Job title: Supervisory Medical Benefits Systems Officer
Company: Federal government of the United States
Job description: SummaryThis position is located in the Department of Labor (DOL), Office of Workers’ Compensation Programs (OWCP), Division of Administrative Operations (DAO), Branch of Medical and Standards & Operations (BMSO).This position is outside the bargaining unit.Overview
- Accepting applications
Open & closing dates10/10/2024 to 10/23/2024Salary$163,964 – $191,900 per yearPay scale & gradeGS 15Location1 vacancy in the following location:Remote jobNoTelework eligibleYes—as determined by the agency policy.Travel RequiredOccasional travel – You may be expected to travel for this position.Relocation expenses reimbursedNoAppointment typePermanentWork scheduleFull-timeServiceCompetitivePromotion potential15Job family (Series)Supervisory statusYesSecurity clearanceDrug testNoPosition sensitivity and riskTrust determination processFinancial disclosureYesBargaining unit statusAnnouncement numberDE-25-PHIL-OWCP-12566367-KHControl number813678400This job is open toClarification from the agencyOpen to the public. Also advertised as job MS-25-PHIL-OWCP-12566368-KH; to be considered for each, apply to BOTH jobs.VideosDutiesFor 0301-15:Provide oversight and direction regarding the development, implementation, and operation of the Office of Workers Complementation Programs (OWCP) medical bill processing/provider network operations, and related functions and activities (e.g., claimant and provider inquiries, provider outreach, and fiscal operations).Supervise a staff of Federal professional employees and oversee large, complex bill process operations acquired through contracted services. Provides oversight, and advice that requires exceptional coordination and integration of a number of complex program segments for professional technical, or administrative work.Serve as a senior advisor by providing sound counsel and authoritative recommendations to the Branch Chief, Division Director, Deputy Director, and other senior officials regarding medical bill processing/provider network operations. In this capacity, the incumbent functions as the Project Manager (PM) with overall responsibility for managing broad and highly complex projects and employs strategic planning methods and technical advisory services through discussion of overall and specific problems, which may be precedent-setting, extremely involved, or very unusual, with senior executives and program managers.Function as the Project Manager (PM) or designate and oversee a PM, with overall responsibility for managing broad and highly complex projects and employs strategic planning methods and technical advisory services through discussion of overall and specific problems, which may be precedent-setting, extremely involved, or very unusual, with senior executives and program managers.Oversee customer experience (CX) efforts that include medical bill processing, provider network and pharmacy benefits management perspectives. Ensure medical bill processing services are provided in accordance with industry standard approaches, in a professional, respectful, and compassionate manner that ensures equitable access to services for all claimants.Apply mastery project management skills to effectively develop, schedule, coordinate, and administer projects and resources to include monitoring and inspecting costs, work, and contractor performance. Define and establish project scope, requirements, and deliverables as well as short- and long-term system objectives.RequirementsConditions of Employment
- Must be a U.S. Citizen.
- Must be at least 16 years old.
- Requires a probationary period if the requirement has not been met.
- Candidate required to obtain the necessary security/investigation level.
- Subject to financial disclosure requirements.
- Requires a supervisory probationary period if the requirement has not been met.
QualificationsIn describing your experience, please be clear and specific. Position titles alone cannot be used to determine if you are qualified. Please list dates in MM/DD/YYYY format. This is imperative in determining if you have at least one year of creditable specialized experience. Dates will not be assumed.You must meet the Basic Requirements listed in the Education Requirements section and the Specialized Experience to qualify for Supervisory Medical Benefits Systems Officer, as described below.Applicants must have 52 weeks of specialized experience equivalent to at least the next lower grade level, GS-14 in the Federal Service.Specialized Experience is the experience that equipped the applicant with the particular knowledge, skills, and abilities (KSA’s) to perform the duties of the position successfully, and that is typically in or related to the position to be filled. To be creditable, specialized experience must have been equivalent to at least the next lower grade level.Qualifying specialized experience for the GS-15 includes:
1. Overseeing contractors that have experience with medical bill processing operations and system functions; AND
2. Overseeing the planning, development and implementation of medical bill processing/provider network changes, improvements, and modernization initiatives; AND
3. Managing a staff who work remote and nationwide .EducationThis position does not have a education requirement.Additional informationApplicants must meet all legal and regulatory requirements. Reference the Required Documents section for additional requirements.You may not be aware, but in the regulations for agency ethics programs, there are requirements for supervisors. Section 2638.103 of Title 5 of the CFR states: Every supervisor in the executive branch has a heightened personal responsibility for advancing government ethics. It is imperative that supervisors serve as models of ethical behavior for subordinates. Supervisors have a responsibility to help ensure that subordinates are aware of their ethical obligations under the Standards of Conduct and that subordinates know how to contact agency ethics officials. Supervisors are also responsible for working with agency ethics officials to help resolve conflicts of interest and enforce government ethics laws and regulations, including those requiring certain employees to file financial disclosure reports. In addition, supervisors are responsible, when requested, for assisting agency ethics officials in evaluating potential conflicts of interest and identifying positions subject to financial disclosure requirements.Supervisory Financial Disclosure: This position is subject to the confidential financial disclosure requirements of the Ethics in Government Act of 1978 (P.L. 95-521). Therefore, if selected, you will be required to complete a Confidential Financial Disclosure Report (OGE Form 450) to determine if a conflict or an appearance of a conflict exists between your financial interest(s) and your prospective position with DOL. This information will be required annually.The mission of the Department of Labor (DOL) is to protect the welfare of workers and job seekers, improve working conditions, expand high-quality employment opportunities, and assure work-related benefits and rights for all workers. As such, the Department is committed to fostering a workplace and workforce that promote equal employment opportunity, reflects the diversity of the people we seek to serve, and models a culture of respect, equity, inclusion, and accessibility where every employee feels heard, supported, and empowered.Refer to these links for more information: , , ,As a condition of employment, all personnel must undergo a background investigation for access to DOL facilities, systems, information and/or classified materials before they can enter on duty:This is not a remote work position. The selectee will report to an assigned DOL office location on a regular basis and is eligible for participation in telework as determined by management in accordance with DOL policy.Based on agency needs, additional positions may be filled using this vacancy.The Fair Chance Act (FCA) prohibits Federal agencies from requesting an applicant’s criminal history information before the agency makes a conditional offer of employment. If you believe a DOL employee has violated your rights under the FCA, you may file a complaint of the alleged violation following our agency’s complaint process .All Department of Labor employees are subject to the provisions of the Drug-Free Workplace Program under Executive Order 12564 and Public Law 100-71.
- Benefits
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. .
Expected salary: $163964 – 191900 per year
Location: Washington DC
Job date: Sat, 12 Oct 2024 03:11:26 GMT
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