Contact Representative

Full Job Description

About the Position: This position is located at Defense Health Network Pacific Rim, Naval Medical Center, San Diego, CA Directorate of Administration Health Benefits.

Who May Apply: Only applicants who meet one of the employment authority categories below are eligible to apply for this job.

You will be asked to identify which category or categories you meet, and to provide documents which prove you meet the category or categories you selected.

30 Percent or More Disabled Veterans Current Civilian Employees of the Defense Health Agency (DHA) Current Permanent Department of Defense (DoD) Civilian Employee Domestic Defense Industrial Base/Major Range and Test Facilities Base Civilian Personnel Workforce Land Management Workforce Flexibility Act Military Spouses, under Executive Order (E.O.) 13473 Priority Placement Program, DoD Military Reserve (MR) and National Guard (NG) Technician Eligible Priority Placement Program, DoD Military Spouse Preference (MSP) Eligible Priority Placement Program, DoD MR and NG Preference Eligible Tech Receiving Disability Retirement Priority Placement Program, DoD Retained Grade Preference Eligible Veterans Employment Opportunity Act (VEOA) of 1998 In order to qualify, you must meet the education and/or experience requirements described below.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social).

You will receive credit for all qualifying experience, including volunteer experience.

Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application.

Additional information about transcripts is in this document.

Specialized Experience: One year of specialized experience which includes interacting with patients, conducting investigations to identify opportunities for process improvement or staff training needs, and presenting oral or written materials to inform and educate patients.

This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-07).

Time in Grade Requirement: Applicants who have held a General Schedule (GS) position within the last 52 weeks must have 52 weeks of Federal service at the next lower grade or equivalent (GS-07).

Major Duties:

• Attend Tricare monthly meetings on policies as benefits change frequently to support outreach and education for beneficiaries.
• Provide input to Command group and Tricare Regional office for contract surveys.
• Maintain formal documentation process for tracking problem resolution.
• Manage multiple databases unique to Tricare and the referral program.
• Analyze statistics from various. Internal sources on availability and effectiveness of the referral program management programs.
• Troubleshoot problems beneficiaries have in processing claims, enrolling in programs, receiving authorization for services, or other system problems.
• Provide education to a wide variety of beneficiaries on established Tricare procedures and benefits.
• Advise service members on types of benefits and their advantages and disadvantages.