Management and Program Analyst

Summary

About the Position: Incumbent to serve as Program Manager & Accreditation Officer for the Dept of Quality Management at Naval Health Clinic Patuxent River and its outlying clinics. Responsible for overseeing accreditation & readiness programs in alignment with standards established by The Joint Commission. This is a Direct Hire Authority (DHA) solicitation utilizing the DHA for Certain Personnel of the DoD to recruit and appoint qualified candidates to positions in the competitive service.

Duties

• Develop processes to assess and validate compliance checklists applicable to The Joint Commission standards.
• Analyze and provide accreditation compliance reports, executive summaries, and briefings to the executive staff.
• Develop and implement the execution of facility-wide mock surveys and analyze the results to identify and mandate correction of vulnerabilities.
• Manage the organization’s preparation and report of significant findings related to patient care practices to the Quality Council, Medical Executive Committee (MSEC) and Executive Committee.
• Provide critical support to the Chief Medical Officer to ensure the organization is operated in strict compliance with the Defense Health Agency regulations.
• Ensure data is relevant and meets regulatory requirements for The Joint Commission and DoD compliance with Quality Improvement/Process Improvement program(s).
• Advise department chiefs and other staff on findings of analysis and recommends methods for improving outcomes.
• Serve as the Military Treatment Facility's senior technical expert for the Performance Improvement (PI) program.
• Develop policies and governance to standardize Performance Improvement (PI) procedures and training across the command.
• Facilitate performance improvement activities throughout the organization that includes the planning, developing, directing, organizing and evaluating of improvement initiatives and ongoing measures of organization performance.
• Collaborate with Patient Safety Manager, Risk Manager, Safety Manager, Clinical Operations, Patient Experience/Satisfaction, and Department Chiefs through the strategic planning process to prioritize quality assessment and performance improvement.

Qualifications

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 1) supporting hospital readiness and accreditation programs in alignment with The Joint Commission standards; 2) collaborating with hospital leadership and clinical staff to identify operational deficiencies and recommend process improvements; 3) interpreting and applying regulatory guidance to ensure compliance with healthcare regulations; and 4) retrieving, analyzing, and interpreting data from electronic health systems to identify trends. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-11). supporting hospital readiness and accreditation programs in alignment with The Joint Commission standards; collaborating with hospital leadership and clinical staff to identify operational deficiencies and recommend process improvements; interpreting and applying regulatory guidance to ensure compliance with healthcare regulations; and retrieving, analyzing, and interpreting data from electronic health systems to identify trends. **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.

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 09/07/2026to 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/13052104). Follow the prompts to select your resume and/or other supporting documents to be included with your application package. As a reminder, your resume must be two pages or less and must support the specialized experience described in this announcement. Resumes exceeding two pages will be removed from consideration. For additional information, refer to the 'Required Documents' section. 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. Your resume selected in USAJOBS will be included, but you must re-select other documents from your USAJOBS account or your application may 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://www.usajobs.gov/applicant/profile/dashboard/), 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://help.usajobs.gov/how-to/application/status.