Health Care Operations and Other Program Management Support

The Professional Services Contracting Division, Defense Health Agency, is seeking capable sources of executive level support and program management support services to the Deputy Assistant Director, Health Care Operations, and Chief, TRICARE Health Plan Division. The TRICARE Health Plan (THP) Directorate, is a Direct Reporting Organization (DRO) under the Assistant Director, Healthcare Administration (ADHCA), and is comprised of five divisions: Health Plan Design, Integration Support, Private Sector Care Delivery, Private Sector Care Integration Program Management Office, and Customer Support. Collectively, the THP identifies opportunities and executes improvements for increased integration in program and patient care, the development and implementation of metrics, and improves understanding of statutory and contractual requirements. The THP Directorate proactively identifies, actively engages, and fully supports new opportunities for integration to eliminate discrepancies between

direct and purchased care; leads comprehensive initiatives to improve integration of care and sharing of information across the direct and purchased care health plan services in support of DHNs and Military Medical Treatment Facility (MTF) Prime Service Areas.Major missions and functions of THP to include the following:Develop and execute program and operational guidance for the delivery of the TRICARE Prime, TRICARE Select, TRICARE Young Adult and TRICARE for Life, health care benefits.Provide program and contract management for centralized TRICARE purchased care contracts and program management support for managed health care programs.Provides drafting and editing TRICARE Manual language.Provides front office support to the Deputy Assistant Director (DAD), Healthcare Operations (HCO)Coordinate and administer the Military Health System (MHS) Dental ProgramCoordinate TRICARE Overseas ProgramsCommunicate and market the TRICARE Program and other MHS initiatives to beneficiaries and stakeholdersImplement, manage, and oversee beneficiary education/services and customer support programs.Provide centralized DHA human resources management, security, facilities, logistics, correspondence management, and other administrative services.Conduct studies/evaluations to improve internal DHA operations.Conduct patient satisfaction surveys and special studies for the TRICARE health plan and its health programs.Assist with determination of medical benefits, and actions necessary to continue support for the Health Plan Shared Services InitiativesThe principal objectives of services are to assist, support, and facilitate the effective and efficient accomplishment of mission tasks, business, functions/activities, and daily operations of the THP enterprise, including but not limited to: functions associated with TRICARE Health Plan programs/activities, purchased health care services, human resources programs, ADHCA, DAD HCO, THP Front Office operations, TRICARE Acquisition of various TRICARE Healthcare program contracts, drafting and editing TRICARE Manual language, assisting Program Managers with contract transitions, providing program integration support, and analytical support to Program Managers. Additionally, the services will assist with determination of medical benefits, and actions necessary to continue support for the Health Plan Shared Services Initiatives and administrative tasks associated with the responses to DoD Inspector General, Government Accountability Office audit requirements, Congressional testimony, and responses to Congressional correspondence or other Federal audit entities.See the attached notice for details.