Sr TRICARE Community Liaison

Humana•Washington DC, DC

4d•Hybrid

About The Position

The Senior TRICARE Community Liaison (TCL) is a hybrid position reporting to a Health Systems Leader. The role works from home on days without briefings at locations in the Quantico, Maryland, and DC area. The liaison helps Medical Treatment Facilities (MTFs), beneficiaries, providers, and Government staff understand the TRICARE health plan and navigate the Military Health System, including enrollment, claims, and referrals. The position supports local TRICARE network operations, including network development and optimization strategies, and engages with beneficiaries and stakeholders in person, by telephone, email, and chat. It requires travel for outreach activities and briefings and work during uncommon duty hours, including nights and weekends as needed. The position requires U.S. citizenship and successful interim approval for a government security clearance through NBIS. The candidate must live within a 60-mile commute of the Naval Health Clinic in Quantico, Virginia, and cannot currently live in Puerto Rico. Home or hybrid workers must have internet service with at least 25 Mbps download and 10 Mbps upload speeds and a dedicated workspace that protects member PHI/HIPAA information. Occasional travel to Humana offices for training or meetings may be required. The role is scheduled for 40 hours per week. The stated annual starting base pay range is $59,300 to $80,900, and the position is eligible for a bonus incentive plan. Humana offers medical, dental, and vision benefits; a 401(k) retirement savings plan; paid time off and holidays; paid parental and caregiver leave; short- and long-term disability; life insurance; and other benefits.

Requirements

U.S. citizenship is required by the Department of Defense contract.
Successfully receive interim approval for government security clearance through NBIS (National Background Investigation Services).
Live within a 60-mile commute of the Naval Health Clinic in Quantico, Virginia.
Experience in healthcare provider relations.
Experience in customer relationship management.
Experience analyzing information, researching problems, and determining and implementing solutions.
Exceptional public-speaking ability.
Ability to travel and work nights or weekends as needed to provide briefings.
For home or hybrid work, provide internet service with at least 25 Mbps download and 10 Mbps upload speeds.
Work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information.
Candidates currently living in Puerto Rico are not eligible because Humana is not authorized to work there under its government contract.

Nice To Haves

Experience in TRICARE, including giving presentations to groups.
Knowledge of healthcare provider contract negotiations.

Responsibilities

Explain the TRICARE health plan and help MTFs, beneficiaries, and providers navigate the Military Health System, including enrollment, claims, and referrals.
Support the Health Systems Leader in local TRICARE network operations.
Participate in network development and optimization strategies.
Interact with TRICARE beneficiaries, MTF and other Government staff in person and by telephone, email, and chat.
Conduct outreach activities and deliver briefings, including at the Naval Health Clinic in Quantico, Virginia.
Travel and work during uncommon duty hours, including nights and weekends as needed for briefings.