Health Plan Policy Analyst (DEERS) (Project Management)

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 an Equal Opportunity Employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.   

See job description