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Humana

Sells Medicare health plans and runs senior clinics

Senior TRICARE Community Liaison

Community Outreach & ProgramsPosted on Nov 13
Full-timeFort Meade, MD, USA

About the Job

Requirements

  • U.S. citizenship is required for this Department of Defense contract position.
  • Must successfully receive interim approval for a government security clearance (NBIS—National Background Investigation Services).
  • Must not currently live in Puerto Rico, where the employer is not authorized to perform contract work.
  • Must live within a 60-mile commute of the Fort Meade, Maryland office to deliver briefings there.
  • Must have experience in healthcare provider relations.
  • Must have experience in customer relationship management.
  • Must have experience analyzing information, researching problems, and determining and implementing solutions.
  • Must have public-speaking ability.
  • Must be able to travel and work weekends or nights as needed to provide briefings.

Responsibilities

  • Ensure that military treatment facilities, beneficiaries, and providers understand the TRICARE health plan and how to navigate the Military Health System, including enrollment, claims, and referrals.
  • Support the Health System Leader in local TRICARE network operations, including participating in network development and optimization strategies.
  • Interact in person with TRICARE beneficiaries, Medical Treatment Facility staff, and other Government staff, as well as by telephone, email, and chat.
  • Travel to conduct outreach activities and briefings.
  • Work during uncommon duty hours.

Desired Qualifications

  • Experience in TRICARE, including presenting to groups.
  • Knowledge of healthcare provider contract negotiations.

About the Company

Humana

Sells Medicare health plans and runs senior clinics

Humana sells health insurance paid for by government programs, chiefly Medicare Advantage plans that private insurers run for Americans 65 and older in place of traditional Medicare. It ranks among the largest Medicare Advantage insurers in the country and also runs Medicaid plans for low-income families in several states. Its CenterWell business operates senior primary care clinics, a mail-order pharmacy and home health services, so many members get care from a company the insurer owns. Medicare and states pay Humana a set monthly amount per member, and it keeps the difference between those payments and members' medical costs. Humana was founded in 1961 as a nursing home company and is based in Louisville, Kentucky.

Company size
10,001+
Company stage
IPO
Headquarters
Louisville, KY
Founded
1961

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