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About the Role

As a Market Development Advisor, you will have full responsibility and accountability for the daily management of the TRICARE contract within your assigned geography. You will oversee day-to-day TRICARE activities, provide consultative services to create and sustain a high-quality integrated healthcare system, and direct daily TRICARE service delivery and network operations.

Responsibilities

• Oversee day-to-day TRICARE activities within a territory including designated Prime Service Areas (PSAs), Non-Prime Service Areas (NPSAs), MTFs, Coast Guard clinics, and National Guard and Reserve Units.
• Provide consultative services to DHN and MTF personnel to create and sustain a local high-quality integrated healthcare system congruent with the Military Health System (MHS) Quadruple Aim.
• Direct daily TRICARE service delivery and network operations including customer support and outreach activities, network adequacy, access to care standards, provider relationships, provider education, and provider management within the defined geographic area.
• Oversee response to TRICARE inquiries and resolution of complaints, issues, and concerns from beneficiaries, providers, and Government personnel.
• Participate in the development and deployment of Alternative Payment Methodologies and Demonstration Pilots aligned to Value Base Care models.
• Partner with community agencies to connect military families with local programs that target and enhance military health and resilience.

Requirements

• U.S. citizenship is required for this position.
• Must successfully receive interim approval for government security clearance (NBIS - National Background Investigation Services).
• 5 years of leadership and management experience.
• Experience with fiscal stewardship or responsibility for managing cost trends.
• Network management and development experience.
• Managed care experience.
• Experience coordinating the activities of diverse functions.

Location

• Fort Drum

Work Type

• Onsite
• Full-time

Experience Level

• 5 years of leadership and management experience

Education Level

• Bachelor's degree

Salary/Compensations

• $94,900 - $130,500 per year

Benefits

• Medical benefits
• Dental benefits
• 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 disability
• Long-term disability
• Life insurance

About the Company

• Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company.
• Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.
• These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large.
• Learn more about what we offer at Humana.com and at CenterWell.com.

Equal Opportunity

• It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status.
• It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements.
• This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.