Sr TRICARE Community Liaison

Humana; United States; Hybrid; USD 59,000 - 81,000; Full time

Job summary

Humana is seeking a Hybrid Senior TRICARE Community Liaison to work from home on non-briefing days and travel to briefing sites around Quantico, VA. You will clarify TRICARE enrollment, claims, and referrals to MTFs, beneficiaries, and providers, while supporting network development and operations with the Health System Leader.

The role requires exceptional public-speaking ability, DoD-based citizenship, NBIS clearance readiness, and the ability to travel weekends and evenings as needed.

Qualifications

• U.S. citizenship is required due to the DoD contract.
• Interim approval for NBIS background check is required.
• Live within 60 miles of Quantico, VA to deliver briefings.
• Willingness to travel, including weekends/nights, as needed.
• Experience in healthcare provider relations is required.
• Experience in customer relationship management is required.
• Excellent public-speaking ability is essential.

Responsibilities

• Brief TRICARE beneficiaries, providers, and Government staff in person and by phone, email, and chat.
• Deliver briefings at a Quantico location and coordinate outreach activities.
• Help ensure understanding of TRICARE enrollment, claims, and referrals within the network.
• Support Health System Leader with network development and optimization strategies.
• Interact with stakeholders and support travel as needed for outreach.

Skills

Public speaking

Provider relations

Customer relationships

Information analysis

Job description

Become a part of our caring community

This hybrid Senior TRICARE Community Liaison (TCL) will report to a Health Systems Leader. You will work from home on the days you are not briefing at a location in the Quantico, Maryland, DC area.

You will ensure MTF, beneficiary, and provider understanding of the TRICARE health plan and how to navigate the Military Health System, including enrollment, claims, and referrals.

You will support the Health System Leader in local TRICARE network operations, including participating in network development and optimization strategies.

You will interact in person with TRICARE beneficiaries, Medical Treatment Facility (MTF) and other Government staff, as well as by telephone, e-mail, and chat.

This position will require work during uncommon duty hours and travel to conduct outreach activities/briefings.

Use your skills to make an impact

Required Qualifications

• 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)
• HGB is not authorized to do work in Puerto Rico per our government contract. We are not able to hire candidates that are currently living in Puerto Rico.
• Must live within a 60 mile commute of the Naval Health Clinic in Quantico, VA as it will be required to deliver briefings at this location
• This position will require the ability to travel and work on weekends/nights as needed to provide briefings
• Experience in healthcare provider relations
• Experience in customer relationship management
• Experience analyzing information, researching problems, and determining and implementing solutions
• Exceptional public-speaking ability

Preferred Qualifications

• Experience in TRICARE, including presentations to groups
• Knowledge of healthcare provider contract negotiations

Work at Home Requirements:

To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. 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.

Scheduled Weekly Hours

40

Pay Range

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.

Description of Benefits

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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all empl