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Tricare Operations Jobs (NOW HIRING)

TriCare Medical Transportation is South Jersey's premier medical transportation company. We are a large-scale 24/7 operation with over 300 employees and 130 vehicles, providing service from our ...

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Tricare Operations information

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$11

$26

$53

How much do tricare operations jobs pay per hour?

As of Jun 10, 2026, the average hourly pay for tricare operations in the United States is $26.24, according to ZipRecruiter salary data. Most workers in this role earn between $17.79 and $30.29 per hour, depending on experience, location, and employer.

What is the difference between Tricare Operations vs Tricare Customer Service Representative?

AspectTricare OperationsTricare Customer Service Representative
CredentialsTypically requires knowledge of military health benefits, sometimes certifications in healthcare administrationCustomer service skills, familiarity with Tricare programs, possibly some healthcare knowledge
Work EnvironmentOffice settings, military healthcare facilities, or call centersCall centers, customer support offices, or remote work environments
Employer & IndustryDepartment of Defense, military healthcare systemMilitary healthcare providers, insurance companies, or government agencies
Common Search & ComparisonFocuses on administrative and operational functions within TricareCustomer interaction and support related to Tricare benefits

While Tricare Operations involves managing the administrative and logistical aspects of military health benefits, Tricare Customer Service Representatives primarily handle direct communication with beneficiaries, providing support and information. Both roles are essential within the Tricare system but differ in responsibilities and daily tasks.

What are the key skills and qualifications needed to thrive in Tricare Operations, and why are they important?

To excel in Tricare Operations, you need a solid understanding of healthcare administration, military health benefits, and insurance processes, often supported by experience in health services management or a related field. Familiarity with Tricare-specific software systems, claims processing tools, and regulatory compliance is typically required. Strong attention to detail, effective communication, and problem-solving abilities help you navigate complex cases and interact with beneficiaries. These skills ensure efficient administration of military health benefits and high-quality service for service members and their families.

What are some common challenges faced in a Tricare Operations role, and how can they be managed effectively?

Professionals in Tricare Operations often encounter challenges related to navigating complex military healthcare regulations, ensuring accurate claims processing, and maintaining effective communication between providers, beneficiaries, and government agencies. Staying updated on policy changes and fostering strong attention to detail are crucial for success. Collaborating closely with team members and leveraging available training resources can help manage workload fluctuations and provide better service to Tricare beneficiaries.

What are Tricare Operations?

Tricare Operations refers to the management and administration of the Tricare health care program for military service members, retirees, and their families. This includes overseeing enrollment, claims processing, provider relations, and ensuring compliance with Tricare policies and regulations. Professionals working in Tricare Operations help facilitate access to medical services, coordinate benefits, and resolve issues related to health coverage. Their work is essential to maintaining the efficiency and quality of health care services for the military community.
More about Tricare Operations jobs
What states have the most Tricare Operations jobs? States with the most job openings for Tricare Operations jobs include:
Health System Specialist

$23.80 - $28.89/hr

Other

Posted 18 days ago


Job description

Description

The candidate shall provide Healthcare Analyst Support that includes the collection, analysis and reporting of data from internal and external data systems, including designing reports and benchmarking results in a clear and concise manner, as well as aggregating, processing and interpreting report data for decision making in an effective and efficient manner and other electronic repository sources and analyze, present to department, directorate, and command. He or She will assist Directors and MHP Department Heads in preparing for professional presentations. Systems for use by the Analyst currently include, Composite Healthcare Computer System (CHCS), Armed Forces Health Longitudinal Technology Application (AHLTA), Defense Medical Information System (DMHRSi), Care Point Suite of Applications (CHAS), Population Health Portal, Command Management System (CMS), Tricare Operations Center.

Requirements

Key Responsibilities are including but not limited to:


MUST have a T3 (Secret) Clearance at a minimum.

1. Able to input MHP clinic templates and support Department Heads and Directors in template management to improve access to care metrics. Analyst should also be able to participate in appropriate communications to patients using secure messaging system.

2. Examples of such communication would include blast messaging about events such as school physical exams, breast cancer awareness month tobacco or targeted messaging to patients who are overdue for routine preventive services or disease management services.

3. Track action items by priority and status as directed Department Head or associated chain of command. Establishes reporting mechanisms and performs analysis of activities and operations to determine progress towards stated goals and objectives

4. Ensure timely (weekly or monthly depending on system limitations), readily accessible and clear patient centered data through comprehensive data evaluation, presentation, and database management. As new or revised guidance on primary care is released, contractor will assist in realigning the MHP practices as necessary.

  • Participates in developing and implementing short and long-range plans with specific, measurable standards, goals and objectives for each clinic to ensure and enhance quality patient care and fiscally responsible business growth.
  • Identifies problems and independently utilizes problem solving techniques to ensure the delivery of quality patient care.
  • Submits recommendations for action and resolution to the leadership and respective Department Heads on identified problems.
  • Participates in key marketing activities. Performs marketing functions within local community, maintaining knowledge of beneficiary population, optimization plan and resource consumption, managed care, population health and empanelment practices.
  • Identifies new clinical and management requirements for the clinics; takes effective action to ensure necessary changes and adaptations are implemented.
  • Maintains appropriate files as required by BUMED, their respective assigned MTF, TRICARE Region or TJC. Demonstrates effective collaboration, delegation, organization and coordination of primary care operations; delegates these responsibilities to designated staff as appropriate.
  • Promotes staff development utilizing available resources. Assesses plans, coordinates and participates in scheduling of training and continuing education opportunities for clinic personnel.
  • Provides reports to MHP teams and providers regarding medical record completion, coding completion and accuracy, timecard completion and accuracy, and other metrics of business-related measures in an effort to improve performance.
  • Maintain complete confidentiality of all administrative, financial, personnel, and patient information.

5. Communicate and coordinate on an as needed basis but no less than monthly with members of various departments throughout the hospital to facilitate dissemination of pertinent information to improve staff education, workflow and patient centered care as measured by specific performance metrics. Works to establish timelines with stakeholders and assists with meeting goals and monitoring compliance

6. Utilize the command standard database and set of tools to obtain the data (i.e. SQL server, and SQL Server Reporting Services) for reports to committees, departments, or command staff (which may at times include any Military Health System personnel).

  • Produce summary briefs for presentation to the ESC, Region or other presentation venues as requested by the Command, Directors, and Officers in Charge or Primary Care Department Heads.
  • Input and management of clinic schedules as required/requested by local chain of command.
  • Analyze above metrics and consider suggestions for improvement in performance with leadership

7. Provide support to command Dashboards (including, responsible for the collection, analysis and reporting of data from internal and external data systems, including designing reports and benchmarking results in a clear and concise manner, as well as aggregating, processing, and interpreting report data for decision making in an effective and efficient manner

8. Active and frequent participation in leadership of process improvement initiatives is required and will include in facilitating discussions, recommending courses of action and supporting implementation of strategic goals, and business plans and practices in direct support of the Medical Home Port program

9. Plans and implements clinic-based Performance Improvement I Lean Six Sigma activities and shares results for integration at all levels of the MTF.

10. Identifies, extracts, and analyzes health care data to determine patterns in clinical care delivery at the local MTF level with capability to drill down to the 4TH level MEPRS or practice level

11. Provides technical assistance, consultation, and training (primarily one on one or clinic/practice level but also includes semi-annual command wide level) to staff members in the areas of data collection and analysis including statistical methods, analytical procedures, and statistical software programs. Develops, analyzes, and enhances performance goals for individual providers and clinical and non-clinical staff.

12. Assist the Database Administrator with the creation of SSRS data models by identifying and locating data necessary for a given audience of customers consistent within the scope of this contract's provision of services

13. Develop lists and document libraries from data available on Windows SharePoint Services 3.0 and Microsoft Office SharePoint Server 2007 and make that data accessible to staff members for demand and population health management

14. Create clear and comprehensible aggregate data presentations from data available on SharePoint Designer 2007

15. Upload and delete data on SharePoint sites and sub sites associated command data dashboards and reports


The ideal candidate will have:

  • A T3 (Secret) Clearance at a minimum.
  • Must be a US citizen
  • DoD or Navy experience
  • Demonstrated experience with customer service support.
  • Well versed in MS Office Products (Word, PowerPoint, Excel, and Outlook)
  • Required to communicate in English verbally and in writing.
  • A minimum of a bachelor's degree work experience in healthcare, business, computer or information management major or a minimum of four (4) years' work experience.
  • A minimum of two (2) years as a data analyst in a healthcare delivery system.
  • A minimum of two (2) years of experience with information management, project management, utilization review, and disease management is highly recommended.
  • A minimum of two (2) years of experience with the ability to plan a study; collect, clean, and analyze data; and develop and present reports.
  • A minimum of two (2) years of experience with the ability to analyze extensive program data that affect the management of a healthcare delivery system.
  • A minimum of two (2) years of experience with the skill in written and oral communication to prepare and present findings.
  • A minimum of two (2) years of experience with interpersonal and team-building skills.
  • Security background check prior to employment.