Senior Healthcare Policy Analyst
Apply NowCompany: Knowesis
Location: Aurora, CO 80013
Description:
Position: Senior Healthcare Policy Analyst Location: Falls Church, VA/Aurora, CO/San Antonio, TXWork Environment: Hybrid Clearance Required: None
Status: Contingent Upon Contract Award
Salary Range: $108,00-$145,000
Knowesis is seeking a Senior Healthcare Policy Analyst to provide subject matter expertise in support of the TRICARE health plan. The Senior Policy Analyst leads a team of health professionals in developing policies that further the strategic goals of the Department of Defense/Defense Health Agency to provide the highest quality of care to Military Health System beneficiaries.
The policy analyst will analyze TRICARE reimbursement program policies in comparison to other Government and private health care programs. Services assist to identify the need for and evaluate the effectiveness and efficiency of reimbursement program changes. Identify practices designed to circumvent TRICARE reimbursement cost control, incorporate policy projects in the TRICARE Manuals, and support development of national guidelines regarding TRICARE program coverage in the areas of medical benefits, provider certification, reimbursement and special benefits.
This position requires a Public Trust security clearance. Must obtain and maintain a NACI clearance and a CAC Card. Additionally, U.S. Citizenship is required (applicants without proof of U.S. Citizenship will not be considered due to the position's security clearance requirement).
The Job Duties and Responsibilities include but are not limited to the following:
Required Qualifications:
Preferred Experience:
Required Education:
Benefits:
Knowesis is an Equal Opportunity Employer, and all qualified applicants will receive consideration for employment regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
Status: Contingent Upon Contract Award
Salary Range: $108,00-$145,000
Knowesis is seeking a Senior Healthcare Policy Analyst to provide subject matter expertise in support of the TRICARE health plan. The Senior Policy Analyst leads a team of health professionals in developing policies that further the strategic goals of the Department of Defense/Defense Health Agency to provide the highest quality of care to Military Health System beneficiaries.
The policy analyst will analyze TRICARE reimbursement program policies in comparison to other Government and private health care programs. Services assist to identify the need for and evaluate the effectiveness and efficiency of reimbursement program changes. Identify practices designed to circumvent TRICARE reimbursement cost control, incorporate policy projects in the TRICARE Manuals, and support development of national guidelines regarding TRICARE program coverage in the areas of medical benefits, provider certification, reimbursement and special benefits.
This position requires a Public Trust security clearance. Must obtain and maintain a NACI clearance and a CAC Card. Additionally, U.S. Citizenship is required (applicants without proof of U.S. Citizenship will not be considered due to the position's security clearance requirement).
The Job Duties and Responsibilities include but are not limited to the following:
- Analyze mechanisms and strategies for health care delivery programs. The policy analyst will provide subject matter expertise and recommend appropriate strategies and technical approaches to the government to assist with policy revision and procedural changes to existing programs.
- Support the government in assessing current policies and make appropriate recommendations for improvement for concerning the access and quality of care provided to Service members during deployment.
- Review and analyze complex technical issues in the areas of plan reimbursement related to benefits, cost containment, and the organization of healthcare delivery.
- Perform impact assessments relative to benefit changes
- Monitor and assist the government in the evaluation of compliance with currently accepted standards of care.
- Conduct Business Case Analysis (BCA) as it applies to balancing direct care, agency partners and purchased care strategic goals.
Required Qualifications:
- Experience in leading teams of highly educated and experienced healthcare professionals in a fast-paced and highly visible work environment.
- Ability to conduct duties as an Action Officer (drafting and coordinating staffing actions, responses to Congressional Inquiries, Reports to Congress, Briefing Packages, etc.).
- Comfortable working around senior officers and executives; must exhibit tact and diplomacy and have strong interpersonal and writing skills.
- 5-7 years of analytical experience with health plan performance, health plan reimbursement policy.
- Proficient with MS Office Suite (excel, PowerPoint, word)
Preferred Experience:
- Working knowledge of the TRICARE benefit
- Knowledge of government processes such as: DoD/Service policy development and staffing; JCIDS; Health Surveillance; Planning, Programming, Budgeting, and Execution (PPBE) or Earned Value Management (EVM); and outcome measurements.
- Certifications and/or membership and participation in professional associations relevant to the position are a plus.
Required Education:
- Minimum of a Master's degree in a health-related field OR Bachelor's degree with extensive DoD experience in an operational/field environment.
Benefits:
- Health (PPO & HDHP)
- Company Paid STD & LTD, and Basic Life Insurance
- 401k Company Match
- Paid Time Off
- Multiple Voluntary Products
Knowesis is an Equal Opportunity Employer, and all qualified applicants will receive consideration for employment regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.