Tricare Beneficiary Services Representative Jobs

TRICARE Beneficiary Services Representative - Sigonella, Italy — Catania, Sicily, Italy. Apply via Workday.

TRICARE Beneficiary Services Representative - Aviano, Italy — Aviano Air Base, Italy. Apply via Workday.

Become a part of our caring community As a Sr Market Development Professional, you will serve as a non people leader, subject matter expert supporting the administration of TRICARE services. In this remote position, you will be required to live within a 60 mile radius of the US Southern Command headquarters in Doral, FL, in order to attend meetings and provide briefings when needed. You will be reporting to a Market Development Advisor. You will provide guidance, issue resolution, operational coordination, and subject matter expertise across TRICARE service delivery, provider, beneficiary, government stakeholder, and network-related matters. Use your skills to make an impact Required Qualifications Our Department of Defense Contract requires U.S. citizenship for this position Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Services) HGB is not authorized to do work in Puerto Rico per our government contract. We are not able to hire candidates that are currently living in Puerto Rico. Must live or be willing to relocate within 60 mile commute of US Southern Command office in Doral, FL as this position will require you to visit the office for meetings and to provide briefings when needed. Network management and development experience Managed care experience Experience with analysis of data and making decisions based on data Experience with improving customer satisfaction Preferred Qualifications Bachelor's degree TRICARE/Military Health system experience Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the

Become a part of our caring community The Regional Senior TRICARE Community Liaison (TCL) is an important Humana Military representative committed to operational excellence, consistency, and accountability in the administration of TRICARE services within a defined territory in the East Region. You will provide expert guidance to nationally contracted healthcare providers and support facilities who have footprints across both East and West Regions. The primary focus of the Regional Senior TCL is to develop and sustain strong, collaborative relationships with all National Health System providers in the East Region. You will be cover all National contracted providers and large health systems regardless of location or type of care provided. Through clear and concise written and verbal communication, the Regional Senior TCL ensures provider understanding of the TRICARE health plan, TRICARE Policy and Regulations and how to navigate the Military Health System. The Regional Senior TCL is self-directed and uses independent, critical decision-making in managing time, setting priorities, addressing general inquiries, and resolving both straightforward inquiries, complicated problems and concerns raised by providers. This position upholds rigorous operational standards and ensuring consistent, high-quality delivery of TRICARE services. You will support customer service, conduct outreach, maintain network adequacy and access to care. You will manage provider relations and education, and ensure effective provider management within the assigned area. You will lead the review of TRICARE inquiries, complaints, and concerns from beneficiaries, providers, and government personnel, ensuring a resolution through professionalism and integrity. Additional responsibilities involve supporting the implementation of Alternative Payment Methodologies and Demonstration Pilots that adv