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Dental Recontracting Professional

🔥 16 hours ago

🇺🇸 United States – Remote

đź’µ $65k - $88.6k / year

⏱ Part Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

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Logo of Humana

Humana

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

đź“‹ Description

• Initiate, negotiate, and execute dental provider contracts and agreements • Recontract Humana contracted dentists to the new agreement • Communicate contract terms, payment structures, and reimbursement rates to providers • Maintain contracts and documentation within a tracking system • Assist with identifying and recruiting providers based on network composition and needs • Make decisions regarding work methods and determine appropriate courses of action • Follow established guidelines and procedures • Work on special projects as needed

🎯 Requirements

• 2 - 5 years of experience 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 • Experience with Value Based Contracting • Experience working with Dental offices • Dedicated work space without ongoing interruptions to protect member PHI / HIPAA information • Self-provided internet service with at least 25 Mbps download and 10 Mbps upload speed • Bachelor's degree desired

🏖️ Benefits

• Limited benefits for variable schedule associates • Paid time off • 401(k) retirement savings plan • Employee assistance program • Business travel and accident benefits • Remote work arrangement • Occasional travel to Humana offices for training or meetings

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