41 applicants

Company

Humana · 1 day ago

VP, TRICARE Program Leader

United States

Full-time

Remote

Lead/Staff

15+ years exp

Maximize your interview chances

Health CareHealth Insurance

No H1B

Security Clearance Required

Insider Connection @Humana

Discover valuable connections within the company who might provide insights and potential referrals.
Get 3x more responses when you reach out via email instead of LinkedIn.

Responsibilities

Program performance

Financial objectives

Contract and legal compliance

Business development

Cultivating customer relationships and personal connection to develop further opportunities within the military health community

Supporting new business development opportunities and providing voice of TRICARE and the military health customer through long term strategic planning, providing decision-making support on behalf of TRICARE for Humana Military’s capture planning, and participating in development of proposals and business plans within the framework of the program being managed

Ensuring our organization effectively addresses customer requirements and incorporates the necessary internal and external sub-organizations through direct and matrixed relationships

Managing and directing cross-functional teams to oversight and ensure we meet program cost, schedule and technical performance objectives; membership may consist of operational functions like Clinical Operations, Medical Management, Market Operations, Customer Service and Claims Processing, as well as, administrative functions like Contracts, Finance, IT, HR, and embedded quality functions

Identification, distribution, tracking, and completion of program requirements, and measuring and reporting program performance

Briefing customers, executive management and other program stakeholders on behalf of TRICARE and ensuring our messaging, positioning, and branding is delivered

Participating in the negotiation of contracts, contract changes, specifications, operating budgets, schedule milestones, and key terms and conditions

Establishing design concepts, criteria, and development efforts for product research, development, integration and test

Identify and address program impacts through a systematic, proactive, approach to issue and problem resolution that identifies, communicates, monitors, and promptly resolves conflicts across all levels of the program

Identify, select, direct and manage subcontract and supply chain elements of the program in a manner that supports program goals and company strategy

Effectively plan, define, establish, communicate, monitor, and control scope to ensure that all of the work is done effectively and on time

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

15+ years management experience5+ years Defense Contractor experienceHealth plan compliance knowledgeGovernment Security ClearanceManaged Care Support experienceRelationships with military health influencersMatrixed environment experience

Required

Bachelor’s Degree

15+ years of management and leadership experience at a large, health- and military-focused business or healthcare facility environment

5+ years of experience in leadership role as a Defense Contractor in healthcare contracting function

Proven ability to direct or assign work in a matrixed environment, often without formal line authority to influence business leaders across the organization and support alignment around our TRICARE strategy

Extensive knowledge and hands on experience of health plan compliance and Defense contracting

US citizenship

The NBIS process to obtain Government Security Clearance to work on government systems. This requires the completion of an extensive document on-line, finger printing, background check, credit check, and completion of an employment application and drug test