Health System Specialist (Process Improvement)

Total Compensation Package - Check out IHSs outstanding total compensation package for this job:
Health System Specialist Total Compensation Pay ()

• 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.

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 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 individuals 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 drivers license it must be REAL ID-compliant.

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 individuals progress and appropriate adjustment of the training program.

• 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;
• Masters 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.