Healthcare Operations Leadership: Claims Management Program Analyst (O-4 Billet) with IHSC
The delivery of healthcare within federal detention networks demands a sophisticated balance of administrative precision, clinical integrity, and compliance management. The ICE Health Service Corps (IHSC), operating under the Department of Homeland Security (DHS), manages a highly complex care system for individuals in U.S. Immigration and Customs Enforcement (ICE) custody. To ensure this system functions smoothly, IHSC relies on highly skilled administrative and clinical leaders.
Currently, IHSC is seeking an active-duty U.S. Public Health Service (USPHS) Commissioned Officer or a qualified Call to Active Duty (CAD) candidate to fill the role of Claims Management Program Analyst (O-4 Billet). This non-supervisory position is perfect for a medical administrative professional or a clinician looking to transition their experience into a program management role. With negotiable geographic placement across multiple major metropolitan areas, this career opportunity offers the potential to make a broad impact on federal public health operations.
About the Agency: The ICE Health Service Corps (IHSC)
As a core component of U.S. Immigration and Customs Enforcement, the ICE Health Service Corps (IHSC) is tasked with providing direct medical, dental, and mental health care, as well as coordinating specialty care, for individuals detained by ICE. IHSC's healthcare network comprises a diverse multidisciplinary team of civil service employees, contract personnel, and USPHS Commissioned Corps officers.
The Mission of DHS and ICE
The Department of Homeland Security (DHS) works daily to protect the American public, secure the nation's borders, and respond to disasters. Within this framework, ICE focuses on enforcing federal immigration laws, combating transnational crime, and securing our borders. Operating within these parameters, IHSC ensures that those in federal custody receive safe, humane, and constitutionally compliant healthcare. Contributing to this mission as a USPHS Officer means driving clinical quality and fiscal accountability across the entire agency footprint.
Job Responsibilities: Driving Efficiency and Compliance
The role of a Claims Management Program Analyst (CMPA) is multi-faceted. It demands a professional who can transition easily between financial analysis, interagency coordination, and clinical quality oversight. You will serve as the principal liaison between IHSC, third-party administrators (TPAs), U.S. Customs and Border Protection (CBP) components, and ICE Enforcement and Removal Operations (ERO).
Key Duties and Operational Tasks:
- Liaison & Collaboration: Cultivate and maintain strong working partnerships with external consultants, health contractors, CBP representatives, and community-based specialty healthcare providers to streamline off-site care delivery.
- Claims Management & Quality Control: Oversee everyday activities regarding eligibility verification, medical necessity authorizations, clinical denial reviews, and medical billing appeals. Your work helps minimize administrative errors and ensures timely payment processing.
- Policy Design and Implementation: Analyze current operational policies and procedures to ensure alignment with evidence-based national healthcare guidelines, federal regulations, and ICE detention standards.
- Training & Advisory Support: Provide detailed technical guidance, regulatory instruction, and standard-operating training to medical staff and administrative personnel located at IHSC facilities nationwide.
- Clinical Emergency Readiness: In periods of critical staffing shortages or emergency deployments, you may be tasked with performing clinical duties matching your professional license. This includes temporary duty assignments (TDY) to deliver hands-on clinical care in active detention centers.
Requirements and Qualifications
To be considered for this O-4 billet, applicants must meet specific federal credentials, professional training standards, and unique physical demands. This position is not open to the general public.
Core Eligibility Criteria
- Commissioned Corps Status: Candidates must be active-duty USPHS Commissioned Officers or approved for Call to Active Duty (CAD).
- Education: A qualifying professional degree in healthcare administration, finance, nursing, or a related discipline from an accredited institution.
- Professional Experience: A minimum of three (3) years of professional career experience. Within those three years, at least two (2) years of dedicated experience in healthcare administration, program management, finance, or medical claims administration is strongly preferred.
- Licensure: If you hold an active clinical license, you must maintain it in good standing with your respective licensing body.
Critical Physical Demands
Because IHSC operates in law enforcement and detention facility environments, officers must maintain excellent physical readiness. Key physical expectations include:
- Ability to stand or sit continuously for extended periods of 6 to 8 hours.
- Sufficient manual dexterity to operate computers and communication systems quickly and accurately.
- Ability to walk unaided at a normal pace for a minimum of 5 minutes and run or fast-walk up to a quarter-mile.
- Capacity to administer emergency medical support or CPR while kneeling or standing.
- Ability to assist, lift, pull, wheel, or carry an injured colleague or detainee during an emergency evacuation.
Salary & Position Details
| Position Element | Details |
|---|---|
| Billet Grade | O-4 (CC Grade Range: 4-4) |
| Salary Range | Up to $150,000 per year (Subject to USPHS active duty pay tables, allowances, and geographic differentials) |
| Supervisory Status | Non-Supervisory |
| Telework Eligibility | Yes, highly eligible depending on agency guidelines and supervisor approval |
| Duty Location | Negotiable after selection (20+ major metropolitan options nationwide) |
| Travel Requirements | Approximately 15% travel (including potential TDYs to critical facilities) |
Benefits of Joining the USPHS Commissioned Corps at IHSC
Serving as a Commissioned Officer within the USPHS brings excellent compensation, unique professional benefits, and career-advancement paths.
- Comprehensive Health Coverage: Complete, high-quality medical, dental, and vision care through TRICARE for you and your dependents.
- Housing & Subsistence Allowances: Tax-free allowances (such as Basic Allowance for Housing - BAH, and Basic Allowance for Subsistence - BAS) that substantially elevate your overall compensation package.
- Retirement & Financial Security: Access to a secure, generous federal pension plan alongside voluntary contributions to the Thrift Savings Plan (TSP) with agency matching options.
- Generous Paid Time Off: 30 days of paid annual leave, sick leave benefits, and recognition of all official federal holidays.
- Professional Development: Continuous leadership training, executive mentoring, and specialized clinical and program management training courses.
Application Tips for Success
Getting selected for a USPHS billet requires thorough attention to detail and a complete, well-prepared application package. Here are strategic tips to make your submission stand out:
- Optimize Your USPHS Promotion CV: Do not submit a generic resume. Ensure your CV clearly highlights your specific experience in program evaluation, claims reconciliation, financial auditing, and interagency collaboration.
- Provide Detailed Coding Knowledge: If you have experience with ICD-10, CPT, DRG, or general CMS compliance, make sure to explicitly detail this in your descriptions of previous work.
- Prepare Your Appraisals Early: Gather your three most recent Commissioned Officer Effectiveness Reports (COERs). Missing performance appraisals can delay your package or disqualify you from consideration.
- Address the Assignment Pay (AP) Requirement: Make sure to submit your current Service Remaining Requirements Agreement or upload a memo confirming you do not have an active AP agreement.
- Proofread and Format Document Names: Label every uploaded PDF clearly (e.g.,
LASTNAME_FIRSTNAME_USPHS_CV.pdf,LASTNAME_FIRSTNAME_COER_2025.pdf). Neatness and organization demonstrate administrative competency.
2. Can I apply if I am not currently a USPHS Commissioned Officer?
You may only apply if you are an active-duty USPHS Commissioned Officer or if you are an approved Call to Active Duty (CAD) candidate with a valid Appointment Board Decision Letter.
3. What does "Non-Supervisory" mean for my career track?
This means you will focus on high-level program analysis, policy evaluation, and interagency liaising without the administrative burden of managing direct reports. This is a great opportunity to build deep technical expertise in federal claims management.
4. How much travel should I expect?
Travel is estimated at 15%. This includes routine operational meetings, program audits, and possible Temporary Duty (TDY) assignments to support clinical care delivery at IHSC detention centers.
5. Who should I contact if I have technical issues with my application?
You can contact the IHSC Recruiting Team directly at [email protected] for assistance. Please reach out at least 24 hours prior to the application deadline.
The Claims Management Program Analyst (O-4 Billet) position with the ICE Health Service Corps is a fantastic opportunity for USPHS Commissioned Officers who want to lead essential healthcare compliance programs. If you are ready to combine your analytical skills, healthcare system experience, and dedication to public service, submit your application before the closing date on September 30, 2026.
Why This Claims Management Program Analyst (O-4 Billet) Non-Supervisory Job Matters
Take your healthcare administration leadership to the next level within the U.S. Public Health Service Commissioned Corps by steering claims management operations and safeguarding critical clinical care pathways at the ICE Health Service Corps.
Claims Management Program Analyst (O-4 Billet) Non-Supervisory Job Overview
The ICE Health Service Corps (IHSC) is seeking a motivated, high-performing U.S. Public Health Service (USPHS) Commissioned Officer (O-4 Billet) or Call to Active Duty (CAD) candidate for the position of Claims Management Program Analyst. In this non-supervisory role, you will be instrumental in managing complex medical claims, coordinating provider recruitment, and ensuring robust compliance with national healthcare standards for individuals in ICE custody. Operating at the vital intersection of operations, finance, and clinical quality, you will manage interactions with third-party administrators, regional stakeholders, and clinical facilities across a highly flexible, nationwide network of potential duty locations.
Requirements for Claims Management Program Analyst (O-4 Billet) Non-Supervisory
- Must be a current U.S. Public Health Service (USPHS) Commissioned Officer or an active Call to Active Duty (CAD) candidate.
- Must hold a qualifying professional degree for the officer's category from an accredited institution.
- Maintain active, unrestricted professional clinical licensure or certification (if applicable to officer's category).
- Must meet rigorous USPHS physical fitness and medical readiness standards.
- Ability to perform demanding physical activities, including sitting/standing for 6-8 hours, bending, jogging/fast walking up to 1/4 mile, and walking unaided for at least 5 minutes.
- Physical capacity to perform CPR or emergency care while standing or kneeling.
- Capability to assist, lift, drag, wheel, or carry individuals who may weigh significantly more than oneself during evacuation or emergency scenarios.
- Willingness to travel (estimated at 15%) to support operational needs or perform Temporary Duty (TDY) clinical support at IHSC facilities.
Preferred Qualifications for Claims Management Program Analyst (O-4 Billet) Non-Supervisory
- A minimum of three years of professional experience relevant to the officer's USPHS category.
- At least two years of specialized experience in program management, healthcare administration, finance, or medical claims administration.
- Working knowledge of healthcare coding standards, including ICD-10, CPT, and DRG systems, along with CMS billing regulations.
- Demonstrated experience navigating Electronic Health Records (EHR) and utilizing cloud-based collaborative tools like Microsoft SharePoint and Office Suite.
- Strong analytical skills with a proven track record of resolving complex billing, denial, and clinical authorization discrepancies.
Federal Benefits & Perks
- ✓Competitive USPHS Basic Pay and allowances (housing, subsistence) based on rank and geographic duty station.
- ✓Comprehensive medical, dental, and vision coverage through TRICARE.
- ✓Generous federal retirement pension plan and voluntary participation in the Thrift Savings Plan (TSP).
- ✓Paid annual leave, sick leave, and federal holidays.
- ✓Relocation assistance/reimbursement for authorized moves.
- ✓Access to continuous professional development, clinical education, and leadership training.
💡 How to Apply Claims Management Program Analyst (O-4 Billet) Non-Supervisory Job & Insider Tips
Application Steps for Claims Management Program Analyst (O-4 Billet) Non-Supervisory Job
- Log into or create your USAJOBS account and locate the announcement for Position ID: IHSC-HPMU-CMPA-O4-NS-2026.
- Click 'Apply Online' to be redirected to the USA Staffing system.
- Complete the occupational questionnaire and answer all questions honestly and thoroughly.
- Gather and upload all required USPHS or CAD documentation, ensuring each file is placed under the correct document category (e.g., CV under 'USPHS Promotion CV', COERs under 'Performance Appraisal').
- Verify your contact details, especially your email address, to ensure you receive timely status updates.
- Review your complete package and submit your answers prior to the closing deadline of September 30, 2026, at 11:59 PM EST.
💡 General Tips
- Ensure your USPHS Promotion CV explicitly details your program management, healthcare administration, and claims experience.
- If you have a clinical background, clearly state your licensing credentials and note your willingness to step into direct clinical support environments during TDY deployments.
- Double-check that you have uploaded your three most recent Commissioned Officer Effectiveness Reports (COERs) as these are critical for eligibility review.
- If you do not have an active Assignment Pay (AP) Agreement, you must draft and upload a memo formally attesting to this in the designated AP section.
- Be precise when listing your professional references; ensure their contact details, titles, and relationships to your work are accurate and current.
Frequently Asked Questions
Is this position open to the general public?
No. This position is strictly limited to active-duty U.S. Public Health Service (USPHS) Commissioned Officers and certified Call to Active Duty (CAD) candidates.
Can I work remotely or telework in this role?
The position is telework eligible, subject to agency policy and supervisor approval. Additionally, the geographic duty location is negotiable upon selection, allowing flexibility across several metropolitan regions.
What does the physical readiness evaluation entail?
Due to the unique environments in which IHSC operates, officers must be physically capable of standing or sitting for 6-8 hours, fast walking/jogging up to a quarter-mile, performing CPR kneeling or standing, and assisting in the physical evacuation or transport of staff or detainees in an emergency.
Is clinical practice required for this administrative role?
While the primary duties are administrative, if you hold a clinical license, you may be required to maintain it and occasionally perform clinical activities. This includes potential Temporary Duty (TDY) assignments to provide clinical care support at IHSC-staffed detention facilities experiencing critical staffing shortages.
1. Where can this position be located?
The geographic duty station for this position is negotiable upon selection. Possible locations include major cities such as Washington D.C., Atlanta, Seattle, Los Angeles, San Francisco, Miami, Boston, Chicago, Denver, Phoenix, New York, Austin, and Salt Lake City, among others.