Health System Specialist (Risk Management)

Full Job Description

About the Position: This position is located in the Defense Health Agency (DHA) under the policy guidance and direction of the Assistant Secretary of Defense for Health Affairs (ASD (HA)) in San Antonio, Texas.

This is a Direct Hire Solicitation. Advanced degree (Masters degree or higher) in a clinical healthcare field in preferred. Minimum of 8 years experience in healthcare is desired.

Minimum of 5 years of progressive experience in healthcare risk management is preferred. 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 administering healthcare risk management program activities such as provider adverse action or medical malpractice claim review; AND providing advisory services to leadership based on the interpretation of federal regulations or DOD directives; AND utilizing healthcare data systems to perform trend analysis of risk management data; AND developing reports for leadership review with recommendations based on healthcare risk management data analysis.

This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-12).

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. Major Duties:

• Investigates, analyzes, and processes all provider adverse actions, medical malpractice claims, and active duty death/disability cases in accordance with federal and Department of Defense regulations.
• Acts as the principal consultant for the healthcare system on risk management, interpreting complex laws (e.g., Federal Tort Claims Act), DHA directives, and accreditation standards to provide authoritative guidance to leadership and staff.
• Utilizes healthcare data systems (like JCCQAS and NPDB) to collect, validate, and analyze patient safety, claims, and provider outcome data to identify systemic risks, patterns, and performance trends.
• Creates comprehensive reports, summaries, and briefings based on data analysis, presenting findings and actionable recommendations to leadership to mitigate risk and inform strategic decision-making.
• Directs or participates in intensive clinical investigations and root cause analyses for sentinel events and other serious patient safety incidents to identify contributing factors and develop effective corrective action plans.
• Drafts, reviews, and implements local policies, procedures, and clinical guidance related to risk management and patient safety to ensure alignment with national standards and legal requirements.
• Monitors organizational activities and processes to ensure compliance with the risk management and patient safety standards required by accrediting bodies such as The Joint Commission and the National Committee for Quality Assurance (NCQA).