[Remote] Tricare Community Liaison at Humana

The TRICARE Community Liaison is responsible for developing and sustaining strong, collaborative relationships with all TRICARE customers in the East Region, including Government, beneficiaries, and providers. They will ensure understanding of the TRICARE health plan and how to navigate the Military Health System through clear and concise communication. Responsibilities include providing accurate explanations of TRICARE health plan policies and procedures during outreach, responding to inquiries regarding eligibility, enrollment, billing, claims, referrals/authorizations, network operations, access to care, and policy. The liaison will also research and resolve complex TRICARE problems, assist in developing and sustaining a high-performing network, and support the Health System Operations Leader in local TRICARE network operations, including network development and optimization strategies. Additionally, the role involves processing and correcting general eligibility, enrollment, billing, claims, referral/authorization, and network difficulties, and may require back-up coverage for the Health System Operations Leader.