Senior Healthcare Policy Analyst

Position : Senior Healthcare Policy Analyst

Location : Falls Church, VA / San Antonio, TX

Work Environment : Hybrid

Clearance Required : None

Status : Contingent Upon Contract Award

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 :

Preferred Experience :

Required Education :

Benefits :

Knowesis is committed to providing equal employment opportunities to all individuals based on merit and qualifications. We prohibit discrimination in all aspects of employment as required by Title VII of the Civil Rights Act and other applicable federal laws. Our company values all applicants and employees and fosters a work environment where everyone is treated with respect and dignity.