Job DescriptionJob Description
MEDICAL ADMINISTRATION SPECIALIST
SUMMARY: Provides medical administration services in a wide range of organizational, business and financial
operations. This individual will assist senior level management by providing technical expertise and administrative
support impacting plans and operations, compliance, risk and quality management, managed care, human resource
management, logistics management, patient administration, budgetary and fiscal management, medical manpower,
information management, medical readiness, medical facility management, and biometrics.
1. QUALIFICATIONS:
1.1. Mandatory knowledge and skills.
1.1.1. Mastery level knowledge of military Medical Services, civilian health care delivery systems, military
management health care principles and techniques, TRICARE Managed Health Support contracts and clinical and
financial systems, policies, procedures, and standards.
1.1.2. Must have knowledge of DoD, Air Force, Army or Navy and Accreditation Association of Ambulatory
Health Care (AAAHC) standards and privacy and confidentiality requirements (HIPAA).
1.1.3. Must have working knowledge of Department of Defense (DoD), Federal, State, non-profit healthcare
systems and organizations, to include DoD Tri-Service Military Healthcare Systems, TRICARE purchased care
system, Medicare, Medicaid, Veterans Administration (VA), Public Health Department, and Regional and local
support services.
1.1.4. Knowledge of medical information systems and automated analytical tools and software (clinical and
financial models). Expertise in quantitative and quantitative analyses techniques using various military computer
systems.
1.1.5. Knowledge of Microsoft Office programs, Outlook (e-mail), and Internet familiarity is required. This
includes various microcomputer equipment, and be able to input, retrieve and format documentation.
1.1.6. Effective communication skills both orally and in writing. Research of operational activities may require
coordination with high level officials such as the comptroller, civil engineering, or civilian and federal agencies.
1.2. Education. A bachelor's degree in health care administration, business, information management, or a related
discipline is required. Master's Degree is one of these areas is preferred.
1.3. Experience. At minimum of 10 years of medical administration services is required.
1.3.1. Equivalent combinations of education and experience may be qualifying if approved by the requesting
location and the Contracting Officer.
1.4. Work Environment/Physical Requirements. The work is primarily sedentary. However, there may be some
physical demands. Requirements include prolonged walking, standing, sitting or bending.
2. UNIQUE MILITARY HEALTH CARE SYSTEMS/PROCEDURES:
2.1. Specific military systems include, but are not limited to: The Composite Health Care System (CHCS) MHS
GENESIS, AHLTA, ICD programs, government data repositories such as P2R2 Virtual Analyst, M2 Data Mart,
Enterprise Data Warehouse (EDW), Population Health Operational Tracking and Optimization System, Defense
Medical Logistics Standard Support (DMLSS), Medical Expense and Performance Reporting System, Third Party
Collections, Defense Pharmacy System, Radiology and PACS, Automated Business Services System and
Commanders' Resource Integration System.
3. PERFORMANCE OUTCOMES:
3.1. Reviews health care delivery plans; identifies market forces, patient and beneficiary demand and other issues
impacting MTF capabilities, access and patient care compliance and/or quality of care and services. Projects and
studies require analysis of inter-related issues of effectiveness, efficiency, productivity and
customer satisfaction during both peacetime and wartime.
3.2. Researches and analyzes complex health care operations. Prepares presentations, project papers, staff and
biometric reports and other medical administrative correspondence; delivers to senior MTF management.
3.3. Uses business intelligence applications to extract, manipulate, format, and from various Government computer
systems. May maintain metadata, or design basic databases.
3.4. Notifies and directs professional staff and other medical administrative personnel regarding process, policy
and requirements.
3.5. Using analytical skills and tested methodologies, conducts studies in support of various projects, program,
processes or initiatives covering all aspects of military health care activities. Projects may be complicated by
regulatory requirements, long-range projections and objectives, and/or political and economic uncertainties.
3.6. Validates and implements MTF policy in support of hospital accreditation program and quality improvement
efforts.
3.7. Assists with the development of financial plans and budgets to execute health care activities and initiatives.
Analyzes utilization of funds in collaboration with MTF management.
3.8. Assists with preparations for facility construction, modification and design activities. Researches
requirements to ensure an adequate patient care facility as well as a safe work environment.
Directorate for Administration (DFA) MEDICAL ADMINISTRATIVE SPECIALIST
Medical Administrative Specialist is required to support the Medical Evaluation Board (MEB)
and Physical Evaluation Board Liaison Officer (PEBLO) staff and patient services to assist with
achieving its Integrated Disability Evaluation System (IDES) goals and objectives. The MEB
and PEBLO medical administrative services will also support processing members for the
Temporary Disability Evaluation Board (TDEB) and Permanent Disability Evaluation Board
(PDEB), as well as Limited Duty (LIMDU) boards located at JBPHH NHCH. The NHCH is a
TRICARE Prime facility that serves active duty, their family members, eligible retired military
personnel, and their families.
The Medical Administrative Specialist will provide information to Active-Duty Service
members, facility staff, local and remote commands as applicable. This position will provide a
wide range of clerical/administrative support within Branch Health and Dental outpatient clinics.
Schedules appointments in Composite Health Care Systems (CHCS/AHLTA) or MHS GENESIS
for primary care, specialty, and subspecialty medical care. In addition to, scheduling requested
appointments, this position will call patients to schedule, reschedule, and/or cancels
appointments as needed, to include appointments for consult/referral specialty care within the
MTF. Serves as a medical records technician to process and maintain inpatient, outpatient or
ambulatory procedure unit medical records. Compile or extract medical records data to ensure
compliance with regulatory requirements.
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