This Position Is No Longer Available
  1. Overview
  2. Duties
  3. Qualifications & Evaluations
  4. Benefits & Other Info
  5. How to Apply

Job Title:Medical Officer (General)

Department:Department Of Health And Human Services

Agency:Indian Health Service

Job Announcement Number:IHS-HQ-13-877265-ESEP/MP

This position is closed and no longer accepting online applications through USAJOBS.

The contents of the announcement can still be viewed.

SALARY RANGE:

$105,211.00 to $136,771.00 / Per Year

OPEN PERIOD:

Tuesday, April 16, 2013 to Friday, May 10, 2013

SERIES & GRADE:

GS-0602-14

POSITION INFORMATION:

Full Time - Permanent

PROMOTION POTENTIAL:

14

DUTY LOCATIONS:

1 vacancy in the following location:
Rockville, MD United StatesView Map

WHO MAY APPLY:

All groups of qualified individuals

JOB SUMMARY:

The Indian Health Service is required by law to give preference to qualified applicants who meet the Secretary of the Interior's definition of Indian for appointment to vacancies within the IHS in accordance with established IHS policy as outlined in the Indian Health Manual Part 7, Chapter 3. The Indian Health Service is an Equal Opportunity Employer.

The IHS is the principal federal health care provider and health advocate for American Indians and Alaska Natives (AI/AN). The IHS goal is to raise Indian health status to the highest possible level. IHS provides leadership and direction to programs and activities designed to improve health outcomes to over 1.9 million AI/AN through a system of IHS, Tribal and Urban operated facilities and programs. For information on the IHS visit IHS.GOV.

 

The Indian Health Service is required by law to give preference to qualified applicants who meet the Secretary of the Interior's definition of Indian for appointment to vacancies within the IHS in accordance with established IHS policy as outlined in the Indian Health Manual Part 7, Chapter 3. The Indian Health Service is an Equal Opportunity Employer.

 

The mission of the Office of Resource Access and Partnerships (ORAP) is to provide Agency-wide leadership and consultation to IHS direct operations and Tribal programs on IHS goals, objectives, policies, standards, priorities and methods regarding the operations and management of the Business Office Service (BOS), Contract Health Services (CHS) and IHS Partnership programs. This position is located in the Office of Resource Access and Partnerships (ORAP), Headquarters, Indian Health Service (IHS), Rockville, Maryland.

 

The purpose of this position is to work with the Division of Business Office Enhancement (DBOE) and the Division of Contract Care (DCC) to provide medical input on health care matters in an effort to improve their effectiveness and efficiency. The incumbent will: obtain and evaluate evidence needed to determine the medical appropriateness of appeals for denied contract care; provide expert medical advice and recommendations on IHS medical billing practices; and consult on IHS contract health care delivery activities and review and maintain priorities on healthcare services that contract health care funds are used for. The incumbent will be responsible for managing ORAPs regulatory program and coordinating ORAP regulatory efforts with the OMS Branch of Regulations and Records Access.  

 

The incumbent reports to the Director ORAP who in-turn reports to the Deputy Director, Management Operation, IHS.

Who may apply

  • Merit Promotion Plan (MPP); these are current or former Civil Service employees; PHS Commissioned Officers; or Veterans applying under VEOA
  • Excepted Service Examining Plan (ESEP: American Indians and Alaska Natives with no prior federal experience.

See Jobs at IHS.gov for more details

KEY REQUIREMENTS

  • The selected applicant will be subject to a pre-employment background
  • investigation, which will include a fingerprint check.
  • If applicable-Selective Service registration (Males born after 12/31/59)

DUTIES:

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  • Analyzes and evaluates appeals of medical denials for Contract Care for cases denied for medical reasons by the facility and the Area Office. Counsels CHS management staff on all matters involving appeals of denied contract care due to them not being in a medical priority or not deemed a medical emergency. Provides advice and guidance as to whether to uphold or overturn the denial made at the Area level.

 

  • Review and Analyze Healthcare Laws and Regulations that pertain to purchasing high quality medical care from the private sector and providing care in house to assure that Indian Health programs meet all medical policy and regulatory requirements. Advices ORAP when current IHS regulations effecting third party collections or payment for contracted health services need to be written or changed to bring about program enhancement and leads the effort to write or change the regulations. Coordinates regulatory activities with other HHS Agencies on regulations that impact on the collection for services provided or reimbursement for health care purchased by Indian Health programs.

 

  • Medical Liaison to Centers for Medicare and Medicaid on regulatory/operational issues affecting health care delivery and the level of third party reimbursements from Medicare, Medicaid, S-CHIP and other programs of the CMS. As liaison, incumbent provides policy information to CMS focusing on medical implications and concerns, management and guidance to IHS staff and/or serves directly on national workgroups set up by IHS executive management for assessing and developing legislation, program policy/regulations, reimbursement policy and managed care policy initiatives.

 

  • Contract Health Services Third Party Collections Program Reviews are performed on Area and facility Business and Contract Health Offices for medical services appropriateness by either IHS staff or contracted staff. After the review they will follow up on corrective actions or improvements suggested by the review team to assure that a corrective action plan is developed and carried out. If needed the incumbent will provide either directly or through third parties needed technical assistance to carry out the corrective action plan.

  • Contract Health Services Medical Priority List for IHS is developed and maintained in conjunction with the IHS Chief Medical Officer. In this capacity the incumbent works with the Area CHSOs and Chief Medical Officers to assure that the IHS HQ and the Area's CHS Medical Priority list are current and relates to disease prevalence of AI/AN people.


QUALIFICATIONS REQUIRED:

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BASIC QUALIFICATIONS:

http://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/0600/medical-officer-series-0602/

 

DEGREE : In order to qualify for this position, you must meet the degree requirements for a physician position.

 

GRADUATE TRAINING : Subsequent to obtaining a Doctor of Medicine or Doctor of Osteopathy Degree, all eligible physician candidates must have had at least 1 year of supervised experience providing direct service in a clinical setting.

 

RESIDENCY TRAINING:   From the descriptions below, select the response that best describes your experience which demonstrates your ability to perform the work of this position at the GS-14 grade level. 

 

MINIMUM QUALIFICATIONS:

You must demonstrate in your resume at least one 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 types of tasks: finance or a billing office for healthcare services. Specialized experience is needed in and responsible for the management or administration of a program that includes the development of policy and procedures on issues impacting on the program. Experience with Indian Health programs is beneficial in order to determine how changes in regulations and policies impact on health care payment. Experience in regulation and policy analysis is needed in order to provide guidance to assist headquarters and field staff with improving the business in the payment for contracted health care.

 

The selected individual is required to obtain and maintain medical staff clinical privileges, including any licensure requirements. If privileges are not obtained or maintained during employment, the employee will be subject to adverse actions, up to and including removal from Federal service., etc.


You must meet the requirements of the job by this date: Friday, May 10, 2013

HOW YOU WILL BE EVALUATED:

In order to receive credit for qualifying, specialized experience, the applicant's resume MUST support their responses to the assessment questions with clear examples. Applications will be evaluated to determine whether they document the specialized experience requirements above, by answering assessment questions based on the following competencies:

  • Organizational Awareness: Understands the organization's mission and functions, and how its legal/political authorities and systems operate to accomplish organizational goals.

 

  • Technical Competence: Ability to apply knowledge that is acquired through formal training or extensive on the job experience to understand and evaluate technical information related to the job; advises others who have a variety of educational backgrounds and levels of experience.

 

  • Decision Making: Makes sound, well-informed, and objective decisions; perceives the impact and implications of decisions; commits to action, even in uncertain situations, to accomplish organizational goals; causes change.

 

  • Interpersonal Skills: Develops and maintains effective relationships with others, may include effectively dealing with individuals who are hostile or distressed; relates well to people from varied backgrounds; is sensitive to cultural diversity, race, gender, disabilities and other individual differences.

For I/CTAP purposes, you will be deemed well-qualified if you score 85 and above on the assessment questions.


BENEFITS:

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The Federal Government offers a comprehensive benefits package.   Explore the major benefits offered to most Federal employees at https://my.usajobs.gov/ResourceCenter/Index/Interactive/Benefits



OTHER INFORMATION:

Candidates must meet time-after-competitive appointment, time-in-grade (if applicable), qualification requirements, performance requirements, citizenship and suitability requirements, and any other eligibility requirements within 30 days of the closing date of the vacancy announcement.

 

Additional or alternate selections may be made within 90 days of the date the candidate referral roster certificate was issued.

 

Relocation Expenses:

Relocation expenses are not authorized and will not be paid. 

 

CTAP/ICTAP:

If you are claiming CTAP/ICTAP eligibility, you must submit a copy of your most recent performance appraisal, proof of eligibility, and your most current SF-50 noting position, grade level, and duty location. To be considered under CTAP/ICTAP, you must be well qualified with a score of at least 85 for this position. For information on CTAP/ICTAP, visit:

http://www.ihs.gov/JobsAtIHS/documents/CareerTransitionAssistancePlansInfo.doc

http://www.hhs.gov/careers/jobs/tips/

CONDITIONS OF EMPLOYMENT:

Local travel for meetings is occasionally required; travel outside of the local area may be required on a quarterly basis.

 

IHS - Operated Properties are tobacco free



HOW TO APPLY:

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To apply for this position, you must provide a complete Application Package.  See required documents below.

Click ‘Apply Online' to create an account or log in to your existing USAJOBS account.

  1. Follow the prompts to complete the assessment questionnaire and upload required documents.
  2. Please ensure you click the Submit My Answers button to submit your application.
  3. Applications must be received by the closing date of the announcement to receive consideration.
  4. Check application status by logging into your USAJOBS account, clicking Application Status, then More Information for this position.  Return to an incomplete application by clicking Apply Online in the vacancy announcement and re-selecting your resume and/or other documents from your USAJOBS account.

To fax supporting documents you are unable to upload, complete this cover page http://staffing.opm.gov/pdf/usascover.pdf using the following 877265. Fax your documents to 1-478-757-3144

You are highly encouraged to submit your application package and complete your assessment questionnaire on-line.  If you cannot apply online:

  1. Click to view and print the assessment questionnaire  View Occupational Questionnaire
  2. Print this 1203FX form to provide your response to the assessment questionnaire http://www.opm.gov./Forms/pdf_fill/OPM1203fx.pdf
  3. You are limited to selecting 10 locations.
  4. Fax the completed 1203FX form along with any supporting documents to 1-478-757-3144.  Your 1203FX will serve as a cover page for your fax transmission

PLEASE NOTE: When completing the 1203-FX, be sure to select only one response for each question. Selecting more than one response for a question may result in your application package being rated ineligible.

The IHS provides reasonable accommodations to applicants with disabilities. If you need a reasonable accommodation for any part of the application and hiring process, please notify the Human Resources Office (Mary Drapeaux, (301)443-4255, and/or MARY.DRAPEAUX@IHS.GOV.) The decision on granting reasonable accommodation will be on a case-by-case basis.



REQUIRED DOCUMENTS:

Required documentation for eligibility and preference:

All documents must be received by Friday, May 10, 2013 at 12:00 PM Eastern Time in order to ensure that you receive proper credit for eligibility and/or preference categories.

AGENCY CONTACT INFO:

Mary Drapeaux
Phone: (301)443-4255
TDD: (301) 443-6394
Email: MARY.DRAPEAUX@IHS.GOV
Agency Information:
Indian Health Service HR Center
APPLY ONLINE OR BY FAX ONLY
SEE INSTRUCTIONS UNDER THE
HOW TO APPLY TAB, MD
20852

WHAT TO EXPECT NEXT:

Once the online questionnaire is received you will receive an acknowledgement email that your submission was successful. The questionnaire will assess your qualifications for the job, and will be used to identify the best qualified applicants to be referred to the hiring manager for further consideration and possible interviews. We will notify you of the outcome after each of these steps has been completed. After making a tentative job offer, we will conduct a suitability/security background investigation.

You will no longer need to call the HR Office to determine your application status. USAJOBS has added an alert setting to their system to drive status updates notification for applicants. You can elect to activate the proactive notification from your USAJOBS profile at any point during the application process to sign-up for automatic alerts when there are status changes for jobs to which you have applied.

It is the applicant’s responsibility to verify that information and documents entered, uploaded, or faxed is received, legible and accurate. HR will not modify answers submitted by an applicant.


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Job Announcement Number:

IHS-HQ-13-877265-ESEP/MP

Control Number:

342153800