Negotiations Specialist
Beyond FinanceFull Time
Mid-level (3 to 4 years)
Candidates should have 2-5 years of experience in negotiating managed care contracts with providers or working in a dental office. Proficiency in analyzing and communicating the financial impact of contract terms, payment structures, and reimbursement rates is required. Excellent written and verbal communication skills and the ability to manage multiple priorities in a fast-paced environment are also necessary. Proficiency in MS Office applications and a Bachelor's degree are preferred. Experience with Value Based Contracting and working with dental offices is a plus. Home internet service must meet minimum download and upload speed requirements.
The Dental Recontracting Professional will initiate, negotiate, and execute provider contracts and agreements, specifically recontracting Humana contracted dentists to new agreements. They will communicate contract terms, payment structures, and reimbursement rates to providers and maintain contracts and documentation within a tracking system. The role may involve identifying and recruiting providers based on network needs. The professional will interpret changes in legislation, develop policies, conduct audits, deliver training, and advise management on risk mitigation strategies.
Health insurance provider for seniors and military
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.