Lead Medical Case Manager / Focal Point

Essential Healthcare SolutionsWarner Robins, GA
Onsite

About The Position

This role serves as the single Focal Point and working team lead for a three-person aeromedical case-management team supporting the Office of the Command Surgeon at HQ AFRC. This is a working lead role: you will carry your own case load while also owning the government-facing point-of-contact function, team workflow and load-balancing, metrics and recurring reporting, RMU guidance, and support to the SGP division's training events. You keep the team meeting its accuracy and timeliness performance standards across ~6,456 case actions per month for a force of roughly 70,000 reservists.

Requirements

  • Demonstrated experience processing and managing physical exams and medical standards — acquired through a military medical environment (e.g., USAF Physical Exam Standards / PES, aeromedical, or reserve medical unit) OR an equivalent civilian aeromedical, occupational health, or disability evaluation system (DES) environment.
  • Working knowledge of medical standards for retention, flying classes, Line of Duty (LOD) determinations, and special operational duty for the USAF; familiarity with the Aeromedical Waiver Guide (AMWG) and the Medical Standards Directory (MSD), applicable AFIs, and 422/469 and DES processes (or the ability to rapidly acquire it).
  • Basic knowledge of anatomy, physiology, disorders of human body systems, and emergency medical care procedures; proficiency with medical terminology and ICD-10 coding, used accurately when documenting cases.
  • Excellent oral and written communication; ability to translate complex medical/administrative instructions to service members at their comprehension level; project-management / workflow-tracking ability.
  • Proficiency with Adobe PDF and Microsoft Office (Word, Excel, Outlook, PowerPoint); proficient typing on both QWERTY and 9-key/numeric pads.
  • Able to work independently with strong time-management and prioritization skills; exceptional customer-service skills; fluent in reading, writing, speaking, and understanding English.
  • Demonstrated ability to direct contractor personnel and serve as the primary government/customer interface; project-management experience coordinating multi-person workflows to measurable performance standards (AQLs).
  • Must be able to obtain and maintain a favorable Tier 1 (T1) National Agency Check with Inquiries (NACI). Tier 1 certification is required within 30 days of contract start; no network or system access is granted without a valid T1 or approved interim access.
  • Must sign the AFRC/SG Non-Disclosure Agreement prior to beginning performance.
  • Must complete DoD Cyber Awareness, HIPAA, Privacy Act, and Derivative Classification training (government-provided).

Nice To Haves

  • In-depth knowledge of Line of Duty (LOD) determinations and Medical Evaluation Board (MEB) processes.
  • Prior hands-on experience in a USAF/AFRC/ARC aeromedical or reserve medical unit, or with the specific systems above (AIMWTS, ECT, PEPP) — clears the System-Experience gate with proof rather than crosswalk.
  • Experience building metrics/status reports and using an internal case tracker or similar tool to age and flag actions against service levels.

Responsibilities

  • Act as the contractor Focal Point / single point of contact for all government correspondence; provide clear written and verbal responses within required timeframes and attend monthly performance meetings with the COR.
  • Carry an active case load — receive, track, review, and adjudicate accession, retention, and flying-class waiver cases using AIMWTS, ECT, and PEPP.
  • Own team workflow: assign and load-balance the highest-volume queues (data/status updates, initial case actions) against their timeliness thresholds, and manage surge up to +15% through internal re-prioritization, flex-time, and cross-utilization.
  • Prepare and deliver recurring and ad hoc reports — Monthly Status Report, Annual Report, case-processing metrics, data-quality and unit case-load analyses; own MICT self-assessment checklists related to case-management policy.
  • Provide written guidance to reserve medical units (RMUs) on managing questionable or incompletely documented cases; coordinate with MAJCOMs, HQ USAF, ACS, RS, and MTFs on reserve-unique medical issues.
  • Assist with planning, preparation, and execution of the four training events conducted by the SGP division (e.g., AMTM/FSST support).
  • Manage phase-in/phase-out activities: attend weekly transition meetings, complete system-access requirements, and ensure no degradation of service at transition.
  • Direct contractor personnel operations and serve as the primary interface with the Government and customers, maintaining non-personal-services boundaries.

Benefits

  • Health & Welfare $5.55/hr
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