Market Development Advisor

Humana • Fort Drum, NY

3d • Onsite

About The Position

As a Market Development Advisor, you will report to a Market Director and work on site at our Fort Drum office. This role will have full responsibility and accountability for the daily management of the TRICARE contract within your assigned geography. You will oversee day-to-day TRICARE activities within a territory that includes designated Prime Service Areas (PSAs), Non-Prime Service Areas (NPSAs), MTFs, Coast Guard clinics, and National Guard and Reserve Units. You will provide consultative services to DHN and MTF personnel to create and sustain a local high-quality integrated healthcare system congruent with the Military Health System (MHS) Quadruple Aim. You will direct daily TRICARE service delivery and network operations to include customer support and outreach activities, network adequacy, access to care standards, provider relationships, provider education, and provider management within the defined geographic area. You will have oversight of response to TRICARE inquiries, resolution of complaints, issues and concerns from beneficiaries, providers, and Government personnel. You will participate in the development and deployment of Alternative Payment Methodologies and Demonstration Pilots aligned to Value Base Care models. You will partner with community agencies to connect military families with local programs that target and enhance military health and resilience. This position may require travel and work during uncommon duty hours to conduct oversight and outreach activities.

Requirements

• U.S. citizenship
• Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Services)
• 5 years of leadership and management experience
• Experience with fiscal stewardship or responsibility for managing cost trends
• Network management and development experience
• Managed care experience
• Experience coordinating the activities of diverse functions

Nice To Haves

• Bachelor's degree
• Experience in the Military Health System
• Experience with TRICARE contracts

Responsibilities

• Full responsibility and accountability for the daily management of the TRICARE contract within your assigned geography.
• Oversee day-to-day TRICARE activities within a territory that includes designated Prime Service Areas (PSAs), Non-Prime Service Areas (NPSAs), MTFs, Coast Guard clinics, and National Guard and Reserve Units.
• Provide consultative services to DHN and MTF personnel to create and sustain a local high-quality integrated healthcare system congruent with the Military Health System (MHS) Quadruple Aim.
• Direct daily TRICARE service delivery and network operations to include customer support and outreach activities, network adequacy, access to care standards, provider relationships, provider education, and provider management within the defined geographic area.
• Oversight of response to TRICARE inquiries, resolution of complaints, issues and concerns from beneficiaries, providers, and Government personnel.
• Participate in the development and deployment of Alternative Payment Methodologies and Demonstration Pilots aligned to Value Base Care models.
• Partner with community agencies to connect military families with local programs that target and enhance military health and resilience.

Benefits

• medical
• dental
• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level