Job Summary

Prepares Technical Proposals in response to Government Change Orders or Request for Proposals (RFP) based on input from the Business Owners in a variety of healthcare related functions. This position involves collaboration with TriWest internal departments, TriWest's external claims processor and other subcontractors as well as Department of Veterans Affairs and Defense Health Agency Subject Matter Experts (SMEs). This position will work with Business Owners to develop man-hour and material estimates and/or utilize actual incurred man-hours to prepare Technical Proposals for submittal to the Government.

Education & Experience

Required:

• U.S. Citizenship
• Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation
• Bachelor's degree in Business, Health Care Administration, or related field or equivalent experience
• Proposal analysis and preparation experience
• Project and change management experience, including meeting facilitation and coordinating multiple projects with competing timelines

Preferred:

• Experience with healthcare operations
• Experience with Managed Care, claims, medical coding and medical management systems
• TRICARE experience

Key Responsibilities

• Functions as the facilitator for each VA or DHA Contract Modification.
• Coordinates and facilitates meetings with the Business Owners and other stakeholders in order to assist the team in evaluating the manpower and schedule impact to each contractual change.
• Responsible for codifying impacts of the contract change into a technical proposal document that will justify any changes in cost or schedule.
• Creates project-planning documents, including process flow diagrams, work plans, Gantt charts, and other documents using software programs.
• Coordinates multiple projects within timelines, applying standard project management concepts and tools.
• Performs analysis and keeps project teams informed of progress towards goal to ensure smooth transition.
• Gathers data, identifies issues, relates and compares concepts and options, identifies cause-effect relationships, interprets different viewpoints correctly, identifies and develops possible consequences, and takes appropriate course of action.
• Partners with business units to understand work processes and assess impact of contract changes.
• Assists client departments with determining the scope of required changes and determining how to revise documents to meet the needs of new processes.

• Coordinates inter-departmental communications, coordinates, reviews and contributes training materials necessary to implement the program change.
• Assists performance improvement teams with analyzing the application of requirements to process improvements. Analyzes and reports data, market trends, government regulations, and other relevant information to assist project teams with planning process.
• Researches and redesigns business processes.
• Trains other staff on program objectives, process models, and analytical tools.
• Assists the Manager, Modification Pricing with overseeing administrative processes to insure compliance with government-mandated requirements.
• Effectively and sensitively communicates with TriWest staff, while modeling effective leadership and management skills.
• Head or participate in various projects and committees as assigned.
• Performs other duties as assigned.
• Regular and reliable attendance is required.

Competencies

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.

Empathy / Customer Service: Customer-focused behavior; Helping approach, including listening skills, patience, respect, and empathy for another's position.

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.

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 managed care and healthcare administration concepts and principles.

Working Conditions

Working Conditions:

• Availability to work any work shift
• Works within a standard office environment, with minimal travel
• Extensive computer work with prolonged sitting

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

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.