Medical Case Manager — Ajudication & Customer Support
Listed on 2026-09-24
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Healthcare
Healthcare Administration
*** MILITARY EXPERIENCE STRONGLY PREFERRED
*** Medical Case Manager — Adjudication Support & Customer Support
Primary lane:
Adjudication Support, Final Disposition & Unit/Member Customer Support (cross-trained on all functions)
Program HQ AFRC/SG Aeromedical Case Management Support (Contract FA664326C0002)
Employer Unified Health Partners, LLC (Prime)
Location HQ AFRC, Robins AFB, Warner Robins, GA (on-site)
Employment type
Full-time, non-exempt (SCA)
Labor category SCA 12190 – Medical Record Technician
Reports to Lead Medical Case Manager / Focal Point (UHP)
Positions 1.5 FTE
Essential Healthcare Solutions is supporting Unified Health Partners, LLC (UHP). UHP holds Contract FA664326C0002 (awarded from RFQ FA664326Q0004) for HQ AFRC/SG Aeromedical Case Management Support. The official start date is 20 October 2026, following the 30-day contract phase-in. Prior to that date, personnel may be required to complete administrative functions or Government-provided training and may bill up to 2 hours per week for approved pre-start time.
The base period of performance is 21 September 2026 – 20 September 2027, with four 12-month option periods. Overtime is not authorized on this contract unless approved by the client.
Process high-volume aeromedical cases for HQ AFRC with a primary focus on preparing cases for provider adjudication, compiling final dispositions, and serving as the unit/member help desk. You confirm case files are complete and that provider statements match the case type and higher-level (e.g., PEB) requirements, compile final disposition packages and member mail-outs, and answer day-to-day questions from medical personnel across the force.
You are cross-trained on all team functions and rotate to cover intake and data entry during surge.
Key Responsibilities
Confirm all required data is included in case files for HQ AFRC provider adjudication; confirm provider statements match the case type and higher-level (e.g., PEB) requirements.
Reference and apply general medical guidelines and standards used to adjudicate cases; obtain medical opinions/recommendations from professional medical personnel.
Collect and compile data for final case disposition and member mail-out (~702 final disposition/mail-out actions per month).
Provide day-to-day advice and assistance to medical personnel across 69 units and three numbered Air Forces; receive calls and return messages within 2 duty days.
Communicate effectively with coworkers, leaders, commanders, first sergeants, MAJCOMs, and AFMEDCOM, and help resolve conflicts at different levels.
Screen and route incoming/outgoing correspondence, materials, publications, regulations, and directives; elevate items needing government attention.
Assist with disposition of LOD determinations and RILOs where applicable.
Cross-cover intake, data entry, and system-of-record updates (AIMWTS, ECT, PEPP, MEDXS) as directed to balance workload.
3.Required Qualifications
Domain experience:
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.
Regulatory knowledge:
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).
Medical literacy:
Basic knowledge of anatomy, physiology, disorders of human body systems, and…
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