Supervisory Health System Specialist (PRC)
This position is organizationally located in the Purchased and Referred Care (PRC) program at the Phoenix Indian Medical Center (PIMC) located in Phoenix, AZ. The purpose of this position is to provide support and technical assistance to the Service Unit management on matters involving processing PRC Referrals. Serves as the Supervisor of the Referrals section within the PRC program. A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).
Total Compensation Package - Check out IHS's outstanding total compensation package for this job: Health System Specialist Total Compensation | Pay (ihs.gov) Manages and oversees Purchased/Referred Care and related programs, ensuring compliance with IHS policies, coordinating with leadership, and advising on program operations, regulatory requirements, and strategic planning. Leads program improvement and stakeholder engagement, implementing quality controls, managing appeals and claims, educating patients and partners, and maximizing use of alternative resources to enhance program effectiveness and compliance. Oversees high-risk case management, ensuring eligibility compliance, timely reporting, effective referral coordination, and providing guidance, education, and oversight to support managed care processes. Directs and supervises program staff and operations, overseeing work planning, assignments, performance management, hiring, training, and employee relations while improving productivity, maintaining quality standards, and ensuring effective program execution.
Selectee may be subject to a probationary period ESEP appointees typically serve a two year trial period U.S. Citizenship is required Selective Service Registration is required for males born after 12/31/1959 This is a designated position covered by Public Law 101-630, requiring contact or control over Indian children. Due to this requirement, the agency must ensure that persons hired for these positions have not been found guilty of or pleaded nolo contendere or guilty to certain crimes. A one-year supervisory/managerial probationary period may be required upon selection/placement. On-call hours or standby duty may be required. Successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit www.dhs.gov/E-Verify/. You will need to set up direct deposit so we can pay you. Background Investigation Requirement: This position requires the successful completion of a federal background investigation as a condition of employment. A background investigation is a standard process used by the Federal Government to verify an individual's identity, employment history, education, and other relevant information to determine suitability for Federal service. Upon receipt of instructions, applicants must complete all required background investigation forms within five (5) calendar days of issuance. Timely completion is critical to avoid delays in processing or a determination of unsuitability. Applicants are strongly encouraged to prioritize this requirement and to maintain regular communication with their assigned Personnel Security Specialist throughout the process. Financial Suitability Requirement: This position requires a review of the applicant's financial history as part of the personnel security and suitability determination. Applicants must demonstrate financial responsibility, maintain good standing with creditors, and satisfy all legal financial obligations prior to applying. Individuals with substantial delinquent or unresolved financial obligations-including, but not limited to, delinquent federal or state tax liabilities, defaulted federal student loans, court-ordered fines or fees, or child support arrears-may be deemed unsuitable for employment with the Indian Health Service (IHS). Prior to the appointment, candidates must present two valid forms of identification. If one of the documents is a state-issued ID or driver's license, it must be REAL ID-compliant.