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Senior TRICARE Community Liaison jobs in United States
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Humana · 14 hours ago

Senior TRICARE Community Liaison

Humana is committed to putting health first and is seeking a Senior TRICARE Community Liaison to interact with TRICARE beneficiaries and Government staff. The role involves providing explanations of the TRICARE health plan, responding to inquiries, and developing a high-performing network in designated areas.
Health CareHealth InsuranceInsuranceVenture Capital
badNo H1BnoteSecurity Clearance RequirednoteU.S. Citizen Onlynote

Responsibilities

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

Qualification

TRICARE experienceHealthcare provider relationsCustomer relationship managementPublic speakingProblem-solving

Required

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

Preferred

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

Benefits

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

Company

Humana is a health insurance provider for individuals, families, and businesses.

Funding

Current Stage
Public Company
Total Funding
$13.07B
2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B

Leadership Team

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Jim Rechtin
CEO and President
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Emilie Fritsch
Senior User Interface Design Engineer
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Company data provided by crunchbase