Health Plan Policy Analyst (DEERS) Job at Knowesis, Falls Church, VA

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  • Knowesis
  • Falls Church, VA

Job Description

Position: Health Plan Policy Analyst (DEERS) Location: Falls Church, VA Work Environment: Hybrid Clearance Required: None
Status: Contingent Upon Contract Award

Knowesis is seeking a Health Plan Policy Analyst who will play a critical role in supporting the TRICARE Health Plan's Defense Enrollment and Eligibility Reporting System (DEERS). This position involves analyzing, developing, and implementing health policy initiatives to ensure the effective administration of TRICARE benefits. The analyst will work closely with various stakeholders, including military personnel, healthcare providers, and policy makers, to enhance the efficiency and accuracy of DEERS operations.

To be eligible for this position, candidates must possess U.S. Citizenship without the need for sponsorship, both now and in the future. Applicants without proof of U.S. Citizenship will not be considered due to the position's security clearance requirements.

The Job Duties and Responsibilities include but are not limited to the following:
  • Data and Process Analysis: Under government oversight, analyze and evaluate data, plans, functional requirements, and business processes to ensure the successful integration, implementation, transition, and maintenance of purchased care contractor systems, contract requirements, and business processes.
  • Functional Requirements Development : Collaborate with government oversight to develop functional requirements for systems and communication interfaces, ensuring compliance with contractual and legislative mandates.
  • Project Management Support: Provide project management support for sustainment activities, contract transitions, new projects, and project close-out processes.
  • Status Reporting : Create and maintain project status presentations for project managers to brief higher management and other government offices.
  • Conflict Resolution : Participate in project discussions, identify potential contractual conflicts within TRICARE purchased care contracts, and recommend solutions to resolve these conflicts.
  • Policy and Program Recommendations : Identify and draft recommendations for manual changes to accommodate updates to TRICARE policy, programs, security, and privacy requirements.
  • Work Group Support: Support DEERS Work Group activities, including scheduling and attending meetings, drafting minutes, preparing meeting agendas, and distributing documents to workgroup members.
Required Qualifications:
  • Minimum of 3-5 years of experience in health policy analysis, preferably within a government or military setting.
  • In-depth understanding of TRICARE policies, DEERS operations, and federal health regulations.
  • Strong analytical and problem-solving skills, excellent written and verbal communication abilities, and proficiency in data analysis tools and software
Required Education:
  • Master's Degree in Healthcare Administration, Business Administration, or relevant discipline
Benefits:
  • Health (PPO & HDHP) Paid Time Off
  • Company Paid STD & LTD, and Basic Life Insurance
  • 401k Company Match
  • Paid Time Off
  • Multiple Voluntary Products
Knowesis is committed to providing equal employment opportunities to all individuals based on merit and qualifications. We prohibit discrimination in all aspects of employment as required by Title VII of the Civil Rights Act and other applicable federal laws. Our company values all applicants and employees and fosters a work environment where everyone is treated with respect and dignity.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. Knowesis

Job Tags

Contract work, For contractors,

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