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DHA- TRICARE Health Plan Analyst- Virginia

Falls Church, VA

(DHA) TRICARE Health Plan Analyst 

Location: Falls Church, VA 

Work Arrangement: Hybrid

Type: Full-Time 

Clearance: Suitability/Public Trust 

Travel: Up to 10% 

Status: Contingent Upon Award  

 

Company Overview:   

Since 2017, Kymber Consulting Group has been blazing a trail through the consulting landscape, providing solutions across healthcare, defense, and civilian sectors. We're trusted advisors for high-visibility, high-impact engagements, rapidly becoming a valued partner within both government agencies and large established firms in the space. Kymber employs a collaborative team approach to deliver high value, tailored, and innovative solutions. Our engagement teams are built to meet each client’s unique needs. Our employees currently support a variety of Defense and Civilian agencies. 

 

Job Summary:   

We are seeking an exceptional TRICARE Health Plan Analyst, with a professional understanding of the Defense Health Agency’s TRICARE Health Plan, to join our team and provide invaluable support to the Defense Health Agency Health Care Operations Team. The TRICARE Health Plan Analyst will be a critical contributor to the strategic and operational goals of the Defense Health Agency’s (DHA) Health Care Operations Division (HCO), with a specialized focus on the TRICARE Health Plan. This role is responsible for executive communications, performance reporting and analysis, solutioning, and performance measurement, ensuring the efficient functioning of TRICARE Health Plan operations. The analyst will support DHA leadership by providing actionable insights, tracking program performance, and designing solutions to improve operational efficiencies across TRICARE and DHA health programs.     

 

Responsibilities and Duties: 

Executive Communications: 

  • Develop, edit, and coordinate executive-level communications, including briefing papers, presentations, decision memoranda, and status reports for DHA senior leadership and external stakeholders.  
  • Serve as the primary liaison between Health Care Operations (HCO) and senior executives, ensuring timely and effective communication on TRICARE health plan updates, policy changes, and strategic initiatives.  
  • Craft clear, concise messaging tailored to various audiences, including military leaders, senior executives, and legislative bodies, to support informed decision-making and align with DHA’s objectives for the TRICARE Health Plan.   

Reporting and Analytics: 

  • Lead the preparation, analysis, and presentation of TRICARE Health Plan performance metrics, including key operational data, service delivery reports, and health outcomes, to monitor and evaluate the effectiveness of TRICARE programs under the DHA.  
  • Work closely with IT and analytics teams to ensure accurate data gathering, processing, and visualization for TRICARE reports and briefings.  
  • Design and implement effective reporting mechanisms that align with DHA’s strategic goals, focusing on continuous improvement in operational performance, cost efficiency, and beneficiary satisfaction within the TRICARE Health Plan. 

Performance Measurement and Analysis:   

  • Develop and oversee performance measurement frameworks to track the effectiveness and impact of TRICARE Health Plan services and operations.  
  • Conduct detailed analysis of TRICARE Health Plan performance data, identifying trends, gaps, and areas for operational improvement. Utilize performance metrics to provide actionable insights for strategic decision-making.  
  • Establish and track Key Performance Indicators (KPIs) for TRICARE programs, ensuring that all health services meet established benchmarks for quality, efficiency, and beneficiary outcomes. 

Solutioning and Program Integration:    

  • Support Work with cross-functional teams to identify business and operational challenges, and develop actionable solutions to improve TRICARE Health Plan efficiency and effectiveness.  
  • Lead the development and management of processes for integrating new TRICARE Health Plan programs and services into existing DHA operations, ensuring alignment with strategic goals and compliance with regulatory requirements.  
  • Support project management initiatives, from problem identification and solution development to implementation and evaluation, ensuring that TRICARE Health Plan operations meet DHA's objectives.   

Stakeholder Engagement and Collaboration:   

  • Serve as the primary point of contact for internal and external stakeholders regarding TRICARE Health Plan reporting, executive communications, performance measurement, and solutions related to Health Plan Operations.  
  • Collaborate with internal DHA divisions, including policy, data analytics, and IT, to ensure that TRICARE operational solutions are feasible, actionable, and aligned with DHA's mission.  
  • Provide support for TRICARE Health Plan integration, ensuring that initiatives are properly communicated and effectively executed across multiple stakeholders.   

Program Management and Process Improvement:   

  • Develop and implement process improvements for operational efficiencies across the TRICARE Health Plan and the Health Care Operations Division, leveraging best practices and industry standards.  
  • Contribute to the continuous improvement of TRICARE policies, systems, and processes by evaluating existing practices, gathering feedback from stakeholders, and recommending necessary changes.  
  • Support the creation and execution of program management plans, tracking milestones, timelines, and resource allocation for successful TRICARE Health Plan execution.   

Compliance and Documentation:  

  • Ensure all communications, reports, and solutions comply with DHA policies, federal regulations, and industry standards, with a focus on TRICARE regulations.  
  • Maintain thorough documentation for all performance measurement frameworks, program reports, and operational processes, ensuring accessibility for future reference and audits. 

 

Qualifications and Skills: 

  • Minimum education: Bachelor’s degree in Healthcare Administration, Public Health, Business Administration, or a related field. 
  • Minimum of 5 years of experience in healthcare operations, with at least 3 years in a functional analyst or similar role focused on TRICARE Health Plan operations, executive communications, performance reporting, performance measurement, and solutioning.  
  • Experience working within or alongside federal healthcare systems, particularly the Department of Defense (DoD) or Defense Health Agency (DHA), is preferred.  
  • Strong knowledge of TRICARE Health Plan operations, policies, and the broader Military Health System (MHS).  
  • Proven ability to analyze complex data sets, design performance measurement frameworks, and communicate findings effectively to executive leadership.  
  • Expertise in creating executive-level communications and reports for senior leadership and external stakeholders, specifically related to TRICARE.  
  • Proficiency in project management methodologies, including Agile and traditional approaches.  
  • Experience with reporting tools such as Power BI, Tableau, or similar data visualization and business intelligence tools.  
  • Excellent written, verbal, and interpersonal communication skills.   

Preferred Qualifications:   

  • Master’s degree in Healthcare Administration, Public Health, or a related field.  
  • Program Management Professional (PMP) certification or equivalent.  
  • Familiarity with DoD healthcare regulations, policies, and TRICARE Health Plan operations.  
  • Experience with process improvement methodologies (e.g., Lean Six Sigma).  
  • Expertise in the development and implementation of performance measurement systems for large-scale health care programs, specifically for TRICARE. 

Benefits and Perks: 

  • Medical, Vision, and Dental Plans 
  • Paid Holiday and Personal Time Off  
  • 401K plan 
  • Short-term disability, Long-term, and Life Insurance 
  • Education and Training Assistance Program 
  • Incentive Plans and Referral Bonuses 
  • Employee Assistance Programs 

 

Kymber Consulting Group, LLC is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law 

 

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