Regional Senior TRICARE Community Liaison
Core
Develop and sustain collaborative relationships with National Health System providers to ensure access to care, resolve TRICARE inquiries/complaints, and support value-based care initiatives within the East Region.
Role type
Senior IC community liaison (healthcare policy & provider relations)
Builds
Provider network adequacy, stakeholder trust, and compliant TRICARE service delivery
Domain
US Government Contracting / Military Health System (TRICARE)
Deliverable
client delivery
Required skills
TRICARE policy expertise, provider contract negotiation, complaint resolution, stakeholder management, complex data analysis, public speaking, Microsoft Office (Excel/Word/Outlook)
Preferred skills
Managed care/health insurance experience, Medicare/Medicaid/CMS contract interpretation, healthcare administration degree
Technologies
Microsoft Office Suite (Word, Excel, OneNote, Outlook)
Responsibilities
Maintain network adequacy and assess provider capacity; Lead investigation and resolution of TRICARE inquiries and complaints; Conduct outreach to educate stakeholders on TRICARE policies; Support implementation of Alternative Payment Methodologies and demonstration pilots; Complete compliance documentation and reporting
Seniority
Senior, hands-on IC
