Job Description
Become a part of our caring community
The Provider Engagement Professional develops and grows positive, long-term relationships with the provider network to support and improve financial and quality performance within the contracted working relationship with the health plan.The Provider Engagement Professional - Network Development and Relations-Dental works directly with our Provider Network to develop and strengthen relationships. Educating our providers on the value of participating in the Humana Dental Network and creating a mutual professional relationship with those providers, is key to the growth of the Network. The ability to create an "easy to do business with" environment for the providers is an important function of this role.
- Work with DSO and large group partners on credentialing and re-credentialing projects.
- Work with claims unit to identify and help with claim resolutions for providers on all systems
- Educate Provider Offices on all existing and new products and plans
- Provide support to Provider Offices on all maintenance and service issues
- Assist with member/provider disputes and assist SIU and G&A
- Assist Provider Offices/Rental Partners with any contract issue.
- Work with offices regarding fee schedule and financial incentive discussions.
- Work with Rental Partners to assure cost-saving measures have been met.
- Add/Term locations, associates and products to existing provider relationships
- Provide support with new product roll-outs and help with re-contracting efforts
- Process terminations of providers
Use your skills to make an impact
Required Qualifications
- 2+ years of experience with Dental platforms and/or Dental Benefits
- Must be Detailed oriented
- Proactive thought leadership/Root Cause problem resolution skills
- Excellent oral and written communication skills
- Ability to multi-task, manage multiple projects, and meet deadlines
- Desire to learn and grow
- Experience with Excel and Outlook
- Customer Care/Service Experience
- Strong Organization skills
Preferred Qualifications
- Bachelor's Degree
- 3-4 years' experience in Health Care industry
- Experience working with MTV, CBIS, QicLink, DPNMS
- Experience with Dental Codes
Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. 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
40Pay 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.$48,900 - $66,200 per yearDescription 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 08-13-2026
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.
Originally posted on Himalayas
