TRICARE COMMUNITY LIAISON

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

Are you looking to join a team where you can be a part of our important mission of supporting the TRICARE healthcare program for our nation's military?

Humana Government Business is a top 10 Department of Defense contractor, with a long history in the TRICARE business and has recently been awarded the T-5 East Region, the next generation of military health contracts.

This position will be working at the office located on post at Fort Liberty (formerly known as Fort Bragg, NC).

The TRICARE Community Liaison (TCL) is a customer-facing Humana Military associate who is knowledgeable, professional and courteous.

This role interacts with TRICARE beneficiaries; Medical Treatment Facility (MTF) staff; and civilian healthcare providers and facilities in person and by other means, such as by telephone, e-mail, and chat.

The primary focus of the TCL is to develop and sustain strong, collaborative relationships with all TRICARE customers Government, beneficiaries, and providers.

Through clear and concise communication, the TCL is responsible for ensuring MTF, beneficiary, and provider understanding of the TRICARE health plan and how to navigate the Military Health System.

The TCL also supports the Health System Manager / Consultant in managing the local TRICARE network in designated Prime Service Areas (PSAs) and Non-Prime Service Areas (NPSAs), including participating in network development and optimization strategies.

This position may require travel to conduct outreach activities.

KEY ACCOUNTABILITIES

Provide accurate explanation of TRICARE health plan policies and procedures during customer support activities, ensuring compliance with all contract standards.

Respond appropriately and timely to inquiries regarding eligibility, enrollment, billing, claims, referrals / authorizations, network operations, access to care, Defense Health Agency / TRICARE Health Plan policy, and other TRICARE topics.

Research and resolve complex TRICARE problems / issues elevated by a Government agent, beneficiary, or provider within required timelines.

Assist in developing and sustaining a high-performing network in designated PSAs / NSPAs which meets TRICARE and Humana Government Business requirements and optimization strategies.

Accomplish all administrative tasks as assigned, including documenting interactions, processing transactions, and submitting required reports.

Respond to and assist in contingency operations in support of the MTF and network as needed.

Participate in activities that promote well-being and professional growth of self and others.

Use your skills to make an impact

Required Qualifications

Our Department of Defense contract requires U.S. Citizenship

Successfully receive interim approval for government security clearance (eQIP - Electronic Questionnaire for Investigation Processing)

Willingness to travel and work uncommon hours - involves some overnight travel within North Carolina and weekend hours

Requires working onsite at the Fort Liberty office

One or two years experience in customer relations, public contact position, and / or TRICARE, including presentations to groups

Experience in handling high volume customer contacts in a courteous and professional manner

E xcellent oral and written communication skills

Exceptional public-speaking ability

Comprehensive knowledge of Microsoft Office Suite

Superior organizational skills necessary to effectively manage multiple activities

Preferred Qualifications

Experience in analyzing information, researching problems, and determining and implementing solutions

Experience in healthcare provider relations

Knowledge of the TRICARE program

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Scheduled Weekly Hours

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.

$47,700 - $65,600 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

Humana Inc. (NYSE : HUM) is committed to putting health first for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.

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 veteran status .

It is also the policy of?Humana?to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements.

This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.