Provider Engagement Professional - Network Development and Relations-Dental

Humana

1d • $48,900 - $66,200 • Remote

About The Position

The Provider Engagement Professional - Network Development and Relations-Dental develops and grows positive, long-term relationships with the provider network to support and improve financial and quality performance within the contracted working relationship with the health plan. The Provider Engagement Professional - Network Development and Relations-Dental works directly with our Provider Network to develop and strengthen relationships. Educating our providers on the value of participating in the Humana Dental Network and creating a mutual professional relationship with those providers, is key to the growth of the Network. The ability to create an "easy to do business with" environment for the providers is an important function of this role.

Requirements

• 2+ years of experience with Dental platforms and/or Dental Benefits
• Must be Detailed oriented
• Proactive thought leadership/Root Cause problem resolution skills
• Excellent oral and written communication skills
• Ability to multi-task, manage multiple projects, and meet deadlines
• Desire to learn and grow
• Experience with Excel and Outlook
• Customer Care/Service Experience
• Strong Organization skills

Nice To Haves

• Bachelor's Degree
• 3-4 years' experience in Health Care industry
• Experience working with MTV, CBIS, QicLink, DPNMS
• Experience with Dental Codes

Responsibilities

• Work with DSO and large group partners on credentialing and re-credentialing projects.
• Work with claims unit to identify and support claim resolutions for providers on all systems
• Educate Provider Offices on all existing and new products and plans
• Provide support to Provider Offices on all maintenance and service issues
• Assist with member/provider disputes and assist SIU and G&A
• Assist Provider Offices/Rental Partners with any contract issue.
• Work with offices regarding fee schedule and financial incentive discussions.
• Work with Rental Partners to assure cost-saving measures have been met.
• Add/Term locations, associates and products to existing provider relationships
• Provide support with new product roll-outs and help with re-contracting efforts
• Process terminations of providers

Benefits

• medical
• dental
• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level