• Manage the Military Treatment Facility Clinical Quality/Performance Improvement programs, ensuring compliance with legal and regulatory requirements to meet organizational needs.
• Conduct studies, review clinical and business indicators and analyze findings/trends, and provide guidance to the organizations to achieve Performance Improvement goals and overall clinical quality outcomes.
• Identify opportunities to improve, resolve problems, and evaluate the effectiveness of change to health care processes.
• Administer the Healthcare Risk Management activities to include risk identification, investigation, and reduction; managing, analyzing, and maintaining data/statistics, generating reports and collaborating with Quality partners to evaluate processes.
• Manage malpractice claims and cases, and coordinate with attorneys and other facility personnel to meet requirements and suspenses.
• Develop and Implement facility identification/communication/ analysis, and risk reduction action plan for adverse and sentinel events.
• Meet regulatory edicts for biomedical product/equipment liability including, reporting of adverse events, and response to manufacturer or Federal Drug Administration recalls, tracking of tissue/implantable devices, and implementing policy.
• Administer accreditation and compliance programs serving as the liaison to accrediting agencies.
• Prepare applications for accreditation surveys and Unit Effectiveness Inspection and update applications as organizational circumstances change.
• Serve as a resource to all squadrons, flights and elements of the medical group and Geographically Separated Units for issues relating to Unit Effectiveness Inspections and accreditation surveys.

Conditions of employment

• Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
• A Personnel Security Investigation is required.
• A one-year probationary period is required if the selectee has not previously met this requirement.
• Selectees will be required to sign a statement (Condition of Employment) consenting to seasonal influenza vaccinations or must provide a recognized exemption.
• Immunization screening is required. Hepatitis B immunization is required for all positions with direct patient contact. Applicants may be required to show proof of other immunizations depending on the type of position.
• Must be able to obtain and maintain current Basic Life Support (BLS) certification through the American Red Cross or American Heart Association. Advanced certification (e.g., ALS) does not supersede BLS.

Qualifications

Who May Apply: US Citizens

In order to qualify, you must meet the education and/or experience requirements described below. 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; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document.

Basic Requirement for Health System Administration Series 0671

A. An undergraduate and graduate level education with a major study in hospital administration, public health administration, or a related field, such as business or public administration with course work in health care administration.

Or

B. 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 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 meeting one of the basic requirements above, to qualify for this position you must also meet the qualification requirement listed below:

Specialized Experience: One year of specialized experience which includes working with health care programs to ensure compliance and compatibility of program operations and support activities. This definition of specialized experience is typical of work performed at the second lower grade/level position in the federal service (GS-09).

OR

Education: Ph.D. or equivalent doctoral degree or 3 full years of progressively higher level graduate education leading to such a degree with a major study in hospital administration, public health administration, or related fields such as health care administration.

OR

Combination of Education and Experience: A combination of education and experience may be used to qualify for this position as long as the computed percentage of the requirements is at least 100%. To compute the percentage of the requirements, divide your total months of experience by 12. Then divide the total number of completed graduate semester hours (or equivalent) beyond the second year (total graduate semester hours minus 36) by 18. Add the two percentages.

NOTE:

Membership in Advancing Health Care Risk Management, National Association for Healthcare Quality and affiliation with the American College of Healthcare Executives or other relevant professional association, and/or a professional society relating to Performance Improvement is desirable.

Certified Professional in Healthcare Quality Certification by the Healthcare Quality Certification Board is desirable.

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

Once the announcement has closed, a review of your application package (resume, supporting documents, and responses to the questionnaire) will be used to determine whether you meet the qualification requirements listed on this announcement.

If, after reviewing your resume and/or supporting documentation, a determination is made that you have inflated your qualifications and/or experience, you may lose consideration for this position. Please follow all instructions carefully when applying, errors or omissions may affect your eligibility.

You should list any relevant performance appraisals and incentive awards in your resume as that information may be taken into consideration during the selection process. If selected, you may be required to provide supporting documentation.

Veterans and Military Spouses will be considered along with all other candidates.