Tricare Medicare Transition Manager

Signature Performance, Inc.•Remote,

About The Position

The TRICARE Medicare Transition Manager will be responsible for providing strategic leadership and operational direction, ensuring alignment with Tricare policies and manuals. This role involves overseeing the end-to-end solution development from capture through proposal submission, reviewing RFP documentation, and collaborating with various teams to ensure solution compliance and competitive bids. Post-award, the manager will oversee day-to-day program operations, serve as the primary liaison with government stakeholders, develop and manage program plans, lead cross-functional teams, drive continuous improvement, and ensure compliance with federal regulations and contract terms.

Requirements

Bachelor's degree in a related field required; 8+ years in program or operations management, with at least 3 years in federal healthcare programs (TRICARE, Medicare, Medicaid, etc.). Equivalent combination of education and relevant industry experience will be considered instead of a degree.
Demonstrated expertise in program management with a proven track record of leading solution development or proposal efforts for large-scale federal contracts.
Strong understanding of program planning, staffing models, and performance management in a federal contracting environment.
Knowledge of and proficiency with DoD contracts and contract administration.
Direct experience with TRICARE Policy, Operations, and Systems Manuals.
Direct experience with TRICARE Encounter Provider Records (TEPRV).
Direct experience working with the Defense Enrollment Eligibility Reporting System (DEERS).
Ability to communicate effectively and efficiently with DHA and other government leadership, staff, and customers.
Must have a thorough understanding of handling Protected Health Information (PHI) and Personally Identifiable Information (PI) in compliance with HIPAA regulations to ensure data privacy, security, and organizational accountability.
Requires excellent written and oral communication skills.
U.S. Citizenship or naturalized citizenship is required for this position.
All work on all positions at Signature Performance must be completed in the continental United States, Alaska, or Hawaii.

Nice To Haves

Preferred understanding of TRICARE Encounter Data (TED) files.
Familiarity with all DoD policies, manuals, instructions, and procedures as they relate to information systems, software, and security.
Direct experience working with military populations.
Demonstrated experience with JIRA and Confluence.

Responsibilities

Oversee the end-to-end solution development from capture through proposal submission.
Review RFP documentation to interpret scope, constraints and evaluation criteria to ensure solution compliance and submission of a competitive bid for work.
Collaborate closely to ensure the solution aligns with Tricare objectives and government requirements.
Coordinate with recruiting, pricing, compliance and other support teams to ensure alignment with the evolving solution.
Manage timelines, deliverables and interdependences to meet critical milestones during the pre-award process.
Organization and facilitate working sessions to define program structure, operational workflows, and key performance metrics.
Track progression of solution components and proactively identify and resolve risks, gaps, or issues.
Oversee day-to-day program operations to ensure delivery of services meets contract requirements, quality standards, and performance metrics.
Serve as the primary liaison with government stakeholders, including regular communication with contracting officers and program managers.
Develop and manage program plans, schedules, budgets, and resource allocations to meet contractual obligations.
Lead cross-functional teams, including technical, operational, and administrative staff, to execute program objectives effectively.
Drive continuous improvement initiatives to enhance program efficiency and beneficiary satisfaction.
Identify and mitigate risks to program performance and compliance.
Ensure compliance with federal regulations, contract terms, and organizational policies (e.g., HIPAA, FISMA, FAR).