Health System Specialist (Compliance /Risk Manager)

Indian Health Service - Department of Health and Human Services

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. 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: Progressively responsible analytical or administrative, or clinical management or supervisory experience in the healthcare field. This work may have been performed in an operating health care facility or a higher organization 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. In addition to the Individual Occupational Requirement, you must also meet the Minimum Qualifications stated below. MINIMUM QUALIFICATIONS- GS-11: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-9 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Develops, plans implements, coordinates, monitors and evaluates clinic-wide quality assurance and risk management programs. Knowledge of health care delivery systems, regulations and standards of various regulatory and credentialing groups. Performed various administrative duties such as budget, personnel, and procurement. Proficient in preparing reports and presenting to Executive Leadership, governing bodies, stakeholders and regulatory agencies of either deficiencies or corrective action processes; OR Education: Ph.D. or equivalent doctoral degree or completed 3 full years of progressively higher level graduate education leading to such a degree, or LL.M. Degree or education must have included major study in hospital administration, public administration, or related fields such as business or public administration with course work in health care administration. Must provide copies of transcripts; OR Combination of education and specialized experience: Combination of experience and graduate education that when combined, meets 100% of the qualification requirements for this position. To determine if you qualify under this combination first divide your total months of qualifying experience by 12. Then divide your semester hours of graduate education beyond 3 years by 18. (Note: Only education in excess of the third year is creditable toward meeting the experience requirement when combining experience and education. Finally, add the two percentages. The total percentage must equal at least 100% to qualify. Must provide copies of transcript. MINIMUM QUALIFICATIONS- GS-12: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-11 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Experience in overseeing compliance programs, promoting ethics and integrity on processes and procedures. Performed internal risk assessments, investigative processes, compliance incidents, and report finding. Establish and implement various system-level processes to detect non-compliance and provide corrective measures for any violations and implement systems for internal controls for continued monitoring. Prepared reports and presenting them to Executive Leadership, governing bodies, stakeholders and regulatory agencies of either deficiencies or corrective action processes; 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.
THIS POSITION IS BEING RE-ANNOUNCED TO SOLICIT ADDITIONAL CANDIDATES; APPLICANTS WHO PREVIOUSLY APPLIED TO THIS ANNOUNCEMENT NEED NOT RE-APPLY UNLESS SUBMITTING UPDATED INFORMATION AND/OR MISSING FORMS.

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