Utilizes a variety of software and database packages in support of the program such as: VISTA, Patient Registration, Integrated Fund Control, CPRS, REFDOC, Adobe Acrobat Pro, Secure Messaging, VEText, VA Online Scheduling (VAOS), Health Share Referral Manager (HSRM), Provider Profile Management System (PPMS), Enterprise Precision Scanning and Indexing (EPSI), Enterprise Cloud Fax (ECFax), Consult Tracking Manager Plus (CTM+) and the Patient Advocate Tracking System Replacement (PATS-R) . In depth or broad knowledge of a body of purchasing regulations, methods, procedures, and business practices to make purchases involving (1) specialized requirements and/or (2) commercial requirements that have unstable price or product characteristics, hard-to-locate sources, many critical characteristics, or similar complicating factors.