Profile
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
Supports command center performance management within assigned operational function working closely with business leaders and other stakeholders to ensure contract requirements are met and organizational performance is optimized. Diagnoses performance issues, develops and implements solutions. Conducts quantitative and qualitative analysis and assessment on TriWest operational processes, systems and other drivers of performance. Utilizes quantitative tools and techniques to perform data-based analysis. Utilizes consulting and facilitation approaches for qualitative assessments. Produces complete and informative reports, describes options in terms of cost/benefit, and makes recommendations to leadership and/or user groups for process/program improvement and/or decision-making.
Collaborates with command center leadership to evaluate and improve organizational practices that maintain and enhance program performance, organizational efficiency and customer responsiveness. Supports department leaders and engages in discussions to address staffing or workflow issues that impact performance to maximize resource efficiency and effectiveness in ways that enhance customer satisfaction. Supports project implementation when required using project management tools to develop project plans/timelines, coordinate/manage project, monitor and report status, progress and areas of risk in relation to established project objectives, requirements and timelines. Works quickly and thoroughly to perform analyses, report results, produce deliverables and support implementation on time.
Education & Experience
Required:
- Bachelor’s degree in Business Administration, Management Information Systems, Finance, Engineering, Healthcare Administration, or related field; or equivalent experience
- 5+ years’ experience in operational performance management or project management
- 5+ years’ experience managing complex projects/teams
- 4+ years’ experience in business analysis, process improvement, and/or consulting
- Extensive experience in business model development and analysis
- Extensive experience with multiple databases, Excel, SQL, and other reporting and statistical tools
- Experience in process and program improvement and business and operational planning
- Experience in delivering quality and efficiency gains as a result of process and program improvement project management
- People leadership experience
- Experience preparing presentation and reports
- Healthcare experience in Operations, Managed Care and/or Medical Management and using medical terminology
Preferred
- Master’s degree in Business Administration, Healthcare Administration or related field
- Healthcare experience in Finance, Revenue Cycle and clinical terminology/coding
- Certification in Lean Six Sigma Green Belt or Black Belt
- Healthcare, management or analytical consulting experience
- Experience and knowledge of the VA health system and/or Military Health System
- Experience briefing and/or advising executive leadership
Key Responsibilities
- Leads command center performance team to monitor, analyze, trend and manage performance.
- Develops a deep understanding of the assigned business areas to include understanding workflows, performance drivers, interdependencies and previous performance solutions.
- Prepares detailed qualitative and quantitative assessments of processes and programs that result in measurable quality, efficiency and effectiveness improvement recommendations and outcomes.
- Creates complex project planning documents using software programs, including process flow diagrams, work plans, timelines and Gantt charts. Creates status reports and provides regular updates to leadership.
- Collaborates with clinical leaders in a matrixed organization to improve patient access to care.
- Identifies customer service trends and issues to facilitate solutions with business owners.
- Models effective leadership skills, communicates sensitively with others about their areas of responsibility.
- Collaborates with business units to learn and understand their processes and translate into meaningful process improvements.
- Analyzes and reports data, market trends, government regulations, and breaking news related to project plans.
- Prepares and analyzes detailed business plans including cost benefit analysis for medium and long-term objectives.
- Trains staff on program objectives, process models and analytical tools.
- Regular and reliable attendance is required.
- Researches industry trends and best practices.
Competencies
Communication / People Skills: Ability to influence or persuade others under positive or negative circumstances; adapt to different styles; listen critically; collaborate, empathize and obtain consensus.
Coping / Flexibility: Resiliency in adapting to a variety of situations and individuals while maintaining a sense of purpose and mature problem-solving approach.
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.
Problem Solving / Analysis: Ability to solve problems through systematic qualitative and quantitative 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 the Managed Care concepts, proficient with statistical analysis, data management and analysis, project management techniques, benchmarking practices and techniques, quality improvement tools and techniques, presentations skills, and proficient with Excel, SQL, Word, PowerPoint and Visio. Ability to navigate and support development of PowerBI and Tableau reports and dashboards.
Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.
Working Conditions
Working Conditions
- Must be available to work after hours and weekends as necessary to deliver projects on time
- Must be available to travel approximately 15% of the time
- Works within an 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
*Annual base salary for Colorado, Hawaii and Washington State residents: $125,000 - $139,000 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.