Summary This position is located at the Acoma-Canoncito-Laguna Indian Health Center, Business Office Department. The Supervisory Health System Specialist (Business Office Manager) provides patient registration and admissions eligibility determination, third-party billing and collection of healthcare services. The purpose of this position is to manage by planning, controlling, evaluating, analyzing and providing oversight of the hospital's health care alternate resources program. Responsibilities Plans controls, evaluates, analyzes and provides oversight of the hospital's comprehensive health care alternate resources program. Develops a departmental performance improvement plan for continuous improvements to generate third-party resources and includes multidisciplinary activities for hospital-wide improvements. Participates with and meets applicable Joint Commission standards and ensures accreditation of Acoma-Canoncito-Laguna Health Center. Analyzes policies and directives to define requirements and objectives for the department. Provides technical consultation in regard to eligibility criteria, medical priorities and denial or appeal procedures. Serves as technical and administrative Supervisor. Plans, organizes and evaluates work assignments and coordinates, distributes, and follows up on workloads. Assigns work, sets performance standards and evaluates employees. Promotes and accepts suggestions to improve the overall operations as well as stresses cost containment. Requirements Conditions of Employment Selectee may be subject to a probationary/trial period ESEP appointees typically serve a two year trial period U.S. Citizenship is required Selective Service Registration is required for males born after 12/31/1959 This is a designated position covered by Public Law 101-630, requiring contact or control over Indian children. Due to this requirement, the agency must ensure that persons hired for these positions have not been found guilty of or pleaded nolo contendere or guilty to certain crimes. A one-year supervisory/managerial probationary period may be required upon selection/placement. Measles and Rubella immunization required for selectees born after 1957 and seasonal influenza immunization is required for all staff working in Indian Health Service health care facilities. COVID-19 vaccination is required for all selectees prior to entrance on duty. Successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit www.dhs.gov/E-Verify/. You will need to set up direct deposit so we can pay you. Background Investigation: If you are selected for this vacancy, you must undergo a pre-employment fingerprint check and background investigation. Fingerprint results and background investigation documentation must be cleared prior to hire. 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. You may be subject to a credit check as a part of the background investigation process. Qualifications To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying. 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; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week. BASIC REQUIREMENT(S): Health System Administration Series 0671 (opm.gov) In addition to the Basic Requirements, you must also meet the Minimum Qualifications stated below. MINIMUM QUALIFICATIONS: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: GS-11: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least GS-9 grade level in the Federal service in a progressively responsible analytical or administrative, or clinical management or supervisory position in the health care field which involved preparing and analyzing statistical reports and control methods for determining effectiveness of operations within a Medical or Referred Care Department. Duties may have included the coordination of patient care through referred care systems, analyzing, monitoring and forecasting program funds, ensuring third party resources are utilized effectively, processing and coordination of third-party cases, issuance and reconciliation of purchase orders, assisting in coordination of case management, conducting vendor outreach efforts and negotiating referred care vendor contracts, ensuring compliance with eligibility requirements and establishing proper medical priorities for referred care, long and short range program planning and establishing and implementing performance improvement goals. OR A Ph.D., LL.M. degree, or equivalent doctoral degree or 3 full years (54 semester hours) of progressively higher level graduate education leading to such a degree which included major study in hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration. OR A combination of experience and education that when combined, meets the qualifications listed above. Only graduate education in excess of 36 semester hours may be used to qualify. All qualifying work experience must be 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 or 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. Government-wide, agency, and facility systems and requirements in various administrative areas such as budget, personnel, and procurement. Additional Requirements for Excepted Service Examining Applicants: Indian Preference applicants will be rated in accordance with the Indian Health Service Excepted Service Qualification (Preston) Standards. Applicants must have 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. Time In Grade Federal employees in the competitive service are also subject to the 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 all qualification requirements within 30 days of the closing date of the announcement. Education This position has an education requirement. You are strongly encouraged to submit a copy of your transcripts or a list of your courses including titles, credit hours completed, and grades. Unofficial transcripts will be accepted in the application package. Official transcripts will be required from all selectees prior to receiving an official offer. Only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education may be credited. Applicants can verify accreditation at the following website: https://www.ed.gov/accreditation. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit https://sites.ed.gov/international/recognition-of-foreign-qualifications/. Additional Information Per IHS policy (SGM 21-04) IHS selectees to positions located in Federally operated hospitals, health centers, and clinics must be fully vaccinated for COVID-19 before entry on duty or have IHS approve a medical or religious exemption. If an exemption is approved then wearing a face mask and regular testing for COVID-19 will be required. Your Human Resources Specialist will provide a list of documents acceptable as vaccination proof and instructions on how to submit your vaccination documentation or how to request a medical or religious exemption, if needed. Additional selection(s) of candidates may be possible within 240 days from the date the certificate of eligibles was issued for this announcement. Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. IHS may offer newly-appointed Federal employees credit for their directly related previous non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. This position is NOT covered by a Bargaining Unit. Recruitment or relocation incentives may be authorized. At least a 12 month service agreement will be required.
