Contact Representative

About the Position: This position is located in TRICARE Operations, Directorate of Administration, 66th Medical Group at MacDill Air Force Base, Hillsborough County, Florida.

Duties

• Troubleshoot problems with health care plans/services to resolve issues between beneficiaries and providers.

• Provide information to local civilian hospitals, clinics, individual providers, and others as trends or problems are noted in claims processing, eligibility criteria, and treatment authorized under the program.

• Resolve problems encountered with the delivery and receipt of health care from military and civilian providers.

• Explain issues to customers that affect rates, payments, entitlements, waivers, and reconsideration rights in relation to their benefits.

• Provide enrollment assistance, beneficiary program counseling and assistance, and claim processing and clarify eligibility requirements and benefits.

Salary

• $49,025 - $63,733/year

Conditions of Employment

• Tuberculosis Test is required.
• Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
• A Personnel Security Investigation is required.
• All Health Care Providers must be able to obtain and maintain current Basic Life Support (BLS) training and certification that is sponsored or endorsed by the American Heart Association (AHA).
• Selectees will be required to sign a statement (Condition of Employment) consenting to seasonal influenza vaccinations or must provide a recognized exemption.
• Immunization screening is required. Hepatitis B immunization is required for all positions with direct patient contact. Applicants may be required to show proof of other immunizations depending on the type of position
• This position may require the incumbent to work other than normal duty hours, which may include evenings, weekends, and/or holidays.

Qualifications 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-Appropriated Fund Instrumentality (NAFI)
• Non-Department of Defense (DoD) Transfer
• Office of Personnel Management (OPM) Interchange Agreement Eligible
• People with Disabilities, Schedule A
• Postal Service/Peace Corps and Other Unique Authorities
• 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
• Reinstatement
• Veterans Employment Opportunity Act (VEOA) of 1998
• Veterans Recruitment Appointment (VRA)

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 includes providing information and/or guidance on healthcare costs, services, and benefits of Military Health Plan Programs (TRICARE, CHAMPUS, etc.). This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-06).

You will be evaluated on the basis of your level of competency in the following areas:

• Customer Service (Clerical/Technical)
• Oral Communication
• 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-06). Other Information

• Male applicants born after December 31, 1959 must complete a Pre-Employment Certification Statement for Selective Service Registration.
• You will be required to provide proof of U.S. Citizenship.
• One year trial/probationary period may be required.
• Direct Deposit of Pay is required.
• Selection is subject to restrictions resulting from Department of Defense referral system for displaced employees.
• Multiple positions may be filled from this announcement.
• Salary includes applicable locality pay or Local Market Supplement.
• If you have retired from federal service and you are interested in employment as a reemployed annuitant, see the information in the Reemployed Annuitant information sheet.
• Payment of Permanent Change of Station (PCS) costs is not authorized, based on a determination that a PCS move is not in the Government interest.
• The selecting official has requested a competitive and non-competitive candidate list for this vacancy. If you are eligible for the non-competitive 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.

Required Documents

The documents you are required to submit vary based on the authority you are using to apply (i.e., applying as a veteran, applying as a current permanent Federal employee, applying as a reinstatement, etc). Please review the following links to see which documents you need to provide to prove your eligibility to apply: Applicant Checklist for Internal/MP Announcements (DoD)

As described above, your complete application includes your resume, your responses to the online questionnaire, and documents which prove your eligibility to apply. If you fail to provide these documents, you will be marked as having an incomplete application package and you will not be considered any further.

1. Your resume:

• Your resume may be submitted in any format and must support the specialized experience described in this announcement.
• If your resume includes a photograph or other inappropriate material or content, it will not be used to make eligibility and qualification determinations and you may not be considered for this vacancy.
• For qualifications determinations your resume must contain hours worked per week and the dates of employment (i.e., HRS per week and month/year to month/year or month/year to present). If your resume does not contain this information, your application may be marked as incomplete and you may not receive consideration for this position.
• For additional information see: What to include in your resume.

2. Other supporting documents:

• Cover Letter, optional
• Most recent Performance Appraisal, if applicable
• Proof of Eligibility to Apply: Your application must include the documents which prove you are eligible to apply for the vacancy. The Proof of Eligibility document describes authorities commonly used in merit promotion recruitment and what document(s) are required to prove you meet the requirements of the authority. You must meet the requirements of at least one of the authorities listed in the Who May Apply section above to receive further consideration.
• Time-in-grade documentation: If you are applying for a higher grade and your SF-50 has an effective date within the past year, it may not clearly demonstrate you meet the one year time-in-grade requirement so you will need to provide an SF-50 which clearly demonstrates you meet the time-in-grade requirements (examples of appropriate SF-50s include Promotions, Within-grade Grade/Range Increases, and SF-50s with an effective date more than one year old).
• This position requires a job-related certification. If you possess it, please submit a copy of your Basic Life Support certification with your application package. See: Transcripts and Licenses

NOTE: Documents submitted as part of the application package, to include supplemental documents, may be shared beyond the Human Resources Office. Some supplemental documents such as military orders and marriage certificates may contain personal information for someone other than you. You may sanitize these documents to remove another person's personal information before you submit your application. You may be asked to provide an un-sanitized version of the documents if you are selected to confirm your eligibility.

How to Apply

To apply for this position, you must complete the online questionnaire and submit the documentation specified in the Required Documents section below.

The complete application package must be submitted by 11:59 PM (EST) on 11/26/2024to receive consideration.

• To begin, click Apply to access the online application. You will need to be logged into your USAJOBS account to apply. If you do not have a USAJOBS account, you will need to create one before beginning the application (https://apply.usastaffing.gov/ViewQuestionnaire/12613758).
• Follow the prompts to select your resume and/or other supporting documents to be included with your application package. You will have the opportunity to upload additional documents to include in your application before it is submitted. Your uploaded documents may take several hours to clear the virus scan process.
• After acknowledging you have reviewed your application package, complete the Include Personal Information section as you deem appropriate and click to continue with the application process.
• You will be taken to the online application which you must complete in order to apply for the position. Complete the online application, verify the required documentation is included with your application package, and submit the application. You must re-select your resume and/or other documents from your USAJOBS account or your application will be incomplete.
• It is your responsibility to verify that your application package (resume, supporting documents, and responses to the questionnaire) is complete, accurate, and submitted by the closing date. Uploaded documents may take up to one hour to clear the virus scan.
• Additional information on how to complete the online application process and submit your online application may be found on the USA Staffing Applicant Resource Center.

To verify the status of your application, log into your USAJOBS account (https://my.usajobs.gov/Account/Login), all of your applications will appear on the Welcome screen. The Application Status will appear along with the date your application was last updated. For information on what each Application Status means, visit: https://www.usajobs.gov/Help/how-to/application/status/.

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