Remote Field Support Specialist TRICARE MTF Ops

TriWest Healthcare Alliance Corp.; Denver (CO); Hybrid; USD 72,000 - 85,000; Full time

Benefits offered by this job

Medical, Dental and Vision Coverage

401(k) Retirement Savings Plan (with 5

Short-term and long-term disability

Tuition reimbursement

Paid volunteer time

Job summary

TriWest Healthcare Alliance seeks a Healthcare Services Specialist to support military treatment facilities (MTFs) and TRICARE beneficiaries in a hybrid role. You will coordinate referrals and authorizations, advise on network providers, and assist in resolving contract and service issues across TriWest’s MVS operations.

You will deliver TRICARE education briefings, work with MTF staff, and assist with contingency planning for drills or real-world events.

Qualifications

• High School Diploma or GED required.
• US citizenship and the ability to obtain favorable DoD background investigation.
• 2+ years of TRICARE customer service or administrative support experience.
• Experience in a highly matrixed organization.

Responsibilities

• Develops and maintains a clear understanding of TriWest’s contracted responsibilities and performance requirements for supporting MTFs and beneficiaries.
• Serve as onsite/on-call TriWest point of contact for enrollment, referrals, and authorizations, provider issues, and beneficiary questions.
• Utilize TriWest CRM, DOMA, Government Portal, DEERS and Tableau to route issues to the appropriate division for follow-up.
• Monitor trends and root causes of issues; inform Regional Director and MVS team.
• Facilitate resolution of referral and authorization issues with MTF staff and update referrals in the system.
• Provide TRICARE information/education briefings to MTF staff, providers, and beneficiary groups.

Skills

TRICARE customer service

Administrative support

Matrixed environment

Communication skills

Education

High School Diploma or GED

Tools

CARE Radius

DOMA

DEER

Tableau

Job description

TriWest Healthcare Alliance seeks a Healthcare Services Specialist to support military treatment facilities (MTFs) and TRICARE beneficiaries in a hybrid role. You will coordinate referrals and authorizations, advise on network providers, and assist in resolving contract and service issues across TriWest’s MVS operations.

You will deliver TRICARE education briefings, work with MTF staff, and assist with contingency planning for drills or real-world events.