National Dental Contracting Professional - Medicaid
Become a part of our caring community The National Dental Contracting Professional is responsible for identifying, engaging, and contracting with qualified dentists to join the insurance carrier's Medicaid dental network. This role ensures the network meets accessibility, quality, and compliance standards as required by Medicaid regulations and company policies. You will develop relationships with dental providers, manages the contracting process, and supports provider onboarding to enhance member access to dental care. Proactively source and identify dentists and dental practices for participation in the Medicaid dental network. Develop and implement outreach strategies to attract qualified dental providers, including cold calling, networking, and attending industry events. Present the benefits of participating in the insurance carrier's Medicaid network and address questions or concerns from providers. Facilitate the contracting process, including negotiating terms, collecting required documentation, and ensuring compliance with state and federal Medicaid guidelines. Collaborate with internal teams (legal, credentialing, provider relations) to support a smooth onboarding experience for new providers. Maintain accurate records of recruitment activities, contract status, and provider information in accordance with company and regulatory standards. Monitor market trends and provider feedback to optimize recruitment efforts and network adequacy. Participate in ongoing training related to Medicaid dental program requirements and provider network management. Responsible for developing, coordinating, and delivering educational programs to dental providers participating in Medicaid. Ensures providers understand Medicaid policies, compliance requirements, best practices, and program updates, thereby improving quality of care and adherence to regulatory standards. Use your skills to make an impact
Required Qualifications
Minimum of 4 years of experience in dental provider Medicaid recruitment, provider service and retention. Knowledge of Medicaid dental programs, provider contracting, fee negotiations, and regulatory compliance is highly desirable. Excellent communication, public speaking and relationship-building skills. Strong organizational and project management abilities. Proficiency with Microsoft Office and salesforce platform.
Preferred Qualifications
Bachelor's degree in business, healthcare administration, or related field preferred. Additional Information Work at Home Requirements At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $65,000 - $88,600 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Apply To This Job