Provider Engagement Professional – Network Development and Relations, Dental

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $48.9k - $66.2k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

📚 Learning and Development

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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

• develops and grows positive, long-term relationships with the provider network • support and improve financial and quality performance within the contracted working relationship with the health plan • work directly with our Provider Network to develop and strengthen relationships • educate providers on the value of participating in the Humana Dental Network • create a mutual professional relationship with providers • 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

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

🏖️ 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 • many other opportunities