Regional Director, Military Operations

7 days ago

San Antonio, Texas, United States TriWest Healthcare Alliance Full time
Job Summary

Serves as TriWest's primary representative to the Military and Veterans' Services Administration (VA) healthcare facilities within a specified geographic area relating to TriWest contracted services for the VA Community Care Network (CCN) and the Department of Defense (DoD) TRICARE West Region managed care support contract.

Key Responsibilities
  • Develops and maintains a clear understanding of TriWest's contracted responsibilities and performance requirements of the VA's Community Care Network and the DoD's TRICARE West Region managed care support contract.
  • Maintains ongoing communications and functions as the primary TriWest POC for the assigned medical facility leadership and their staffs regarding services and support provided by TriWest departments.
  • Meets with medical facility leadership on a monthly basis to gauge ongoing support, adjust to capabilities and capacity changes, prepare for contingencies, identify issues and challenges, and assess other ongoing needs.
  • Educates medical facility staff regarding TriWest processes and systems and provides direct support and assistance to them regarding business plan development and updates.
  • Develops proposals for improved healthcare delivery and care coordination between the medical facilities healthcare system, and community healthcare.
  • Supports the integration of referral management, medical management, provider services, and claims with the provider network.
  • Develops, monitors compliance, initiates changes as needed, and annually reviews the Memorandum of Understanding (MOU) and Statement of Responsibility, if required, with each DoD medical facility in their assigned regional area of responsibility.
  • Oversees beneficiary education activities and supervises and supports the Beneficiary Education and Services Representative(s) within their assigned regional area of responsibility.
  • Plans and facilitates TriWest participation and response to MTF contingency exercises. Prepares reports as needed to provide description, assessment, and lessons learned per contract requirements.
  • Maintains liaison with State Adjutants General, National Guard and Reserve Commanders and their organizational and medical staff within the assigned regional area of responsibility as well as the National Oceanic Atmospheric Administration (NOAA) Public Health Service regarding the provision of TRICARE education and services support.
  • Maintains liaison with Special Operations Commands, their Command Surgeons and key medical staff within each command to gain early awareness of upcoming deployments or redeployments to identify any wounded, ill, or injured service members who need expedited facilitation of their healthcare needs, and to identify any special family medical support requirements.
  • The incumbent will alert relevant TriWest staff regarding any immediate or ongoing specific medical needs of Special Operations commands and any specific administrative support needs (behavioral health issues, authorizations, claims, or other specialized referrals). The incumbent will also establish and maintain liaison with key representative of Special Operations family support groups and other organizations/foundations dedicated to support Special Operations.
  • Performs other duties as assigned.
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.
  • Creativity / Innovation: Ability to develop unique and novel solutions to problems; view change as necessary.
  • 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.
  • High Intensity Environment: Ability to function in a fast-paced environment with multiple activities occurring simultaneously while maintaining focus and control of workflow.
  • Leadership: Successfully manage different styles of employees; provide clear direction and effective coaching.
  • 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.
Company Overview

Taking Care of Our Nation's Heroes.

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

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

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.

We 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

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.

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