Currently I am on Deferred Early Retirement due to USDA restructuring. I have extensive experience working with CONCUR/SABRE Travel, Logistics, Budgetary Reporting, Human Resources, as well as Time and Attendance.
Veteran Program Analyst versed in ongoing program evaluations and eager for new professional challenges. Highly effective at reviewing and validating data, conducting complex reviews, and assessing program operations.
Maintained up-to-date information and is knowledgeable on current information concerning Active Duty and Retired beneficiaries and enrollment. These programs include but are not limited to: TRICARE Prime, TRICARE for Life, TRICARE Plus, National Enrollment Database, and Department of Defense Enrollment and Reporting System. Able to communicate; write or utilize telephonic communication with individual staff members and administrators in assisting them in monitoring their assigned Primary Care Managers and providers. Produced bi-weekly enrollment reports (capacity reports) for Family Health Center Administrators and TRICARE managers to verify, and/or maintain Primary Care Manager capacity and to resolve enrollment errors. Confirmed accuracy and consistency of enrollee information within the Defense Enrollment and Eligibility Reporting System (DEERS), Composite Health Care System (CHCS), and with other data systems. Assisted in resolving enrollment discrepancies using extensive knowledge of the benefits program, researching various databases, records, patient history and regulations. Conducted personal or telephonic interviews to establish program eligibility and identified issues related to enrollment. Gathered information from beneficiaries concerning their knowledge of healthcare options available and requirements placed on them by laws and regulations. Advised and provided guidance based on knowledge of programs and information collected. Assisted with managing the Primary Care Manager by Name (PCMBN) program including identifying and notifying beneficiaries of Primary Care Manager changes that affect their enrollment and disseminate information to the appropriate clinic and administrative departments. Knowledgeable of different types of software including National Defense Enrollment Eligibility Reporting System (NDEERS), CHCS, MS Word, Outlook, Excel, and Access to support and maintain enrollment population and Primary Care Manager panels. Under general supervision, extracted, defined, formatted, and established automated files from CHCS. Evaluated and verified correctness of location data, activity, description, appropriate regulatory authority, and other evaluations necessitating knowledge of the TRICARE Operations program as it applies to the Composite Health Care System. Used practical knowledge of the medical operational regulatory programs, updated the TRICARE Operations Program module by adding new records, modifying existing records, correcting erroneous data, periodically reviewed the database to ensure uniform data convention, and purged incorrect records as approved. Established and maintains automated and/or standard office files. Ensured the timely processing of Primary Care Manager (PCM) change requests and resolution of the Primary Care Information Transfer discrepancies (PIT); corrected duplicate patient records to include identifying, merging, and reconciling multiple beneficiary records; ensures the timely mailing of patient notification letters. Sorted, retrieved, and printed reports; compiled periodic reports from information obtained both by software driven and interactive queries of the Composite Health Care System. Assisted with, or in the absence of the Administrator for the Composite Health Care System (CHCS) Managed Care Program Module (MCPM), maintained the module. Entered profiles for Primary Care Managers and Providers into the Managed Care Program Module, including inputting and deleting Primary Care Managers and Providers, adding specialties, and verifying appointments in the Health Care Finder Booking Menu. Worked with McDonald Army Health Center Information Management Division to resolve complex problems that may arise and coordinate with Managed Care Support Contract personnel to resolve identified enrollment or Primary Care Manager assignment issues. Ensured all Primary Care Manager/beneficiary assignments are made in a timely manner to prevent problems with appointment booking. Compared data within the various Department of Defense (DOD) medical information systems to information in the Managed Care Support Contractor information systems with issue resolution. Extensive knowledge of DOD uniformed services missions, operations, deployments, medical readiness, family separations, lifestyles, individual health and medical needs for active duty, family members and retirees. Extensive knowledge of computer systems from a user point of view, knowing the difference between the various applications of work processing, database, spreadsheet, and communications software. Knowledge of the Composite Health Care System, including the Managed Care Program Module, file and table building and appointment scheduling. Extensive knowledge of military health systems benefits and eligibility determination (DEERS). Knowledge of military healthcare delivery systems.