CLevelCrossing
VP TRICARE Program Leader
CLevelCrossing, Washington, District of Columbia, us, 20022
Description
As a member of the company's Executive Council, the Tricare Program Leader (TPL) is the senior executive leader responsible for overseeing the cost, schedule, and technical performance of all TRICARE-related programs. The TPL is the designated individual with the responsibility for and authority to accomplish program objectives for the development, production, and sustainment to meet the Defense Health Agency's (DHA) needs. They serve as the overall contractor lead responsible for the performance of the work supporting the contract and provide management oversight of operational support.
The TPL is aligned directly to the President of Humana Military and is a key member of the Executive Council. Through this reporting structure, the TPL retains a level of autonomy and independence needed to provide oversight, leadership, and direction to operational and clinical parts of the business as it relates to their support of TRICARE program objectives.
Responsibilities
Humana Military, a wholly-owned subsidiary of **MEMBERS ONLY**SIGN UP NOW***, partners with the Department of Defense to administer the TRICARE health program for military members, retirees, and their families in the East Region. For over 25 years, Humana Military has strived to create better health outcomes and simplified experiences for millions of beneficiaries across the United States through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, and progressive approaches to care drive Humana Military to be a thought leader in the industry and an essential partner to the government.
The TPL is the senior executive leader responsible for overseeing and has full authority to act on behalf of the company for all matters pertaining to the contract and represents the company in joint meetings with customers or with industry partners. They manage, coordinate, plan, organize, control, integrate, and execute a collection of projects supporting the program/contract to ensure achievement of financial, schedule, technical, and new business performance objectives. They participate in the support of new business (including Change Order development and implementation) and in the development of forward-looking financial plans for the TRICARE program.
By design, there's a healthy and necessary tension needed between the major forces in our business:
Program performance Financial objectives Contract and legal compliance Business development
The TPL acts as the coordinator at these intersections and helps to navigate priorities leading to a successful outcome for all four elements. Currently, there is not a single POC responsible for these four elements on a day-to-day basis.
The TPL will enable the company President to focus on setting strategy and culture beyond the single TRICARE contract and focus on putting the company in a position to successfully launch large growth initiatives and interact with Segment leadership in a broader way.
Primary Responsibilities Cultivating customer relationships and personal connections to develop further opportunities within the military health community. Supporting new business development opportunities and providing voice of the TRICARE customer through long-term strategic planning, providing decision-making support on behalf of TRICARE for Humana Military's capture planning, and participating in the development of proposals and business plans within the framework of the program being managed. Ensuring our organization effectively addresses customer requirements and incorporates the necessary internal and external sub-organizations through direct and matrixed relationships. Managing and directing cross-functional teams to ensure we meet program cost, schedule, and technical performance objectives; membership may consist of operational functions like Medical Management, Field Ops, Customer Service, and Claims Processing, as well as administrative functions like Contracts, Finance, IT, HR, and embedded quality functions. Identification, distribution, tracking, and completion of program requirements, and measuring and reporting program performance. Briefing customers, executive management, and other program stakeholders on behalf of TRICARE and ensuring our messaging, positioning, and branding is delivered. Participating in the negotiation of contracts, contract changes, specifications, operating budgets, schedule milestones, and key terms and conditions. Establishing design concepts, criteria, and development efforts for product research, development, integration, and testing.
Additional Information
Our Government contract requires US citizenship for this position.
Required Qualifications Bachelor's Degree 10 years of management and leadership experience at a large, health- and military-focused business. Proven ability to direct or assign work in a matrixed environment, often without formal line authority to influence business leaders across the organization and support alignment around our TRICARE strategy. Extensive knowledge and hands-on experience of health plan compliance and contracting.
Preferred Qualifications Identify and address program impacts through a systematic, proactive approach to issue and problem resolution that identifies, communicates, monitors, and promptly resolves conflicts across all levels of the program. Identify, select, direct, and manage subcontract and supply chain elements of the program in a manner that supports program goals and company strategy. Effectively plan, define, establish, communicate, monitor, and control scope to ensure that all of the work is completed.
Additional Information
Scheduled Weekly Hours: 40 #J-18808-Ljbffr
As a member of the company's Executive Council, the Tricare Program Leader (TPL) is the senior executive leader responsible for overseeing the cost, schedule, and technical performance of all TRICARE-related programs. The TPL is the designated individual with the responsibility for and authority to accomplish program objectives for the development, production, and sustainment to meet the Defense Health Agency's (DHA) needs. They serve as the overall contractor lead responsible for the performance of the work supporting the contract and provide management oversight of operational support.
The TPL is aligned directly to the President of Humana Military and is a key member of the Executive Council. Through this reporting structure, the TPL retains a level of autonomy and independence needed to provide oversight, leadership, and direction to operational and clinical parts of the business as it relates to their support of TRICARE program objectives.
Responsibilities
Humana Military, a wholly-owned subsidiary of **MEMBERS ONLY**SIGN UP NOW***, partners with the Department of Defense to administer the TRICARE health program for military members, retirees, and their families in the East Region. For over 25 years, Humana Military has strived to create better health outcomes and simplified experiences for millions of beneficiaries across the United States through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, and progressive approaches to care drive Humana Military to be a thought leader in the industry and an essential partner to the government.
The TPL is the senior executive leader responsible for overseeing and has full authority to act on behalf of the company for all matters pertaining to the contract and represents the company in joint meetings with customers or with industry partners. They manage, coordinate, plan, organize, control, integrate, and execute a collection of projects supporting the program/contract to ensure achievement of financial, schedule, technical, and new business performance objectives. They participate in the support of new business (including Change Order development and implementation) and in the development of forward-looking financial plans for the TRICARE program.
By design, there's a healthy and necessary tension needed between the major forces in our business:
Program performance Financial objectives Contract and legal compliance Business development
The TPL acts as the coordinator at these intersections and helps to navigate priorities leading to a successful outcome for all four elements. Currently, there is not a single POC responsible for these four elements on a day-to-day basis.
The TPL will enable the company President to focus on setting strategy and culture beyond the single TRICARE contract and focus on putting the company in a position to successfully launch large growth initiatives and interact with Segment leadership in a broader way.
Primary Responsibilities Cultivating customer relationships and personal connections to develop further opportunities within the military health community. Supporting new business development opportunities and providing voice of the TRICARE customer through long-term strategic planning, providing decision-making support on behalf of TRICARE for Humana Military's capture planning, and participating in the development of proposals and business plans within the framework of the program being managed. Ensuring our organization effectively addresses customer requirements and incorporates the necessary internal and external sub-organizations through direct and matrixed relationships. Managing and directing cross-functional teams to ensure we meet program cost, schedule, and technical performance objectives; membership may consist of operational functions like Medical Management, Field Ops, Customer Service, and Claims Processing, as well as administrative functions like Contracts, Finance, IT, HR, and embedded quality functions. Identification, distribution, tracking, and completion of program requirements, and measuring and reporting program performance. Briefing customers, executive management, and other program stakeholders on behalf of TRICARE and ensuring our messaging, positioning, and branding is delivered. Participating in the negotiation of contracts, contract changes, specifications, operating budgets, schedule milestones, and key terms and conditions. Establishing design concepts, criteria, and development efforts for product research, development, integration, and testing.
Additional Information
Our Government contract requires US citizenship for this position.
Required Qualifications Bachelor's Degree 10 years of management and leadership experience at a large, health- and military-focused business. Proven ability to direct or assign work in a matrixed environment, often without formal line authority to influence business leaders across the organization and support alignment around our TRICARE strategy. Extensive knowledge and hands-on experience of health plan compliance and contracting.
Preferred Qualifications Identify and address program impacts through a systematic, proactive approach to issue and problem resolution that identifies, communicates, monitors, and promptly resolves conflicts across all levels of the program. Identify, select, direct, and manage subcontract and supply chain elements of the program in a manner that supports program goals and company strategy. Effectively plan, define, establish, communicate, monitor, and control scope to ensure that all of the work is completed.
Additional Information
Scheduled Weekly Hours: 40 #J-18808-Ljbffr