Description

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

Serves as TriWest's primary liaison/representative to VA management and staff, and the Veteran communities, within a specified geographic area to support the VA Community Care Network (CCN) and other contract objectives. Develops collaborative relationships with Department of Veterans Affairs facilities in a geographic area to understand customer challenges, improve customer satisfaction with current contract services, identify and drive provider network expansion opportunities, and further develop business growth through identification and reporting of business opportunities. This Director will be assigned as the field liaison to ensure TriWest is adequately meeting the needs of Veterans, contracted providers, and VA staff and facilities and optimizing these facilities with customized networks that complement their capability and capacity. The Director will support customers with problem solving and optimization initiatives.

The Regional Director works closely with VA Medical Center (VAMC) management and staff to educate on TriWest processes and systems and efficient healthcare delivery opportunities. Develops proposals for improved healthcare delivery and care coordination for the direct care system, Veteran's healthcare system, and community healthcare. Responsible for managing the business relationship and serving as the primary point-of-contact for anticipating and resolving issues.

Education & Experience

Required:

• Bachelor's degree in Health Care Administration, Business, Marketing, or related field
• 7 years middle to senior management experience, with increasing responsibility
• 3+ years recent healthcare experience
• Strong customer service orientation
• Prior experience serving VA and/or DoD contracts

Preferred:

• Master's degree in Health Care Administration, Business, Marketing, or related field
• Executive-level experience working with VA or military health services systems
• Knowledge of the business relationships between network providers, patients, and managed care providers
• Military healthcare administration experience
• Managed care or Third Party Administrator experience

Key Responsibilities

• Working with a team of indirect personnel, Regional Director will serve in a consultative capacity to establish MOUs, liase on program operations, facilitate joint planning, review analytics for trends and optimization opportunities, and facilitate join design, execution and monitoring using a variety of program support tools.
• Measures, evaluates, and reports on TriWest performance on customer service, contract requirements and the quality and effectiveness of integrated operations between the customer's direct care system and community provider network.
• Provides leadership through frequent communications, meetings, and training sessions with staff to assess the environment and to promote TriWest's plans, goals and cultural values.
• Serves as the "Account Manager" representing TriWest in matters between TriWest and the VA.

• Maintains frequent communication and functions as the direct care facility's primary point-of-contact for service and issue resolution with TriWest departments.
• Builds collegial relationships with senior customer leadership in identified markets and service areas.
• Interacts and maintains effective working relationships with TriWest staff, the Department of Veterans Affairs, and TriWest subcontractors.
• Oversees relationship-building activities with the geographic area.

• The Regional Director also works closely with other TriWest departments and team members to drive service delivery improvements on behalf of the VAMC staff including the ongoing analysis of network adequacy, assistance with community provider issue resolution, VAMC optimization, and other contractual performance requirements.
• Assists with provider contracting and engagement.
• Leads the continuous process of enhancing efficiency, cost-control, and customer satisfaction with TriWest across the geographic area.
• Participates in external interactions on overall contract performance, changes in business requirements, and overall TriWest performance within the geographic area.
• Collaborates with other TriWest functional managers including Human Capital, Medical Management, Contact Center Operations, Provider Services, and other Regional Directors to stay attuned to diverse and emerging issues.
• Performs other duties as assigned.
• 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.

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.

High Intensity Environment: Ability to function in a fast-paced environment with multiple activities occurring simultaneously while maintaining focus and control of workflow.

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.

Working Conditions

Working Conditions:

• Availability to work non-regular hours as necessary
• Works within an office environment, with frequent travel required
• Security clearances as required

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 rewar ding 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 $148,000 to $165,000 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.