Government RFI Analyst

Role Description

The Government Request for Information (RFI) Analyst reviews incoming requests for information and ad hoc reporting requests from government customers, priority inquiries, and escalations associated with TRICARE programs. The Analyst:

• Researches and compiles facts associated with each inquiry.
• Refers issues to appropriate subject matter experts and operations staff for action, response, or resolution.
• Tracks ongoing research, resolution, and refinement of responses received.
• Uses knowledge of healthcare systems and the TRICARE program to develop written responses (when required) to address government RFIs and other priority inquiries.
• Confirms closure of issues and education or resolution with the requestor.
• Follows up to ensure that systemic issues, processing errors, and education gaps are addressed.
• Interfaces both orally and in writing with government staff, other stakeholders, provider office staff, and internal TriWest staff.

This position works under the direction of the Manager, Government RFI to support response to government RFIs, priority inquiries, and ad hoc reporting requests across TriWest's TRICARE contract. Quality and timeliness of the Analyst's research and draft responses directly affect TriWest's ability to meet contract performance standards and maintain credibility with government customers, including the Defense Health Agency and Congressional offices. Work involves complex healthcare and regulatory research across multiple TriWest systems and functional areas. The Analyst must interpret TRICARE contract requirements, healthcare claims and authorization concepts, and clinical terminology to construct accurate responses for government audiences. The role operates within the TRICARE contract framework, HIPAA, the Privacy Act, and DoD information handling requirements.

Qualifications

• Required: Bachelor's degree or equivalent experience.
• U.S. Citizen.
• Must be able to receive a favorable interim and adjudicated final Department of Defense (DoD) background investigation.
• Minimum 1 year of demonstrated expertise in healthcare operations function such as provider services, claims, clinical operations, customer service, data management, or correspondence.
• Demonstrated ability to manage multiple requests simultaneously under tight deadlines.
• Proven experience investigating and/or responding to escalated issues or complaints.
• Demonstrated strong verbal and written communication skills.
• Strong working knowledge of MS Word, Excel, and Outlook.
• Preferred: 2-4 years of demonstrated expertise in healthcare operations function.
• Experience working with or for TRICARE, Defense Health Agency, or other federal health care programs.
• Solid understanding of HIPAA and related privacy laws.
• Experience working with or for Government agencies, Congressional offices, and/or the Defense Health Agency Health Care System.
• Military experience (Veteran or retiree).

Requirements

• Support the Manager, Government RFI with the workflow processes relating to the workload received by the department.
• Assist in the review of draft government correspondence before forwarding it to the Director, Program Implementation, ePMO.
• Assist in the crafting and review of draft responses to RFIs, priority inquiries, and government escalations.
• Monitor progress against process timeframes and due dates to meet or exceed production metrics and contract performance standards.
• Represent the Manager, Government RFI and the department in meetings (at the Manager's discretion).
• Review incoming requests for information, priority inquiries, and ad hoc reporting requests to determine the most appropriate and effective course of action.
• Conduct thorough research and analysis of targeted issues by accessing multiple TriWest online systems.
• Coordinate and communicate with various TriWest departments, subcontractors, field operational offices, and TRICARE stakeholders.
• Help prepare written responses to inquiries and coordinate all input into the planned response prior to managerial review.
• Document communications with government staff, family members, or other authorized representatives.
• Create and maintain records and files on RFI and priority inquiry casework.
• Support preparation of executive-level briefing materials and summaries.
• Manage competing priorities across multiple active RFIs.
• Maintain document templates, writing standards, and style guidance for RFI operations.
• Maintain logs and other tracking tools to assist department leadership with reporting and decision-making requirements.
• Perform other duties as assigned.
• Regular and reliable attendance is required.

Benefits

• 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.
• Salary range: approximately $80,000 - $85,000 per year.

Company Description

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.