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
Analyzes data by combining multiple data sources and researching various system and healthcare issues in order to perform on time research and analysis to formulate solutions for issues of low to moderate scope and complexity.
Education & Experience
Required:
- Bachelor's degree in Business Administration, Finance, Healthcare, Information Management, or equivalent experience
- If supporting TRICARE contract, must be a U.S. Citizen
- If supporting TRICARE contract, must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation
- 1 year experience in healthcare analysis, data management, or equivalent training or education
- Proficient in Microsoft Excel
Preferred
- Familiarity with healthcare claims and payment data
- Basic knowledge of JIRA and ability to write user stories in Agile
- Proficiency in the use of computer systems, database applications, Microsoft Office, structured query language (SQL), MS Azure and Databricks and/or Edifecs
- Experience with business process needs analysis and requirements gathering
- Experience with JAD sessions and performing detailed fact gathering
- Familiarity with reporting tools such as PowerBI
Key Responsibilities
- Compiles, organizes and conducts various performance, cost, budget and/or specialized data analysis to document and identify trends or potential issues.
- Reconciles data and develops explanation of variances as necessary.
- Meets with requestors to get requirements and develop solutions to fulfill various requests (reports, trends, measures, forecasts).
- Maintains responsibility for assigned reports, producing them accurately, and in a timely manner.
- Establishes relationship with business owners of reports.
- Responds to customer questions and requests in a timely manner.
- Maintains documentation and ensures all procedures support department and company policies and procedures.
- Works with management to understand and interpret the impact of decisions made by retrieving, analyzing and identifying variations and trends in healthcare data, and communicating the information obtained from analysis.
- Other duties as assigned.
- Regular and reliable attendance is required.
Competencies
Commitment to Task: Ability to conform to established policies and procedures; exhibit high motivation.
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.
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.
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.
Technical Skills: Proficiency in the use of database applications and structured query language (SQL).
Working Conditions
Working Conditions
- Works in a standard office environment, with minimal travel
- Extensive computer work with long periods of sitting
- Department of Defense security clearance required
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.
DoD Statement
Our Department of Defense contract requires US citizenship and a favorably adjudicated DOD background investigation for this position.
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, Washington D.C. and Washington State residents: $69,000- $88,000 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.
