TRICARE Community Liaison

Humana • Goose Creek, SC

2d • Onsite

About The Position

Become a part of our caring community 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 been awarded the T-5 East Region, the next generation of military health contracts. You will interact in person and by telephone, e-mail, and chat with TRICARE beneficiaries, Medical Treatment Facility (MTF) and other Government staff, including senior military leaders, and civilian healthcare providers and facilities. You will be responsible for ensuring MTF, beneficiary, and provider understanding of the TRICARE health plan and how to navigate the Military Health System. You will be required to work during uncommon duty hours and travel to conduct outreach activities. You will report to the Market Development Advisor.

Requirements

• U.S. Citizenship
• Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Services)
• Must be willing to work on site at the Charleston Naval Health Clinic and the Airforce Medical Group South Carolina
• Willingness to travel and work uncommon hours - involves some travel to other clinics in the area to provide briefings.
• One year 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
• Exceptional public-speaking ability

Nice To Haves

• Experience in analyzing information, researching problems, and determining and implementing solutions
• Experience in healthcare provider relations
• Knowledge of the TRICARE program

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 network in designated PSAs/NSPAs which meets TRICARE and Humana Government Business requirements and optimization strategies.

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
• Education Level: No Education Listed