Health Systems Specialist
US Department of War
Job TitleJob DescriptionReviews and analyzes beneficiary case trends to identify systemic issues affecting TRICARE health service delivery.Provides expert technical assistance to DHA entities, MTF leadership, Uniformed Services, contractor representatives, and customer service personnel regarding TRICARE policy interpretation, operational requirements, and program procedures.Conducts independent analyses of TRICARE program implementation, operational performance, and compliance with federal and DoD requirements.Evaluates cases involving claims processing, enrollment, referral and authorization workflows, third-party liability, debt collection activities, and eligibility discrepancies to determine operational causes and recommend improvements.Develops and presents briefings, reports, and educational materials explaining TRICARE program updates, administrative changes, and system processes.
- ...modify templates.Coordinate with appropriate medical treatment facility (MTF) personnel to ensure that all new Health Care Providers have credentials.Utilize information systems to oversee and coordinate input of provider master schedules and schedule modifications....Suggested
US Department of War
San Diego, CA1 day ago $70.51k - $91.66k
...Hiring Agency: Military Treatment Facilities under DHA Department: Department of Defense About the Position: This is a Health System Specialist position located at Naval Medical Center in San Diego, California. This is a Direct Hire Solicitation Key Responsibilities Calculate...SuggestedMilitary Treatment Facilities under DHA
San Diego, CA4 days ago$68k - $136k
...with an international company where you can grow the career you dream of. Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year An excellent retirement savings plan with high employer...Suggested$140k - $160k
...Requirements and Policy Analyst to join our team at San Diego NB, CA. Equal Opportunity Employer/Veterans/Disabled: Sigma Defense Systems is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color,...SuggestedSigma Defense
San Diego, CA11 days ago- ...materials and training frameworks to compliance documentation, HR systems, and department processes Lead the full onboarding journey: pre... ...hospitality around the globe with our five incredible brands Health Benefits : Comprehensive Medical, Dental, and Vision insurance...SuggestedLocal areaWorldwideShift work
Zuma Restaurant
San Diego, CA4 days ago $85k - $95k
...Monday - Friday | Full-Time About Pacific Health Group At Pacific Health Group, we are... ...individuals navigate complex healthcare systems and access the resources they need to thrive... ...with primary care providers, specialists, behavioral health providers, hospitals,...Full timeTemporary workWork at officeLocal areaRemote workMonday to FridayFlexible hoursAfternoon shift- ...You report directly to the CEO and help shape how the company grows. A Lean, no-bureaucracy environment. We value simple, effective systems and people who improve them. Proven technology. Our disc pumps solve problems other pumps can't. A competitive benefits package:...Permanent employmentFull timeWork at office
$89.63k - $143.4k
...suppliers’ locations. This is a field role. Must be willing to travel- 75%+. (Off hours/weekends possible) About Philips We are a health technology company. We built our entire company around the belief that every human matters, and we won't stop until everybody everywhere...Full timeWork at officeImmediate startWork visaRelocation packageWeekend work3 days per weekPhilips
San Diego, CA3 days ago$90k - $120k
...as we scale. Lean and practical: We value simple, effective systems, continuous improvement, and people who are willing to... ...identity, gender expression, sexual orientation, reproductive health decision-making, marital status, registered domestic partner status...Hourly payFull timeWork at officeLocal area
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