the Performance Improvement program.
• Develop policies and governance to standardize Performance Improvement procedures and training across the command.
• Facilitate performance improvement activities, including planning, developing, directing, organizing, and evaluating improvement initiatives and ongoing measures of organizational performance.
• Collaborate with the Patient Safety Manager, Risk Manager, Safety Manager, Clinical Operations, Patient Experience/Satisfaction, and Department Chiefs through strategic planning to prioritize quality assessment and performance improvement.

Benefits

• The posting states that federal employees and their families have access to a comprehensive benefits package; specific benefits depend on position type and should be confirmed with the hiring agency.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed