Regional Senior TRICARE Community Liaison

. Represent Humana Military in administering TRICARE services within a defined East Region territory .

Posted 9/25/2026full-timeRemote • United StatesSenior💰 $59,300 - $80,900 per yearWebsite

Key responsibilities & impact

Represent Humana Military in administering TRICARE services within a defined East Region territory
Provide guidance to nationally contracted healthcare providers and support facilities with footprints across East and West Regions
Develop and sustain relationships with National Health System providers and large health systems
Explain the TRICARE health plan, policies, regulations, and Military Health System navigation
Manage time, set priorities, address inquiries, and resolve straightforward and complex provider problems
Support customer service, conduct outreach, maintain network adequacy and access to care
Manage provider relations and education within the assigned area
Review, investigate, and resolve TRICARE inquiries, complaints, and concerns from beneficiaries, providers, and government personnel
Support implementation of Alternative Payment Methodologies and Demonstration Pilots advancing value-based care
Maintain clear communication and accountability with stakeholders
Assess provider capacity and address network gaps
Deliver guidance to TRICARE beneficiaries, Medical Treatment Facility staff, government officials, and civilian healthcare providers
Complete documentation, transaction processing, and reporting accurately and timely
Perform other duties requested by the supervisor consistent with company objectives

What you’ll need

2 or more years of experience in TRICARE
Experience in healthcare provider relations, provider management, provider contract negotiations or working with healthcare providers
Experience in customer relationship management with courteous, professional interactions
Experience analyzing information, researching problems, and determining and implementing solutions
Exceptional public-speaking ability
Strong verbal and written communication skills
Comprehensive knowledge of Microsoft Office applications, including Word, Excel, OneNote, and Outlook
Ability to maintain complex spreadsheets in Excel
Superior organizational skills to manage multiple activities
Ability to work effectively and independently without distractions
Experience working with different stakeholders and teams at all organizational levels in a collaborative team environment
U.S. citizenship required
Ability to successfully receive approval for government security clearance via National Background Investigation Services (NBIS)
Must not currently live in Puerto Rico
Bachelor's degree in healthcare administration, business, or related field (preferred)
Experience in managed care, health insurance, or related healthcare field (preferred)
Experience with TRICARE policies and/or the military health care delivery system (preferred)
Experience interpreting policy and government contracts such as TRICARE, Medicare, Medicaid, or CMS (preferred)

Comp & perks