Dental Network Field Contractor

Humana • Work at Home - Florida, AL

13d • $65,000 - $88,600 • Remote

About The Position

The Dental Network Field Contractor initiates, negotiates, and executes dental provider contracts and agreements for the organization. Work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Dental Network Field Contractor communicates contract terms, payment structures, and reimbursement rates to providers. Analyze financial impact of contracts and terms. Maintain contracts and documentation within a tracking system. May assist with identifying and recruiting providers based on network composition and needs. Understand department, segment, and organizational strategy and operating goals, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receive guidance where needed. Follow established guidelines/procedures. Prioritization of leads, fee schedule reimbursement, needed travel for in person dental office visits, research of local community events and how Humana can support these events, identification of local dental society sponsorship opportunities and assisting providers with a variety of issues. Examples include; identifying which fee schedule to offer and also negotiating to determine the value of the provider to all Humana customers based on the compensation. Meet with Dental Providers face-to-face. Use your skills to make an impact

Requirements

• 2 - 5 years of experience negotiating managed care contracts with physician, hospital and/or other provider contracts.
• Proficiency in analyzing, understanding and communicating financial impact of contract terms, payment structures and reimbursement rates to providers.
• Excellent written and verbal communication skills
• Ability to manage multiple priorities in a fast-paced environment
• Proficiency in MS Office applications
• Valid state driver's license and proof of personal vehicle liability insurance
• Minimum 20% travel required.

Nice To Haves

• Bachelor's degree
• Master's Degree
• Experience with ACO/Risk Contracting
• Experience with Value Based Contracting

Responsibilities

• Initiates, negotiates, and executes dental provider contracts and agreements.
• Communicates contract terms, payment structures, and reimbursement rates to providers.
• Analyzes financial impact of contracts and terms.
• Maintains contracts and documentation within a tracking system.
• Assists with identifying and recruiting providers based on network composition and needs.
• Prioritizes leads, fee schedule reimbursement, and needed travel for in-person dental office visits.
• Researches local community events and how Humana can support them.
• Identifies local dental society sponsorship opportunities.
• Assists providers with a variety of issues, including identifying which fee schedule to offer and negotiating provider value.
• Meets with Dental Providers face-to-face.

Benefits

• Medical benefits
• Dental benefits
• Vision benefits
• 401(k) retirement savings plan
• Time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• Short-term and long-term disability
• Life insurance
• Bonus incentive plan

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree