Health System Specialist (Process Improvement)

Summary

This position is located at the Phoenix Indian Medical Center (PIMC), Patient Business Services, Phoenix, Arizona. The incumbent serves as the Process Improvement Specialist and works to enhance and improve current patient registration & benefit coordination processes at PIMC; works with various departments and units across PIMC with development of polices and procedures regarding alternate resources.

A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).

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Duties

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Total Compensation Package - Check out IHS's outstanding total compensation package for this job:

Health System Specialist Total Compensation | Pay (ihs.gov)

• Train staff to improve processes and ensure that all patient information is accurate and detailed.
• Planning Activities - Performs long and short-range planning, provides evaluation to supervisor, and analysis; and projects of future resource requirements.
• Personnel Administration - Develops and implements policies and procedures and training methodologies, creates training manual; and monitors section data activity, which entails daily, weekly, and monthly error corrections that involve researching and analyzing computer-generated reports, including determining whether files should be deleted/merged, edited, or updated.
• Continuous Quality Improvement - Develops and implements a comprehensive internal quality control system that measures the effectiveness of such controls and their impact on the program.
• Maintains working knowledge of Medicare/Medicaid and Private Insurance benefits to ensure that the facility is in compliance with Indian Health Service and DHHS regulations. Performs a variety of Benefit Coordinators, Patient Registration (Outpatient/Inpatient), and Revenue, confirming the eligibility of patients in accordance with IHS and Phoenix Area guidelines.
• Assists in the development and implementation of PBS policies and procedures regarding patient accounts, use of Resource Patient Management Systems (RPMS), Electronic Health Record and the Registration (BPRM), alternate resources programs, and training methodologies.

Requirements

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Conditions of employment

Selectee may be subject to a probationary 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

Shift Operations: The incumbent will work various shifts, including weekends/evenings/nights under PBS that will require training or a refresher training for various hours.

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.

IHS Selectees whose duties and responsibilities require them to work permanently, temporarily, or occasionally in an IHS healthcare facility must comply with the IHS Employee Immunization Policy related to vaccine-preventable diseases, consistent with recommendations for healthcare workers. Vaccine exemption requests may be available, as outlined in the IHS Employee Immunization Policy and facility guidance.

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 Requirement:

This position requires the successful completion of a federal background investigation as a condition of employment.

A background investigation is a standard process used by the Federal Government to verify an individual's identity, employment history, education, and other relevant information to determine suitability for Federal service.

Upon receipt of instructions, applicants must complete all required background investigation forms within five (5) calendar days of issuance. Timely completion is critical to avoid delays in processing or a determination of unsuitability.

Applicants are strongly encouraged to prioritize this requirement and to maintain regular communication with their assigned Personnel Security Specialist throughout the process.

Prior to the appointment, candidates must present two valid forms of identification. If one of the documents is a state-issued ID or driver's license, it must be REAL ID-compliant.

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):

Individual Occupational Requirements

• Undergraduate and Graduate Education: Major study hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration; OR
• Specialized Experience (for positions above GS-5): 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 and 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; and
  • Government-wide, agency, and facility systems and requirements in various administrative areas such as budget, personnel, and procurement.
• Special Provision for Inservice Placement: Successful complete of an agency-sponsored on-the-job training program may be substituted for qualifying experience, provided it included a formal individualized training plan. Such a training program must have been conducted in an operating health care system and included:
  
  
  • Assignments providing a knowledge of basic health system administration philosophies, practices, and procedures, and basic government administrative policies and requirements;
  • Practical assignments providing an opportunity to apply health system administration skills and principles (as the individual progresses, work assignments must be characteristic of the grade level to which he or she is assigned); and
  • Oversight by an experienced health system administrator with periodic evaluation of the individual's progress and appropriate adjustment of the training program.

In addition, to the Individual Occupation Requirements, you must also meet the Minimum Qualifications stated below.

MINIMUM QUALIFICATIONS - GS-9:

• Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-07 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Identifying inaccuracies and oversights in areas of patient registration process, determining eligibility and alternate resources, RPMS data intake, documentation collection, patient screening process, and interpreting rules and regulations of the agency and federal and state entities to identify loopholes that lead to denials of claims that are submitted for reimbursement. Develop and implement comprehensive internal quality control system that measures the effectiveness of such controls and their impact on the program. Providing technical assistance and support to program staff on matters involving oversight of patient registration and alternate resources program for a complex health care facility. Experience in training, plan, develop, implement, direct, coordinate, and evaluate Performance Improvement. Communicate and maintain effective working relationship with health professionals. Interpret and apply federal health care system regulations to deal with matters of standard compliance. OR;
• Master's degree or equivalent degree that included the 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;
• Completion of two full years of progressively higher-level graduate education leading to such a degree that included major study - hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration. OR
• LL.B. or J.D., if related, that included major study hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration. OR
• Possess a combination of education and experience that when combined fully meet the minimum qualifications for this position. The total percentage equals at least 100 percent to qualify for this GS-09 grade level.

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. f you are substituting education for experience; 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

Reasonable Accommodation (RA) Requests: If you believe you have a disability (i.e., physical or mental), covered by the Rehabilitation Act of 1973 as amended that would interfere with completing the USA Hire Competency Based Assessments, you will be granted the opportunity to request a RA in your online application. Requests for RA for the USA Hire Competency Based Assessments and appropriate supporting documentation for RA must be received prior to starting the USA Hire Competency Based Assessments. Decisions on requests for RA are made on a case-by-case basis. If you meet the minimum qualifications of the position, after notification of the adjudication of your request, you will receive an email invitation to complete the USA Hire Competency Based Assessments, based on your adjudication decision. You must complete all assessments within 48 hours of receiving the URL to access the USA Hire Competency Based Assessments if you received the link after the close of the announcement. To determine if you need a RA, please review the Procedures for Requesting a Reasonable Accommodation for Online Assessments. (https://appsupport-usastaffing.opm.gov/hc/en-us/sections/45063131363475-Reasonable-Accommodation-Information)

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 covered by a Bargaining Unit.

Recruitment or relocation incentives may be authorized. At least a 6 month service agreement will be required.

This position has no promotion potential.

This position meets the criteria specified in pillar number one of the five pillars of the PHS Commissioned Corps. PHS Commissioned Officers interested in performing the duties of this position within the Commissioned Corps MUST apply online under the merit promotion announcement indicated above in order to receive consideration. For more information on PHS Commissioned Corps, visit the website at: https://www.usphs.gov/.

You will be evaluated for this position in accordance with the OPM Merit Hiring Plan.

As part of the application process, you will be asked to provide short essay responses (200 words or less each) to the following four questions.

1. How has your commitment to the Constitution and the founding principles of the United States inspired you to pursue this role within the Federal government?
2. In this role, how would you use your skills and experience to improve government efficiency and effectiveness?
3. How would you help advance the President's Executive Orders and policy priorities in this role?
4. How has a

Salary : $64,564 - $83,938