Market Development Advisor
Fort Drum, NY · On-site
You will oversee day-to-day TRICARE activities within a territory that includes designated Prime ... Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana ...
Fort Drum, NY · On-site
You will oversee day-to-day TRICARE activities within a territory that includes designated Prime ... Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana ...
Fort Drum, NY · On-site
You will oversee day-to-day TRICARE activities within a territory that includes designated Prime ... Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana ...
Fort Drum, NY · On-site
You will oversee day-to-day TRICARE activities within a territory that includes designated Prime ... Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana ...
Fort Drum, NY · On-site
You will oversee day-to-day TRICARE activities within a territory that includes designated Prime ... Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana ...
Fort Drum, NY · On-site
You will oversee day-to-day TRICARE activities within a territory that includes designated Prime ... Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana ...
Fort Drum, NY · On-site
You will oversee day-to-day TRICARE activities within a territory that includes designated Prime ... Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana ...
TRICARE-affiliated providers * Community psychiatrists and therapists * Case managers and care ... Humana Military * Military treatment facilities * Behavioral health or interventional psychiatry ...
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Apply Early
TRICARE-affiliated providers * Community psychiatrists and therapists * Case managers and care ... Humana Military * Military treatment facilities * Behavioral health or interventional psychiatry ...
Apply Early
$39K - $49K/yr
TRICARE or military health system experience * Experience with Utilization Review and/or Prior ... Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to ...
$39K - $49K/yr
TRICARE or military health system experience * Experience with Utilization Review and/or Prior ... Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to ...
Pleasant Hill, MO · On-site
$80K - $90K/yr
The clinic accepts major insurance plans, including BCBS, UnitedHealthcare, Medicare, TRICARE, Humana, and Aetna . Salary and Schedule Salary Range: $65,000-$70,000 per year for new graduates $80,000 ...
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Pleasant Hill, MO · On-site
$80K - $90K/yr
The clinic accepts major insurance plans, including BCBS, UnitedHealthcare, Medicare, TRICARE, Humana, and Aetna . Salary and Schedule Salary Range: $65,000-$70,000 per year for new graduates $80,000 ...
Apply Early
Pleasant Hill, MO · On-site
$80K - $90K/yr
The clinic accepts major insurance plans, including BCBS, UnitedHealthcare, Medicare, TRICARE, Humana, and Aetna . Salary and Schedule Salary Range: $65,000-$70,000 per year for new graduates $80,000 ...
Pleasant Hill, MO · On-site
$80K - $90K/yr
The clinic accepts major insurance plans, including BCBS, UnitedHealthcare, Medicare, TRICARE, Humana, and Aetna . Salary and Schedule Salary Range: $65,000-$70,000 per year for new graduates $80,000 ...
Pleasant Hill, MO · On-site
$80K - $90K/yr
The clinic accepts major insurance plans, including BCBS, UnitedHealthcare, Medicare, TRICARE, Humana, and Aetna . Salary and Schedule Salary Range: $65,000-$70,000 per year for new graduates $80,000 ...
Pleasant Hill, MO · On-site
$80K - $90K/yr
The clinic accepts major insurance plans, including BCBS, UnitedHealthcare, Medicare, TRICARE, Humana, and Aetna . Salary and Schedule Salary Range: $65,000-$70,000 per year for new graduates $80,000 ...
Pleasant Hill, MO · On-site
$80K - $90K/yr
The clinic accepts major insurance plans, including BCBS, UnitedHealthcare, Medicare, TRICARE, Humana, and Aetna . Salary and Schedule Salary Range: $65,000-$70,000 per year for new graduates $80,000 ...
Pleasant Hill, MO · On-site
$80K - $90K/yr
The clinic accepts major insurance plans, including BCBS, UnitedHealthcare, Medicare, TRICARE, Humana, and Aetna . Salary and Schedule Salary Range: $65,000-$70,000 per year for new graduates $80,000 ...
Lone Jack, MO · On-site
$80K - $90K/yr
TRICARE * Humana * Aetna Responsibilities * Evaluate patients with orthopedic and musculoskeletal conditions * Develop treatment plans based on diagnosis, clinical presentation, and patient goals
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Lone Jack, MO · On-site
$80K - $90K/yr
TRICARE * Humana * Aetna Responsibilities * Evaluate patients with orthopedic and musculoskeletal conditions * Develop treatment plans based on diagnosis, clinical presentation, and patient goals
Apply Early
Independence, MO · On-site
$80K - $90K/yr
BCBS, UnitedHealthcare, Medicare, TRICARE, Humana, and Aetna * Growth and development opportunities available Responsibilities * Perform patient evaluations and identify functional limitations ...
Independence, MO · On-site
$80K - $90K/yr
BCBS, UnitedHealthcare, Medicare, TRICARE, Humana, and Aetna * Growth and development opportunities available Responsibilities * Perform patient evaluations and identify functional limitations ...
Lone Jack, MO · On-site
$80K - $90K/yr
TRICARE * Humana * Aetna Responsibilities * Evaluate patients with orthopedic and musculoskeletal conditions * Develop treatment plans based on diagnosis, clinical presentation, and patient goals
Lone Jack, MO · On-site
$80K - $90K/yr
TRICARE * Humana * Aetna Responsibilities * Evaluate patients with orthopedic and musculoskeletal conditions * Develop treatment plans based on diagnosis, clinical presentation, and patient goals
Grain Valley, MO · On-site
$80K - $90K/yr
Blue Cross Blue Shield, UnitedHealthcare, Medicare, TRICARE, Humana, and Aetna Responsibilities * Perform physical therapy evaluations and reassessments * Create individualized plans of care based on ...
Grain Valley, MO · On-site
$80K - $90K/yr
Blue Cross Blue Shield, UnitedHealthcare, Medicare, TRICARE, Humana, and Aetna Responsibilities * Perform physical therapy evaluations and reassessments * Create individualized plans of care based on ...
Grain Valley, MO · On-site
$80K - $90K/yr
Blue Cross Blue Shield, UnitedHealthcare, Medicare, TRICARE, Humana, and Aetna Responsibilities * Perform physical therapy evaluations and reassessments * Create individualized plans of care based on ...
Grain Valley, MO · On-site
$80K - $90K/yr
Blue Cross Blue Shield, UnitedHealthcare, Medicare, TRICARE, Humana, and Aetna Responsibilities * Perform physical therapy evaluations and reassessments * Create individualized plans of care based on ...
$90K - $100K/yr
Blue Cross Blue Shield, UnitedHealthcare, Medicare, TRICARE, Humana, and Aetna Responsibilities * Perform initial evaluations and follow-up assessments * Identify patient goals, physical limitations ...
$90K - $100K/yr
Blue Cross Blue Shield, UnitedHealthcare, Medicare, TRICARE, Humana, and Aetna Responsibilities * Perform initial evaluations and follow-up assessments * Identify patient goals, physical limitations ...
Kansas City, MO · On-site
$90K - $100K/yr
Blue Cross Blue Shield, UnitedHealthcare, Medicare, TRICARE, Humana, and Aetna Responsibilities * Perform initial evaluations and follow-up assessments * Identify patient goals, physical limitations ...
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Apply Early
Kansas City, MO · On-site
$90K - $100K/yr
Blue Cross Blue Shield, UnitedHealthcare, Medicare, TRICARE, Humana, and Aetna Responsibilities * Perform initial evaluations and follow-up assessments * Identify patient goals, physical limitations ...
Apply Early
Independence, MO · On-site
$80K - $90K/yr
BCBS, UnitedHealthcare, Medicare, TRICARE, Humana, and Aetna * Growth and development opportunities available Responsibilities * Perform patient evaluations and identify functional limitations ...
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Apply Early
Independence, MO · On-site
$80K - $90K/yr
BCBS, UnitedHealthcare, Medicare, TRICARE, Humana, and Aetna * Growth and development opportunities available Responsibilities * Perform patient evaluations and identify functional limitations ...
Apply Early
Grain Valley, MO · On-site
$80K - $90K/yr
Blue Cross Blue Shield, UnitedHealthcare, Medicare, TRICARE, Humana, and Aetna Responsibilities * Perform physical therapy evaluations and reassessments * Create individualized plans of care based on ...
Quick apply
Apply Early
Grain Valley, MO · On-site
$80K - $90K/yr
Blue Cross Blue Shield, UnitedHealthcare, Medicare, TRICARE, Humana, and Aetna Responsibilities * Perform physical therapy evaluations and reassessments * Create individualized plans of care based on ...
Apply Early
$80K - $90K/yr
TRICARE * Humana * Aetna Responsibilities * Evaluate patients with orthopedic and musculoskeletal conditions * Develop treatment plans based on diagnosis, clinical presentation, and patient goals
$80K - $90K/yr
TRICARE * Humana * Aetna Responsibilities * Evaluate patients with orthopedic and musculoskeletal conditions * Develop treatment plans based on diagnosis, clinical presentation, and patient goals
Independence, MO · On-site
$80K - $90K/yr
BCBS, UnitedHealthcare, Medicare, TRICARE, Humana, and Aetna * Growth and development opportunities available Responsibilities * Perform patient evaluations and identify functional limitations ...
Independence, MO · On-site
$80K - $90K/yr
BCBS, UnitedHealthcare, Medicare, TRICARE, Humana, and Aetna * Growth and development opportunities available Responsibilities * Perform patient evaluations and identify functional limitations ...
$12.02 - $13.33
2% of jobs
$13.33 - $14.64
6% of jobs
$14.64 - $15.95
9% of jobs
$16.63 is the 25th percentile. Wages below this are outliers.
$15.95 - $17.26
14% of jobs
$17.26 - $18.58
18% of jobs
The median wage is $18.62 / hr.
$18.58 - $19.89
17% of jobs
$20.61 is the 75th percentile. Wages above this are outliers.
$19.89 - $21.20
16% of jobs
$21.20 - $22.51
7% of jobs
$22.51 - $23.82
4% of jobs
$23.82 - $25.13
4% of jobs
$25.13 - $26.44
2% of jobs
$12
$19
$26
Team members in Humana TRICARE roles commonly assist beneficiaries with questions about their healthcare coverage, eligibility, claims status, and provider network options. You may regularly resolve claims discrepancies, guide members through the pre-authorization process, and educate them on the specifics of their TRICARE policy. The position can involve collaborating with healthcare providers, other insurance representatives, and internal departments to ensure timely support and claim resolution. This variety in daily interactions keeps the role dynamic and provides the opportunity to make a meaningful impact on the lives of TRICARE members.
A Humana Tricare job involves supporting military service members, retirees, and their families by helping them access healthcare benefits through the TRICARE program. Roles may include customer service, claims processing, provider relations, and case management. Employees ensure beneficiaries understand their coverage, assist with inquiries, and help resolve issues. These positions require knowledge of healthcare policies and strong communication skills to provide excellent service.
To excel in a Humana TRICARE position, candidates typically need a background in healthcare administration, insurance processing, and customer service, often supported by a degree in healthcare or business and relevant industry experience. Familiarity with claims processing software, HIPAA regulations, and TRICARE-specific systems is vital. Strong communication, problem-solving abilities, and attention to detail help individuals stand out in this customer-focused role. These competencies are essential to ensure accurate guidance, seamless claim resolutions, and a positive experience for military members and their families.

Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 25 days ago
7.9
Based on 260 frontline employees who took The Breakroom Quiz
155th of 277 rated insurance
As a Market Development Advisor you will report to a Market Director, and work on site at our Fort Drum office. This role 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 within a territory that includes designated Prime Service Areas (PSAs), Non-Prime Service Areas (NPSAs), MTFs, Coast Guard clinics, and National Guard and Reserve Units.
You will 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.
You will direct daily TRICARE service delivery and network operations to include customer support and outreach activities, network adequacy, access to care standards, provider relationships, provider education, and provider management within the defined geographic area.
You will have oversight of response to TRICARE inquiries, resolution of complaints, issues and concerns from beneficiaries, providers, and Government personnel.
You will participate in the development and deployment of Alternative Payment Methodologies and Demonstration Pilots aligned to Value Base Care models.
You will partner with community agencies to connect military families with local programs that target and enhance military health and resilience.
This position may require travel and work during uncommon duty hours to conduct oversight and outreach activities.
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.
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
Preferred Qualifications
Bachelor's degree
Experience in the Military Health System
Experience with TRICARE contracts
Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and 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 and long-term disability, life insurance and many other opportunities.
Equal Opportunity Employer
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.
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Humana Inc., headquartered in Louisville, KY., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.
Health care and social assistance
10,000+ Employees
Louisville, KY, US
1961