Dental Recontracting Professional - VSP
About The Position
Become a part of our caring community and help us put health first The Dental Recontracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. This is a VSP role - work specific hours to meet business needs on a limited term basis. The project is expected to go through the end of 2026 with possibility of extension into 2027. The Dental Recontracting Professional - VSP will recontract Humana contracted dentists to our new agreement and as needed will communicates contract terms, payment structures, and reimbursement rates to providers. Maintains contracts and documentation within a tracking system. May assist with identifying and recruiting providers based on network composition and needs. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures and work special projects as needed. This role is Variable Staffing Pool( VSP), Variable Staffing Pool Humana associates work specific hours to meet business needs on a limited term basis. The project is expected to go through the end of 2026 with possibility of extension into 2027. This role is also eligible for limited benefits. Use your skills to make an impact
Requirements
- 2 - 5 years of experience in negotiating managed care contracts with physician, hospital and/or other provider contracts and/or working with insurance in a dental office
- 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
- Hours worked will be EST/CST
- At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
- Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
- Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
Nice To Haves
- Experience with Value Based Contracting
- Experience working with Dental offices
- Bachelor's degree desired
Responsibilities
- recontract Humana contracted dentists to our new agreement
- communicates contract terms, payment structures, and reimbursement rates to providers
- Maintains contracts and documentation within a tracking system
- May assist with identifying and recruiting providers based on network composition and needs
- Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas
- Follows established guidelines/procedures and work special projects as needed
Benefits
- Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident.
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What This Job Offers
Career Level
Mid Level
