Provider Contracting Professional – Dental Network

🔥 0 minutes ago

🏈 Alabama, Florida, +2 more states – Remote

🏈 Alabama – Remote 🐊 Florida – Remote ⚜️ Louisiana – Remote 🌲 North Carolina – Remote

💵 $65k - $88.6k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🦅 H1B Visa Sponsor

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

⚕️ 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.

📋 Description

• Initiates, negotiates, and executes dental provider contracts and agreements for the organization • Communicates contract terms, payment structures, and reimbursement rates to providers • Analyzes financial impact of contracts and terms • Maintains contracts and documentation within a tracking system • Assists with identifying and recruiting providers based on network composition and needs • Makes decisions regarding own work methods, occasionally in ambiguous situations

🎯 Requirements

• 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 • Valid state driver's license and proof of personal vehicle liability insurance

🏖️ Benefits

• 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