Humana

Dental Recontracting Professional - VSP

Kentucky, United States

Humana Logo
Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
Health InsuranceIndustries

Requirements

Candidates should have 2-5 years of experience in negotiating managed care contracts with physician, hospital, and/or other provider contracts and/or working with insurance in a dental office, proficiency in analyzing and understanding contract terms, payment structures, and reimbursement rates, excellent written and verbal communication skills, and the ability to manage multiple priorities in a fast-paced environment.

Responsibilities

The Dental Recontracting Professional - VSP will initiate, negotiate, and execute dentist contracts and agreements for Humana, communicate contract terms, payment structures, and reimbursement rates to providers, maintain contracts and documentation within a tracking system, assist with identifying and recruiting providers, and follow established guidelines and work on special projects as needed.

Skills

Contract Negotiation
Managed Care
Financial Analysis
Communication Skills
MS Office
Provider Contracting
Reimbursement Rates

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Key Metrics

Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.
Rising medical costs and tightening Medicare reimbursements may strain financial performance.
Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.
The company emphasizes inclusivity, offering free language interpreter services for accessibility.
Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.
The company is the first insurer to cover TMS therapy for adolescent depression.
Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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