Provider Contracting Professional (Dental Network)
About the role
The Provider Contracting Professional (Dental Network) 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 Provider Contracting Professional 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.
Responsibilities
- Analyze financial impact of contracts and terms
- Maintain contracts and documentation within a tracking system
- Communicate contract terms, payment structures, and reimbursement rates to providers
- Assist with identifying and recruiting providers based on network composition and needs
- Identify which fee schedule to offer and also negotiate to determine the value of the provider to all Humana customers based on the compensation
- Meet with Dental Providers face-to-face
Qualifications
- 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
Preferred Qualifications
- Bachelor's degree
- Master's Degree
- Experience with ACO/Risk Contracting
- Experience with Value Based Contracting
Pay
$65,000 - $88,600 per year
Schedule
This is a remote position, but occasional travel to Humana's offices for training or meetings may be required.
Benefits
Humana offers competitive benefits that support whole-person well-being, including medical, dental and 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, and many other opportunities.