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.

　　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 frequent overnight travel and weekend hours.

　　Need to reside within a 1 hour commute of Wright Patterson AFB, OH to provide briefings and work onsite in the 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

　　Excellent 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

　　#LI-JB2

　　Scheduled Weekly Hours

　　40

　　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 because he or she is a protected veteran. 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.

　　Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.