Healthcare Mandates Manager (Finance)

We offer remote work opportunities in the following states: AZ, CO, ID, MT, NV, NM, OR, TX, UT, WA 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

The Healthcare Mandates Manager is accountable for tracking the implementation of and compliance with applicable mandates. Mandates considered in scope for this role includes but is not limited to regulatory requirements at the state and federal level (i.e. No Surprises Act and Consolidated Appropriations Act), the TRICARE Manuals, mandates related to and governing healthcare benefit design and MCSC/TPA operations under the Defense Health Agency's TRICARE program and Department of Veterans Affairs Community Care Network,, and other applicable rules as they arise.

Education & Experience

Required:

• Bachelors degree in Business Administration, Health Policy Administration, or related field
• U.S. Citizen
• Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation
• 5+ years' experience in health care and operations management
• 3+ years' health care regulatory or compliance experience
• Excellent written and verbal communication skills
• Experience advising managed care administrators, health plans, or healthcare providers, on operationalizing regulatory mandates

Preferred:

• Familiarity with government-funded healthcare programs
• Familiarity with VA and DoD healthcare programs
• Prior experience with federal government contracting
• Experience working in a health care, professional environment, with the ability to interface with internal and external stakeholders at various levels, including executive leadership
• Experience in data and information analysis and system management
• Prior experience in project management or product management

Key Responsibilities

• Closely collaborates with Office of General Counsel attorneys to develop, implement, and maintain processes for reviewing information about new laws and regulations, and changes in interpretation on laws and regulations obtained from various sources.
• Works with business owners, Project Managers, and other team members on risk-assessing new and revised mandates and determining constituent impact.
• Works with Project Management to track and report out progress on implementation of mandates.
• Identifies and/or assigns business owners, IT leads, and other key accountable parties for mandate deliverables and milestones.
• Reports to leadership on at-risk mandates for potential or actual missed milestones during implementation.
• Tracks corrective action plans for missed implementation milestones and non-compliance post-implementation.
• Develops and implements an effective monitoring program to measure and enforce ongoing compliance post-implementation.
• Works collaboratively with business units, Compliance, and Internal Audit to ensure internal controls are in place and that internal monitoring, auditing and oversight functions are being performed post-implementation, and that deficiencies are corrected
• Regular and reliable attendance is required.

Competencies

Coaching / Training / Mentoring: Actively foster actions required for desired business outcomes through ongoing constructive feedback.

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.

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 Microsoft Office (Word, Excel, Outlook).

Working Conditions

Working Conditions:

• Availability to work non-regular hours as necessary
• Works within a standard office environment, with minimal travel
• Extensive computer work with prolonged periods of 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.

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

TriWest job postings typically include a salary range, which can vary based on the specific role and location, but generally this position pays approx. $128,000 per year.

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 supports diversity at every organizational level, and we highly encourage candidates from all backgrounds to apply. Applicants are considered for positions based on merit and 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.