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Senior TRICARE Community Liaison

1 month ago

Montgomery, Alabama, United States Humana Full time
Job Summary

We are seeking a highly skilled and experienced Senior TRICARE Community Liaison to join our team at Humana. The successful candidate will be responsible for developing and sustaining strong relationships with TRICARE customers, including government staff, beneficiaries, and healthcare providers.

The ideal candidate will have a strong understanding of the TRICARE health plan and the ability to communicate complex information in a clear and concise manner. They will also be able to analyze information, research problems, and determine and implement solutions.

Key responsibilities will include providing accurate explanations of TRICARE health plan policies and procedures, responding to beneficiary, provider, and government inquiries, and implementing self-directed activities to analyze, coordinate, process, and complete actions to correct multifaceted problems.

The successful candidate will also be responsible for assisting in developing and sustaining a high-performing network in designated Prime Service Areas (PSAs) and Non-Prime Service Areas (NPSAs), and conducting regular and ad hoc market laydown assessments to determine the capability and capacity of TRICARE providers.

Benefits of working with Humana include a competitive salary, comprehensive benefits package, and opportunities for professional growth and development.

Key Accountabilities:

  • Provide accurate explanations of TRICARE health plan policies and procedures
  • Respond to beneficiary, provider, and government inquiries
  • Implement self-directed activities to analyze, coordinate, process, and complete actions to correct multifaceted problems
  • Assist in developing and sustaining a high-performing network in designated PSAs and NPSAs
  • Conduct regular and ad hoc market laydown assessments to determine the capability and capacity of TRICARE providers

Requirements:

  • U.S. citizenship
  • Interim approval for government security clearance
  • Ability to travel and work on weekends/nights as needed
  • Experience in customer relationship management, analyzing information, researching problems, and determining and implementing solutions
  • Experience in healthcare provider relations and public speaking
  • Strong computer skills with business software and superior organizational skills