Beneficiary Briefing Prog Mgr (Finance)

We offer remote work opportunities (AK, AR, AZ, CA, *CO, FL, *HI, IA, ID, *IL, KS, LA, MD, *MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, *WA, WI & WY only).

Our Department of Defense contract requires US citizenship and a favorably adjudicated DOD background investigation for this position.

Veterans, Reservists, Guardsmen and military family members are encouraged to apply!

Job Summary

This position provides management oversight of the MTF/Guard/Reserve/MSO/VSO Briefing Program supported by the Military and Veteran Services (MVS) team throughout TriWest's area of responsibility. The program supports Department of Defense (DoD) Health Networks/ MTFs in educating beneficiary populations on TRICARE programs and benefits. The incumbent coordinates with six Vice Presidents and their teams to ensure coverage of requested TRICARE briefings with government provided materials as approved by the government's designated authority (GDA). The incumbent will serve as TriWest's subject matter expert on the customer support service hours requirements, and maintain internal communications within TriWest to include Accounting, Contract Administration, and Data Management personnel, and externally with the respective GDA and government representatives throughout the TRICARE West Region. The incumbent will ensure contract requirements are met, and advise senior leaders as needed to optimize the program's quality and efficiency. The incumbent will report to the Deputy Chief of Military and Veteran Services.

Education & Experience

Required:

• Bachelor's degree in Business, Public Health, Health Policy, Health Care Administration, Education, or related field or equivalent work experience
• U.S. Citizen
• Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation
• Public speaking and presentation experience with teaching and/or delivering presentations
• Significant experience and knowledge within the Military Health System and TRICARE
• 5 + years of program or project management experience involving managing workflows, communications, resources, deadlines and stakeholder relationships
• Experience with MS Office - SharePoint, Excel, PowerPoint, Outlook

Preferred:

• Customer service or related experience in healthcare plans or health insurance programs
• General knowledge of the U.S. military services and cultures
• Extensive experience with MS SharePoint, Excel and/or Salesforce platforms

Key Responsibilities

• Coordinates Beneficiary Education and Services Representative (BESR) operations throughout the TriWest area of responsibility.
• Facilitates processes to report workload, quality metrics, and performance for the program.
• Tracks allocated briefing requests to BESRs, ensuring prompt responses, and improving the overall quality and timeliness of service delivery.
• Facilitates cross-functional communications across referral, beneficiary education, provider network and enrollment departments, championing best practices and continuous improvement efforts.
• Authors organizational policies and departmental procedures as necessary, to ensure compliance and consistency throughout the beneficiary briefing program.
• Prepares and delivers executive level briefings presenting critical departmental statistics, data analysis, process and quality improvements and reporting to executive leadership, shaping strategic decisions that boosts operational efficiency.
• May be required to conduct virtual or in-person briefings during staff shortages or increased demand for services, to include supporting a mobile Service Assistance Team (SAT) that provides TRICARE program information and beneficiary service functions to disaster areas or others deemed necessary.

• Ensures strict adherence to contractual standards and requirements.
• Designs and implements comprehensive onboarding programs for BESR staff.
• Provides direct support and assistance to the MVS VPs and their teams.
• Performs other duties as assigned.
• Regular and reliable attendance is required.

Competencies

Communication / People Skills: Ability to influence or persuade others under positive or negative circumstances; adapt to different styles; listen critically; collaborate.

Computer Literacy: Ability to function in a multi-system Microsoft environment using Word, Outlook, TriWest Intranet, the Internet, and department software applications.

Coping / Flexibility: Resiliency in adapting to a variety of situations and individuals while maintaining a sense of purpose and mature problem-solving approach is required.

Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources.

Information Management: Ability to manage large amounts of complex information easily, communicate clearly, and draw sound conclusions.

Leadership: Successfully manage different styles of employees; provide clear direction and effective coaching.

Multi-Tasking / Time Management: Prioritize and manage actions to meet changing deadlines and requirements within a high volume, high stress environment.

Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.

Problem Solving / Analysis: Ability to solve problems through systematic analysis of processes with sound judgment; has a realistic understanding of relevant issues.

Team-Building / Team Player: Influence the actions and opinions of others in a positive direction and build group commitment.

Technical Skills: Knowledge of TRICARE, Managed Care, and Health Care Administration; knowledge of relational databases and SQL server database administration; proficient with MS Excel Business systems analysis and project management.

Working Conditions

Working Conditions:

• Must be able to periodically travel, within the TriWest area of responsibility, with overnight stays
• Must be able to lift a minimum of 20 pounds (presentation equipment and marketing/informational materials)
• Must be able to work under time-sensitive deadlines and occasional stressful conditions

Company Overview

Taking Care of Our Nation's Heroes.

It's Who We Are. It's What We Do.

Do you have a passion for serving those who served?

Join the TriWest Healthcare Alliance Team! We're On a Mission to Serve®!

Our job is to make sure that America's heroes get connected to health care in the community.

At TriWest Healthcare Alliance, we've proudly been on that important mission since 1996.

Benefits

We're more than just a health care company. We're passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes:

• Medical, Dental and Vision Coverage
• Generous paid time off
• 401(k) Retirement Savings Plan (with matching)
• Short-term and long-term disability, basic life, and accidental death and dismemberment insurance
• Tuition reimbursement
• Paid volunteer time

*Annual base salary for Colorado, Hawaii, Illinois, Minnesota, Washington D.C. and Washington State residents: $97,000 - $123,000 depending on experience*

Equal Employment Opportunity

TriWest Healthcare Alliance is an equal employment opportunity employer. We are proud to have an inclusive work environment and know that a diverse team is a strength that will drive our success. To that end, TriWest strives to create an inclusive environment that cultivates and supports diversity at every organizational level, including hiring and retaining a diverse workforce, and we highly encourages candidates from all backgrounds to apply. Applicants are considered for positions without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or any other consideration made unlawful by applicable federal, state, or local laws.