The Director of the TRICARE Health Plan holds a key Senior Executive Service position within a major health system, which serves millions of beneficiaries globally through an extensive network of military and civilian healthcare providers. This role, reporting to senior leadership in the healthcare administration branch, is tasked with managing multi-billion dollar healthcare contracts, devising managed care programs, and overseeing the administration of dental and pharmacy programs. The director is also responsible for crafting healthcare policy, reviewing program operations, and ensuring continuity between military and private sector care.
Key responsibilities include devising strategies for the integration and coordination of care, overseeing healthcare contracts to ensure smooth and efficient operations, and planning for future needs with regard to new technologies and business practices. The director also manages a substantial budget to support private sector care, ensures compliance with confidentiality and security requirements, and oversees the implementation of healthcare policies and reimbursement systems. This includes maintaining accountability for medical protocols and managing a robust Quality Assurance program.
The role requires significant leadership in defining long-range goals for program operations, handling programmatic issues, and improving health plan performance based on evaluations. The director coordinates with multiple offices for effective management of overseas healthcare delivery and provides executive guidance to subordinate organizations. Applicants for this position need a resume demonstrating progressively responsible leadership experience directly linked to the scope of this role, which emphasizes strategic management and operational oversight in a complex healthcare environment.