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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.

               

Humana Military, a wholly-owned subsidiary of Humana Inc., partners with the DoD 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 accountable for the overall performance of the requirements in the TRICARE East contract.  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 Orders and Pilot/Demonstration development and implementation) and in the development of forward-looking financial plans for the TRICARE program. They will be actively involved in customer relations, to include with the agency, Congress, and other key stakeholders.

The TPL helps other EC leaders to navigate priorities leading to a successful outcomes, particularly in instances which reveal competing priorities or resource constraints.  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 parent company  senior 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:

• Program performance
• Financial objectives
• Contract and legal compliance
• Business development
• Cultivating customer relationships and personal connection to develop further opportunities within the military health community
• Supporting new business development opportunities and providing voice of TRICARE and the military health 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 Clinical Operations, Medical Management, Market Operations, 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 TR