Jobs
>
Metairie

    VP TRICARE Program Leader - Metairie, United States - Humana

    Humana background
    Description
    Posted on
    Aug 26, 2022
    Apply for this job

    your email:

    upload resume:
    Profile
    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 Humana Inc., 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.

    As a member of the company's Executive Council, the Tricare Program Leader (TPL) is the senior executive leader.

    The Tricare Program Leader is the senior executive leader responsible for overseeing and 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 between:

    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.

    The TPL's primary responsibilities are the management of cost, schedule, and technical performance of the TRICARE program, including but not limited to:

    Cultivating customer relationships and personal connection 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 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 oversight and 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 test

    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 element s 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

    Additional Information

    Scheduled Weekly Hours

    40
    Company info
    Humana Inc.

    Website :


    DescriptionThe Regional Vice President, MarketPoint will lead the East Region of the Field Sales team, reporting to the VP of MarketPoint Field Sales.

    The role's leadership scope encompasses both Career and Partner Field (FMO/br...

    DescriptionHumana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being.

    As a company focused on the health and well-being of the people we...

    DescriptionHumana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being.

    As a company focused on the health and well-being of the people we...

    #J-18808-Ljbffr


  • Boosterthon New Orleans, United States

    New Orleans Program Leader page is loaded · New Orleans Program Leader · Apply · locations · New Orleans, LA · time type · Full time · posted on · Posted 30+ Days Ago · job requisition id · R-615 · IMPACT STUDENTS. GROW AS A LEADER. LAUNCH YOUR CAREER. · HELP US CHANGE ...


  • Tulane University New Orleans, United States

    for Job: IRC22164 Team Leader Graduate Program Admissions Freeman School of Business · Location: New Orleans, LA · Summary A Graduate Program Admissions Leader is a member, as assigned, of one or more graduate Program Management Teams (PMT) with responsibility for implementing ...


  • SYSCO Harahan, United States Full time

    Company: · US0023 Sysco New Orleans (Division of USA II)Zip Code: · 70123Minimum Level of Education: · High School or EquivalentMinimum Years of Experience: · 3 YearsEmployment Type: · Full TimeTravel Percentage: · 0COMPENSATION INFORMATION: · The pay range provided is not indi ...


  • State Farm New Orleans, United States Full time

    Overview · We are not just offering a job but a meaningful career Come join our passionate team · As a Fortune 50 company, we hire the best employees to serve our customers, making us a leader in the insurance and financial services industry. State Farm embraces diversity and inc ...


  • Oceanic Enterprises Crescent City, United States

    CNC Machine Operator (m/f/d) / Machinist (m/f/d) · From the industry. For the industry. Our mission is based on our extensive experience in the European job market. That is why renowned and future-oriented industrial companies have been relying on the solutions of the expertum Gr ...

  • CommCare Corporation

    Floor Nurse Lpn

    4 days ago


    CommCare Corporation New Orleans, United States

    Are you ready to join an organization that has a reputation for outstanding leadership, innovation, and industry expertise? Our employees use their creativity and talent to invent new solutions, meet demands, and offer the most effective services available in our industry. · **Au ...

  • Audubon Retirement Village

    Floor Nurse Lpn

    5 days ago


    Audubon Retirement Village New Orleans, United States

    Are you ready to join an organization that has a reputation for outstanding leadership, innovation, and industry expertise? Our employees use their creativity and talent to invent new solutions, meet demands, and offer the most effective services available in our industry. · **Au ...


  • Quantum Ventures Gretna, United States

    About VETEC Anlagenbau GmbH: · We are one of the global market and technology leaders in the thermal treatment of food. We supply demanding industrial customers with high-quality systems for drying, smoking, cooking, cooling, maturing, and defrosting meat and sausage products, fi ...

  • McCormick & Company

    Crew Leader

    5 days ago


    McCormick & Company Gretna, United States

    **McCormick & Company, Incorporated** is a global leader in flavor. **Zatarain's**,** a leader in New Orleans cuisine owned by McCormick, is seeking an Crew Leader - 2nd Shift**_ _**at its facility located in **Gretna, Louisiana**. · As an employer recognized for our exceptional ...


  • Ochsner Health System Gretna, United States Full time

    **Region**:New Orleans Region · **Facility**:Ochsner Health Center - West Bank · **Location**:Gretna, LA · **Employment Type**:Full time · **Job Category**:Nursing · **Job Number**:REQ_ · **We've made a lot of progress since opening the doors in 1942, but one thing has never cha ...


  • Ochsner Health System Gretna, United States Full time

    **Region**:New Orleans Region · **Facility**:Ochsner Medical Center - West Bank Campus · **Location**:Gretna, LA · **Employment Type**:Full time · **Job Category**:Nursing · **Job Number**:REQ_ · **We've made a lot of progress since opening the doors in 1942, but one thing has n ...


  • Phoenix Industries Ama, LA, United States Freelance

    **Welcome to the world of Automotive.** Around 1,700 colleagues nationwide work with enthusiasm and passion on the evolution of mobility. As an experienced engineering partner, we work alongside renowned customers from the automotive industry and bring the car of the future to th ...

  • State Farm

    Attorney

    2 weeks ago


    State Farm Saint John, United States Full time

    Overview · We are not just offering a job but a meaningful career Come join our passionate team · As a Fortune 50 company, we hire the best employees to serve our customers, making us a leader in the insurance and financial services industry. State Farm embraces diversity and inc ...


  • LRS Healthcare - Imaging Metairie, LA, United States

    LRS Healthcare - Imaging is seeking a travel Cath Lab Technologist for a travel job in Metairie, Louisiana. Job Description & Requirements Specialty: Cath Lab Technologist Discipline: Allied Health Professional Duration: 13 weeks 36 hours per week Shift: 12 hours, nights Employme ...

  • St. Anthony Community Care Center

    Floor Nurse LPN

    2 weeks ago


    St. Anthony Community Care Center Metairie, LA, United States

    Are you ready to join an organization that has a reputation for outstanding leadership, innovation, and industry expertise? Our employees use their creativity and talent to invent new solutions, meet demands, and offer the most effective services available in our industry. · *St. ...

  • Planet Healthcare

    Travel Nurse RN

    1 week ago


    Planet Healthcare Metairie, United States

    Job Description · Planet Healthcare is seeking a travel nurse RN Home Health for a travel nursing job in Metairie, Louisiana. · Job Description & RequirementsSpecialty: Home Health · Discipline: RN · Start Date: 06/03/2024 · Duration: 13 weeks · 40 hours per week · Shift: 8 hours ...

  • Planet Healthcare

    Travel Nurse RN

    1 week ago


    Planet Healthcare Metairie, United States

    Job Description · Planet Healthcare is seeking a travel nurse RN Home Health for a travel nursing job in Metairie, Louisiana. · Job Description & RequirementsSpecialty: Home Health · Discipline: RN · Start Date: 06/10/2024 · Duration: 13 weeks · 40 hours per week · Shift: 8 hours ...


  • Arthur J. Gallagher & Company Metairie, United States

    Please note: The Program start date is July 2023. Gallagher is a global leader in insurance, risk management, and consulting services. We help businesses grow, communities thrive, and people prosper. We live by The Gallagher Way, our set of shared va Service Manager, Client Servi ...


  • Fastenal Saint John, United States

    Associé de la chaîne d'approvisionnement · 3-1185 Bayside Dr, Saint John, NB E2J 4Y2 · Part-time Shift(s): MON TUE WED THU FRI 7:30am - 5:00pm · Up to 28 hours/week · PRÉSENTATION DU POSTE: · En tant qu'associé de la chaîne d'approvisionnement à temps partiel, vous serez responsa ...


  • Butterfly Effects Metairie, United States

    BOARD CERTIFIED BEHAVIOR ANALYST (BCBA) · Multiple opportunities available · This is not just another place to work, Butterfly Effects is led by BCBAs with Dr. Steve Woolf, PhD., BCBA-D, as our President and Molly McGinnis, M.Ed., BCBA, as our Vice President of Clinical Services ...