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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in negotiating managed care contracts and communicating financial impacts effectively. Proficient in maintaining documentation and managing provider relationships within the dental industry while adhering to compliance standards.
Highest-signal resume keywords
Negotiating Managed Care ContractsAnalyzing Financial ImpactExcellent Written And Verbal CommunicationProficiency In MS Office ApplicationsExperience With Value Based Contracting
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Negotiating ContractsAnalyzing Contract TermsUnderstanding Payment StructuresReimbursement Rate CommunicationMaintaining DocumentationProvider RecruitmentDecision MakingContract ManagementValue Based ContractingExperience With Dental Offices
Soft Skills
Excellent Communication SkillsAbility To Manage Multiple Priorities
Tools & Technologies
MS Office ApplicationsTracking System
Industry Keywords
Managed CareDental Provider ContractsPHI ComplianceHIPAA InformationNetwork Composition
About the role
Key responsibilities & impact- 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
What you’ll need- 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
Comp & perks- 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
