Supervisory Health System Specialist

This Supervisory Health System Specialist position is with Indian Health Service (Department of Health and Human Services) in Red Mesa, AZ. At the Indian Health Service, Supervisory Health System Specialist are essential to the success of daily operation. Guided by our mission to improve the health of American Indian and Alaskan Native people, you provide critical administrative organization support that enable healthcare teams to deliver quality care, while fostering a professional and welcoming environment for patients and staff. A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021). Key duties: • Determines the eligibility of patients in accordance with the Indian Health Service guidelines, identifies patients whose health benefits are subject to prior approval, obtain and verifies all alternate resource data necessary for patient registration and billing. Ensures that all patient demographics and third-party resource data are updated and accurate so that when information is exported to Navajo Area Office, third-party reimbursements are not hindered. Coordinates the collection of accurate, complete, and up-to-date patient registration data that maximizes identification of third-party resource data within the facility. Develops and implement a comprehensive internal quality control system that measures the effectiveness of such controls and their impact on the program. Total Compensation Package - Check out IHS's outstanding total compensation package for this job: Health System Specialist Total Compensation | Pay (ihs.gov) 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 Incentive Placement: Successful completion 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 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: Provide a full range of administrative, technical and supervisory duties; evaluates, analyzes, and coordinates work involving the collection of patient registration and admissions, eligibility determination of data and enrollment of patients without alternate resources coverage and collection of third party alternate resource data from patients as well as, maintain a pre-authorization and pre-determination system that improves third party billing collections; managing, evaluating, reporting, and performing liaison functions with departments, external/internal customers (state and local agencies); and provides leadership, expertise, program assessment, strategic planning, and implementation of goals, services, and new initiatives to meet the mission and goals of the Service Unit. OR Master's or equivalent graduate degree; OR Completion of 2 full years of progressively higher level graduate education leading to such a degree; 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. 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). View the full announcement and apply on USAJOBS.gov.