Senior TRICARE Community Liaison

Overview

Become a part of our caring community and help us put health first

You will interact in person and by telephone, e-mail, and chat with TRICARE beneficiaries, Medical Treatment Facility (MTF) and other Government staff, including senior military leaders, and civilian healthcare providers and facilities. You will be responsible for ensuring MTF, beneficiary, and provider understanding of the TRICARE health plan and how to navigate the Military Health System. You will be required to work during uncommon duty hours and travel to conduct outreach activities.

You will report to the Market Development Advisor.

• Provide explanation of TRICARE health plan during on-site and electronic beneficiary, provider, and Government outreach activities
• Respond to beneficiary, provider, and Government inquiries regarding eligibility, enrollment, billing, claims, referrals/authorizations, network operations, access to care, Defense Health Agency/TRICARE Health Plan policy.
• Research and resolve difficult, complex TRICARE problems/issues elevated by a Government agent, beneficiary, or provider.
• Assist in developing and sustaining a high-performing network in designated PSAs/NSPAs which meets TRICARE and Humana Government Business requirements and optimization strategies.

Use your skills to make an impact

• Our Department of Defense Contract requires U.S. citizenship for this position.
• Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Services)
• Will require living in a 60 mile radius of Fort Knox, KY, as this position will need to travel to this location and others around Kentucky to provide briefings
• This position will require the ability to travel and work on weekends/nights as needed to provide briefings
• Experience in customer relationship management, demonstrating courteous, professional interactions
• Experience in analyzing information, researching problems, and determining and implementing solutions
• Experience in healthcare provider relations
• Exceptional public-speaking ability

• Three to four years' experience in TRICARE, including presentations to groups
• Knowledge of healthcare provider contract negotiations

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
• Satellite, cellular and microwave connection can be used only if approved by leadership
• Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Travel:
While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

40

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$59,300 - $80,900 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life…