Job summary

About the Position: This position is located in the TRICARE Operations Department, Directorate for Healthcare Business. The purpose of this position is to provide specialized information, counseling, and assistance to beneficiaries concerning TRICARE programs and the Military Health Systems (MHS). A recruitment or relocation incentive may be authorized Salary negotiation may be available for those candidates who are new to Federal service Advance Leave accrual may be authorized

Major duties

Serves as a point of contact for matters relating to all health benefits programs available to active duty and retired members, as well as TRICARE for Life, of the uniformed services and their dependents. Interviews personnel and telephone callers to obtain information concerning military status of sponsor, the type of medical care being obtained. Uses skillful interview techniques, tact, and discretion to elicit sensitive personal information in determining the nature of the problem. Provides counseling and coordination of the TRICARE prime travel benefit, ensuring beneficiaries and medical center staff are fully aware of the rights and responsibilities of the patient and any non­ medical attendant during medical travel. Acts as an advocate for the Naval Medical Center to promote better understanding of the military health benefits system. Develops contingency plans for changes in work priorities, staff requirements or deadlines. Acts as a Beneficiary Counseling and Assistance Coordinator (BCAC) for the Military Treatment Facility (MTF). Acts as the Debt Collection Assistance Officer (DCAO).

Qualification

Who May Apply: Only applicants who meet one of the employment authority categories below are eligible to apply for this job. You will be asked to identify which category or categories you meet, and to provide documents which prove you meet the category or categories you selected. 30 Percent or More Disabled Veterans Current Civilian Employees of the Defense Health Agency (DHA) Current Permanent Department of Defense (DoD) Civilian Employee Domestic Defense Industrial Base/Major Range and Test Facilities Base Civilian Personnel Workforce Executive Order (E.O.) 12721 Interagency Career Transition Assistance Plan Land Management Workforce Flexibility Act Military Spouses, under Executive Order (E.O.) 13473 Non-Department of Defense (DoD) Transfer Priority Placement Program, DoD Military Reserve (MR) and National Guard (NG) Technician Eligible Priority Placement Program, DoD Military Spouse Preference (MSP) Eligible Priority Placement Program, DoD MR and NG Preference Eligible Tech Receiving Disability Retirement Priority Placement Program, DoD Retained Grade Preference Eligible Veterans Employment Opportunity Act (VEOA) of 1998 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. Specialized Experience: One year of specialized experience which includes providing guidance on various healthcare policies and/or plans; and counseling beneficiaries concerning specialized health plan information, benefits, or services. This definition of specialized experience is typical of work performed at the second lower grade/level position in the federal service (GS-07). OR Education: Master's or equivalent graduate degree or 2 full years of progressively higher level graduate education leading to such a degree in a field which demonstrates the knowledge, skills, and abilities necessary to do the work of the position, such as: Business Management, Health Care Administration, or Contract 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 first year (total graduate semester hours minus 18) by 18. Add the two percentages. You will be evaluated on the basis of your level of competency in the following areas: Computer Skills Information Management Insurance Problem Solving Time in Grade Requirement: Applicants who have held a General Schedule (GS) position within the last 52 weeks must have 52 weeks of Federal service at the next lower grade or equivalent (GS-07). The selecting official has requested a competitive and noncompetitive candidate list for this vacancy. If you are eligible for the noncompetitive list, you will be evaluated on basic and/or minimum qualifications, as applicable. While required to answer the assessment questions, non-competitive candidates will not be evaluated against the competitive rating & ranking criteria. The selecting official may select from any of the candidate lists.

Education

FOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications.

Evaluations

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 you are minimally qualified, your resume and supporting documentation will be compared against your responses to the assessment questionnaire to determine your level of experience. 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. You may claim Military Spouse preference. You may claim Priority Placement Program (PPP) preference. Interagency Career Transition Assistance Program (ICTAP). If you are a Federal employee in the competitive service and your agency has notified you in writing that you are a displaced employee eligible for ICTAP consideration, you may receive selection priority for this position. To receive selection priority, you must: (1) meet ICTAP eligibility criteria (2) be rated well-qualified for the position and; (3) submit the appropriate documentation to support your ICTAP eligibility. To be considered well-qualified and receive selection priority applicants must satisfy all qualification requirements for the position and receive a score of 90 or above. Additional information about the program is on OPM's Career Transition Resources website.