Job Description:

Veterans, Reservists, Guardsmen and military family members are encouraged to apply!!

Job Summary

Directs the operations and staff performing the scanning, indexing, creating and uploading MTF initiated enrollment forms, faxed and mailed enrollment forms and correspondence including return mail. Coordinates Enrollment initiatives in collaboration with Defense Health Agency (DHA), TriWest's subcontract partners, and Defense Enrollment Eligibility Reporting System on integration matters as needed. Manages support staff and keeps in compliance with staffing budget.

Education & Experience

Required:

• Bachelor's degree in Business, Information Technology or related field or equivalent
• 5 years of experience in mailroom processing, imaging and scanning, or operations enrollment or healthcare system operations
• 3+ years supervisory / leadership experience

Preferred:

• TRICARE knowledge; including knowledge of enrollment processes and systems such as DEERS and Beneficiary Web Enrollment

Key Responsibilities

• Directs Tricare Mailroom including scanning, indexing and imaging operations and staff to achieve departmental goals of daily clean desk policy.
• Develops and implements process improvements to enhance production standards, practices, and procedures.
• Ensures that Enrollment forms other documents are processed and records management operations are consistent with defined procedures and comply with TRICARE and government requirements.
• Supervises, coaches, trains, and develops staff.
• Coordinates work schedules.
• Ensures that staff is fully-informed of TRICARE fundamentals and contractual changes.
• Develops annual employee performance reviews and developmental plans.
• Sponsors, manages and participates on special projects with cross-functional work groups including senior leadership from TriWest, TriWest's subcontract partners, Defense Health Agency (DHA) and other applicable TRICARE departments.

• Ensures that indexed documents are audited for accuracy using statistically-valid sampling techniques.
• Coordinates and oversees system changes in operational processes, including new technologies.
• Represents Enrollment leadership at meetings as necessary.
• Oversees Enrollment adherence to timeliness standards and daily clean desk process insuring all documents and scanned into the system on the date of receipt.
• Coordinates with peers in efforts to document issues relating to enrollment mail, document creation and scanning with other TriWest departments and external entities, including TriWest's subcontract partners, TRICARE, TRICARE Customer Assistance Centers, PGBA, Congressional and Customer Relations, Health Care Services, Contract Compliance Management, Claims, and Provider Services Management.
• Ensures complete and prompt resolution to any issues requiring scanning including multiple document image separation, outreach to beneficiaries attempting to send documents unsuccessfully, return mail and daily creation and ingestion of any MTF initiated ADSM enrollment image intervention.
• Collaborates with others to execute resolution, including TriWest department management and Field Operations, DHA Enrollment SME's, Health Benefit Advisors, and Beneficiary Counseling and Assistance Coordination Representatives.
• Develops and tracks metrics to measure effectiveness and efficiency of Enrollment Scanning operations for process improvement.
• Monitors Enrollment form creation and ingestion from MTF partners.
• Ensures mail is opened and scanned daily as received by USPS and any other mail vendor such as Fed Ex or UPS.
• Ensures department desk procedures are up-to-date and accurate.
• Participates in projects, cross-functional teams, cross-functional meeting, and conferences as required.
• Updates Enrollment Director on personnel issues, system issues or process issues that impact workload.
• Works overtime as needed.
• Regular and reliable attendance is required.

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.

Information Management: Ability to manage large amounts of complex information easily, communicate clearly, and draw sound conclusions.

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.

Technical Skills: Thorough knowledge of performance measurement tools and process improvement techniques; knowledge of information systems used for billing and accounting; working knowledge of TRICARE program; ability to analyze, apply, interpret and communicate policy, procedures and regulations; proficient in Word, Excel, PowerPoint, Access, and Visio; strong collaboration skills for cross-functional issues.

Working Conditions

Working Conditions:

• Works non-regular hours as necessary
• Works within a standard office environment, with 25% travel

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 and Washington State residents: $75,000 - $84,000 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.

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