Job summary

About the Position: This position is located in San Diego, CA at Naval Medical Center, Directorate of ADMIN, Utilization Management. The incumbent will provide comprehensive analysis of Commandwide utilization data and information, as well as research of industry standards, in order to benchmark and assess costs, quality and efficiency in the delivery of multi-functional command healthcare programs. This is a Direct Hire Solicitation

Major duties

Identifies, develops, evaluates and recommends options to resolve substantive utilization issues. Identifies data and information sources to be applied to the formulation of metrics to measure performance of specific utilization processes and programs. Performs continuous statistical analysis of and trends resource utilization through the compilation and maintenance of clinic consult, referral, access databases and reports. Supervises the daily operations of the Referral Management Center (RMC). Develops and implements constructive recommendations to solve substantive management problems. Develops analytical guidance and statistical support for optimization and recommends and implements solutions to improve the efficiency and effectiveness of RMC processes.

Qualification

Who May Apply: US Citizens In order to qualify, you must meet the 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 (1) utilizing various databases and healthcare systems to monitor the healthcare delivery processes within a medical treatment facility (MTF); (2) providing guidance and assistance to staff in mitigating risk management issues to ultimately improve the quality of care and; (3) advising on resource utilization to support command budgeting and planning. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-11).

Education

Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted.

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, 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.