National Dental Contracting Professional - Medicaid - VSP

Jobs › Boston, MA › National Dental Contracting Profes… Humana National Dental Contracting Professional

• Medicaid
• VSP Boston, MA Apply Become a part of our caring community The National Dental Contracting Professional
• Medicaid 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. Responsibilities of the National Dental Contracting Professional•

Medicaid:

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. This role is Variable Staffing Pool( VSP), Variable Staffing Pool Humana associates work specific hours to meet business needs on a limited term basis. 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. This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance Travel is required up to a minimum 20% Preferred Qualifications Bachelor's degree in business, healthcare administration, or related field preferred. Additional Information 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 1 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 Description of Benefits Humana, Inc.

and its affiliated subsidiaries (collectively, "Humana") offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident.

Application Deadline:

06-04-2026 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. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services.

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