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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in TRICARE health plan navigation and healthcare provider relations, with strong public-speaking skills for delivering briefings and outreach activities. Capable of analyzing information and implementing solutions while ensuring compliance with PHI/HIPAA regulations.
Highest-signal resume keywords
TRICARE ExperienceHealthcare Provider RelationsPublic-Speaking AbilityCustomer Relationship ManagementProblem-Solving Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Information AnalysisSolution ImplementationHealthcare Provider Contract NegotiationsOutreach ActivitiesBriefing Delivery
Soft Skills
Communication SkillsInterpersonal SkillsStakeholder Engagement
Tools & Technologies
Military Health System NavigationTelecommunication ToolsEmail Communication
Certifications & Qualifications
Government Security Clearance (NBIS)
Industry Keywords
TRICAREHealthcarePHIHIPAAMedical Treatment Facility
About the role
Key responsibilities & impact- Ensure MTF, beneficiary, and provider understanding of the TRICARE health plan
- Explain how to navigate the Military Health System, including enrollment, claims, and referrals
- Support the Health System Leader in local TRICARE network operations
- Participate in network development and optimization strategies
- Interact in person with TRICARE beneficiaries, Medical Treatment Facility staff, and Government staff
- Communicate with stakeholders by telephone, e-mail, and chat
- Conduct outreach activities and briefings
- Deliver briefings at the Naval Health Clinic in Quantico, VA
- Travel and work during uncommon duty hours, weekends, and nights as needed
- Report to a Health Systems Leader
Requirements
What you’ll need- U.S. citizenship required
- Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Services)
- Must not currently live in Puerto Rico
- Must live within a 60 mile commute of the Naval Health Clinic in Quantico, VA
- Ability to travel and work on weekends/nights as needed
- Experience in healthcare provider relations
- Experience in customer relationship management
- Experience analyzing information, researching problems, and determining and implementing solutions
- Exceptional public-speaking ability
- Preferred: Experience in TRICARE, including presentations to groups
- Preferred: Knowledge of healthcare provider contract negotiations
- Minimum home internet speed of 25 Mbps download and 10 Mbps upload
- Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information
Benefits
Comp & perks- Bonus incentive plan based on company and/or individual performance
- Medical benefits
- Dental benefits
- Vision benefits
- 401(k) retirement savings plan
- Paid time off
- Company holidays
- Personal holidays
- Paid parental leave
- Paid caregiver leave
- Short-term disability
- Long-term disability
- Life insurance
- Work-from-home arrangement on non-briefing days
- Occasional travel to Humana offices for training or meetings
