Medical Management Specialist

Full Job Description

You will serve as the Medical Management Specialist with the Health Administrative services located in Seattle, Washington.

To qualify for this position, applicants must meet all requirements within 30 days of the closing date of this announcement, 03/30/2026.

Time-In-Grade Requirement: Applicants who are current Federal employees and have held a GS grade at any time in the past 52 weeks must also meet time-in-grade requirements within 30 days of the closing date of this announcement.

For a GS-07 position you must have served 52 weeks at the GS-05. For a GS-09 position you must have served 52 weeks at the GS-07.

The grade may have been in any occupation but must have been held in the Federal service. An SF-50 that shows your time-in-grade eligibility must be submitted with your application materials.

If the most recent SF-50 has an effective date within the past year, it may not clearly demonstrate you possess one-year time-in-grade, as required by the announcement.

In this instance, you must provide an additional SF-50 that clearly demonstrates one-year time-in-grade.

An SF-50 that shows your time-in-grade eligibility must be submitted with your application materials.

Note: Time-In-Grade requirements also apply to former Federal employees applying for reinstatement as well as current employees applying for Veterans Employment Opportunities Act of 1998 (VEOA) appointment, You may qualify based on your experience and/or education as described below: For GS-07: Specialized Experience: You must one year of specialized experience equivalent to at least the GS-05 level or pay band in the Federal service that includes performing the following duties: basic knowledge of medical center organization, functions, specialties, and programs, i.e., Social Work, Nursing, Laboratory, Radiology, etc.; experience locating and interpreting regulations from a wide range of sources; reviewing data and information for trends, problem areas, and makes recommendations to management to resolve issues; ability to cope with wide variety of problems and to resolve them quickly and decisively; and explain and organize complex issues in writing.

OR, Education: Applicants may substitute education for the required experience.

To qualify based on education for this grade level you must have completed one (1) full year of graduate level education OR have a bachelor's degree with superior academic achievement.

This education must have equipped you with the knowledge, skills, and abilities to perform the duties of the position at this grade level and is in a field directly related to the position.

OR, Combination: Applicants may also combine education and experience to qualify at this level.

You must have an combination specialized experience equivalent to at least the GS-5 grade level but less than one year, and I have some graduate level education but less than one year.

I have computed the percentage of the requirements that I meet, and the total is at least 100% of the requirement for the GS-7 grade level.

Superior Academic Achievement: To meet the qualification requirements for this position using SAA.

You must have completed all the requirements for a bachelor's degree in a curriculum that is qualifying for the position to be filled and I meet one of the following: Rank in the upper one-third of your class in the college, university or major subdivision OR A grade-point average of "B" (a GPA of 2.95 or higher out of a possible 4.0) for all completed undergraduate courses, or those completed in the last two years of undergraduate study OR A grade point average of "B+" (a GPA of 3.45 or higher out of a possible 4.0) for all courses in your major field of study, or those courses in your major completed in the last two years of undergraduate study OR Membership in a national honor society (other than freshman honor societies) recognized by the Association of College Honor Societies.

For a list of recognized honor societies please visit http://www.achsnatl.org/quick_link.asp.

For GS-09: Specialized Experience: You must have one year of specialized experience equivalent to at least the GS-07 level or pay band in the Federal service that includes performing the following duties: experienced using a wide range of medical center administrative concepts, principles, and practices; provides technical guidance necessary to meet procedural, legal, and administrative requirements relating to the care and treatment of patients; reviewing data and information for trends, problem areas, and makes recommendations to management to resolve issues; interpreting rules, regulations, policies, and procedures to make sound decisions; and identify and analyze complex problems or situations with a range of variables.

OR, Education: Applicants may substitute education for the required experience.

To qualify based on education for this grade level you must have successfully completed a master's degree or equivalent graduate degree OR I have two (2) full years of progressively higher-level graduate education leading to such a degree OR I have a LL.B.

or J.D., if related, that demonstrates the knowledge, skills, and abilities necessary to do the work. OR, Combination: Applicants may also combine education and experience to qualify at this level.

I have some specialized experience as described in A but less than one year, and I have more than one year but less than two years of graduate education as described in B.

I have computed the percentage of these requirements that I meet, and the total is at least 100%. (To compute the percentage, divide your total months of qualifying experience by 12.

Then divide your semester hours of graduate education beyond two years by 18. Add the two percentages. The total percentage must equal at least 100 percent to qualify).

have some specialized experience as described in A but less than one year, and I have more than one year but less than two years of graduate education as described in B.

I have computed the percentage of these requirements that I meet, and the total is at least 100%. (To compute the percentage, divide your total months of qualifying experience by 12.

Then divide your semester hours of graduate education beyond two years by 18. Add the two percentages. The total percentage must equal at least 100 percent to qualify). Add the two percentages.

The total percentage must equal at least 100 percent to qualify). NOTE: Transcripts must be submitted with application. Education cannot be credited without documentation.

For more information on these qualification standards, please visit the United States Office of Personnel Management's website at https://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/.

Major Duties:

Assist medical center staff with medical related problems, including involuntary commitments, orders of protective custody, and management of unruly or severely disturbed patients.

Maintain contact with clinical staff, police, and support staff to resolve patient related problems as they arise.

Assist clinical staff with scheduling appointments, patient check-out, ordering tests, and processing of clinical encounter information.

Oversee determination of applicants' eligibility; obtaining income and insurance information for appropriate nonservice-connected applicants, counseling nonservice-connected veterans to determine ability to defray costs of medical care elsewhere.

Interpret VA rules and regulations relating to determining legal entitlement to benefits relating to hospital admission; nursing home, domiciliary, community care, outpatient care, dental treatment, prosthetic appliances, patient transfer; and beneficiary travel.

Provide administrative authority, guidance, and advice to Medical Officer of the Day (MOD) and other clinical staff concerning administrative matters for operation of the medical center during other than normal tours.

Assist providers in determining appropriate non-VA resources and travel arrangements to provide necessary medical treatment while evaluating choices that could contribute to medical center cost savings.

Facilitate urgent transportation for Veterans as needed, to include flights for VA organ transplant candidates being sent out of state.

Investigate unusual incidents occurring during tour involving welfare, injury, abuse of patients, loss of personal property, and infractions of VAMC rules.

Provide information on VA eligibility and benefits to Veterans, relatives, survivors of deceased patients, funeral directors, government representatives, ambulance companies, private physicians, attorneys, insurance companies, and other VA medical center employees.

Assume control of communications and notifications in event of local and civil disasters, in accordance with local facility disaster plan and succession roster for designation of action disaster coordinator.

Report any actions that may adversely affect the safety of the patient or staff. Perform other duties as assigned.

Promotion Potential: The selectee may be promoted to the full performance level without further competition when all regulatory, qualification, and performance requirements are met.

Selection at a lower grade level does not guarantee promotion to the full performance level. Work Schedule: Rotating Shifts every 90 days. Telework: This is not a telework position.

Virtual: This is not a virtual position. Position Description/PD#: Medical Management Specialist/PD99385S and PD99368S Relocation/Recruitment Incentives: Not authorized.

Critical Skills Incentive (CSI): Not authorized. Permanent Change of Station (PCS): Not authorized.