JobMesh

Dental Recontracting Professional - VSP

Humana · US

Become a part of our caring community The Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider co...

Job description

Become a part of our caring community The Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Provider Contracting Professional will recontract Humana contracted dentists to our new agreement and will communicate contract terms, payment structures, and reimbursement rates to providers. Maintain contracts and documentation within a tracking system. May assist with identifying and recruiting providers based on network composition and needs. Understand department, segment, and organizational strategy and operating goals, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receive guidance where needed. Follow established guidelines/procedures and work special projects. Use your skills to make an impact Required Qualifications: - 2 - 5 years of experience negotiating ma...