Description

We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, WA, WI & WY only).

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

Job Summary

Provides project management and support to the Director in implementing the Medical Documentation Program. Manages the Medical Documentation functions by directing daily operations in support of obtaining and evaluating servicing provider's Medical Documentation within contract standards, and sharing appropriate documentation with VA. Ensures professional, accurate, and timely review and processing of all medical documentation and ensures that contract standards are achieved and sustained. Focuses on staffing medical documentation operations to maintain contract standards, developing policies and procedures and on-line systems to maximize outcomes and managing individual and unit performance. Manages interdepartmental and intradepartmental communication and collaboration as needed.

Education & Experience

Required:

• H.S. Diploma or G.E.D.
• 5+ years of progressively responsible experience in health care
• Project management experience in developing and implementing health care operations programs
• Intermediate to advanced skills in MS Project, Excel, Visio, Power BI and PowerPoint
• 3+ years supervisory or people management experience and/or equivalent leadership roles

Preferred:

• Bachelor's in Health Care Administration or related field
• Experience with the military or Veteran healthcare
• Medical records or documentation experience

Key Responsibilities

• Project manages the development, implementation, and deployment of the Medical Documentation Program, including oversight of inventory management, reporting, and project deliverables.
• Drives continuous process improvement and the automation of key functions to enhance efficiency and scalability.
• Supports the creation, monitoring, and refinement of performance metrics and reporting structures.
• Demonstrates leadership and coaching skills for effective staff development and consistently displays professional, and compassionate management skills.
• Recruits, trains, coaches, and develops supervisors and staff. Identifies training needs and drives enhanced training curriculum as needed for process and performance improvement.
• Monitors department performance metrics and implements strategies to improve efficiency and performance.
• Educates staff on Medical Documentation requirements including content requirements, and timeliness standards for obtaining, reviewing and forwarding medical documentation to VA.
• Establishes annual performance goals and metrics.
• Establishes desk procedures for obtaining, maintaining, evaluating, and reporting medical documentation to VA.
• Develops processes for communicating critical findings to VA within required timeframes. • Develops schedules and staffing plans to optimize available resources to meet contract requirements for managing Medical Documentation.
• Continually improves internal standards, guidelines, or procedures as required.
• Ensures that Medical Documentation processing operations comply with HIPAA regulations to protect the privacy of Veterans' personal health information.
• Performs other duties as assigned.
• 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.

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: Demonstrated leadership and collaboration skills; Proficient with Microsoft Word, Excel, the TriWest intranet, and the Internet; Expertise with TriWest on-line systems used in managing Medical Documentation.

Working Conditions

Working Conditions:

• Availability to work any shift 6:00a.m - 8:00 p.m. M-F, including with overtime as required
• Works in a standard office environment, in a fast-paced production environment
• Ability to meet production requirements on a regular basis
• Department of Defense security clearance

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
• 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 ranges from around $114,000 - $121,000 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.