Congressional Relations Rep (Finance)

We offer remote work opportunities (AK, AR, AZ, CA, *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).

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

Reviews inquiries received from Congressional offices and other priority avenues for correspondence, to include the White House, VA leadership and the VA Office of Congressional and Legislative Affairs (OCLA), DOD/DHA leadership and the DOD Office of Congressional and Legislative Affairs (OCLA), research and compiles facts, tracks progress, and develops timely written responses to priority correspondence received by the Congressional Relations department. Interfaces with Congressional staffers, Veterans, providers, VA and DOD staff at all levels and internal staff to resolve priority correspondence on TriWest's VA and DOD contracts

Education & Experience

Required:

• Bachelor's degree in Political Science, Communications, Social Work or related field.
• U.S. Citizen
• Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation.
• One year's experience in Government and/or Congressional Relations at the Federal or state level.
• Strong verbal and written communication skills

Preferred:

• Experience as a Congressional office staffer, handling constituent casework resolution
• Experience with/knowledge of the VA CCN program, DOD TRICARE program, healthcare, or military environment

Key Responsibilities

• Reviews incoming priority inquiries to determine the most appropriate and effective course of action.
• Conducts thorough research and analysis of targeted issues by accessing multiple TriWest online systems and interfacing with TriWest staff regarding the tracking and processing of claims, eligibility and enrollment issues, authorizations and referrals, and customer service contacts. Coordinates with and communicates with various TriWest departments, subcontractors, field operational offices, Congressional staff, VA/DOD/DHA representatives and Veterans/Beneficiaries/providers to obtain information required for substantive/quality responses to priority inquiries.
• Reviews departmental responses to priority inquiries to ensure that responses adequately address the concerns expressed in the inquiry.
• Prepares written responses to inquiries and coordinates all input into planned response prior to managerial review. Send correspondence detailing outcomes to the Congressional office or other entities within timelines for priority correspondence.

• Utilizes TriWest's proprietary contact management systems for the VA CCN and DOD TRICARE contracts to identify the receipt, action, and status of workload to ensure accurate and timely processing of casework. Documents communications with Congressional offices, VA/DOD/DHA representatives and Veterans/Beneficiaries/providers in the system.
• Creates and maintains records and files on individual Congressional Relations casework. Verifies that Congressional Relations correspondence is stamped with the actual date of receipt within one business day of receipt for both contracts. Tracks all casework referred to subcontractors or other TriWest departments to ensure that all casework has documented outcomes for timely resolution and meets TRICARE priority correspondence processing requirements.
• Identifies and reports potential fraud or quality issues to the appropriate department. Conducts analysis of pending legislation and tracks legislative issues using the Internet.

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At the direction of the VP, Military and Veteran Engagement and Manager, supports virtual briefings to Congressional field offices to maintain relationships and educates regarding issues significant to TriWest's business, after requisite training and program education. Coordinates arrangements for meetings with Congressional staffers.
• Perform 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.

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: Thorough understanding of healthcare claims processing, knowledge of VA CCN and TRICARE program operations and contractual requirements and TriWest's systems, policies, and procedures, grievance / health care correspondence processing, research and analysis skills, trend identification and documentation, editing skills

Working Conditions

Working Conditions:

• Availability to cover any work shift
• Works within a standard office environment, with minimal travel required
• Extensive computer work with long 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

*Annual base salary for Colorado, Hawaii, Washington D.C. and Washington State residents: $55,000- $71,000 depending on experience*

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 cultivates and supports diversity at every organizational level, including hiring and retaining a diverse workforce, and we highly encourages candidates from all backgrounds to apply. Applicants are considered for positions 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.