National Dental Contracting Professional - Medicaid - VSP

Humana

2d•$65,000 - $88,600•Remote

About The Position

The National Dental Contracting Professional - Medicaid is responsible for identifying, engaging, and contracting with qualified dentists to join the insurance carrier's Medicaid dental network. This role ensures the network meets accessibility, quality, and compliance standards as required by Medicaid regulations and company policies. You will develop relationships with dental providers, manages the contracting process, and supports provider onboarding to enhance member access to dental care. This role is Variable Staffing Pool( VSP), Variable Staffing Pool Humana associates work specific hours to meet business needs on a limited term basis. Use your skills to make an impact

Requirements

Minimum of 4 years of experience in dental provider Medicaid recruitment, provider service and retention.
Knowledge of Medicaid dental programs, provider contracting, fee negotiations, and regulatory compliance is highly desirable.
Excellent communication, public speaking and relationship-building skills.
Strong organizational and project management abilities.
Proficiency with Microsoft Office and salesforce platform.
This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance.
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. Satellite, cellular and microwave connection can be used only if approved by leadership
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Nice To Haves

Bachelor's degree in business, healthcare administration, or related field preferred.

Responsibilities

Proactively source and identify dentists and dental practices for participation in the Medicaid dental network.
Develop and implement outreach strategies to attract qualified dental providers, including cold calling, networking, and attending industry events.
Present the benefits of participating in the insurance carrier's Medicaid network and address questions or concerns from providers.
Facilitate the contracting process, including negotiating terms, collecting required documentation, and ensuring compliance with state and federal Medicaid guidelines.
Collaborate with internal teams (legal, credentialing, provider relations) to support a smooth onboarding experience for new providers.
Maintain accurate records of recruitment activities, contract status, and provider information in accordance with company and regulatory standards.
Monitor market trends and provider feedback to optimize recruitment efforts and network adequacy.
Participate in ongoing training related to Medicaid dental program requirements and provider network management.
Responsible for developing, coordinating, and delivering educational programs to dental providers participating in Medicaid.
Ensures providers understand Medicaid policies, compliance requirements, best practices, and program updates, thereby improving quality of care and adherence to regulatory standards.