Dental Recontracting Professional - Vsp

CarePlus Health Plans Inc

Base: $65,000 - $88,600 py; bonus/equity: not spec...
Hybrid
2-5 years managed care contract negotiation experience
Proficiency in analyzing payment structures and reimbursement rates
Excellent written and verbal communication skills
CarePlus Health Plans Inc. is seeking a Dental Recontracting Professional to initiate and negotiate contracts with healthcare providers, particularly dentists, to ensure alignment with their new agreements. The ideal candidate will possess experience in managed care contracts and have strong communication and analytical skills

Job Summary

  • The Provider Contracting Professional will recontract Humana contracted dentists to the new agreement and communicate specific terms to providers.
  • This role requires interpreting complex contract terms and making independent determinations on appropriate courses of action with minimal direction.
  • Humana offers a comprehensive benefits package including paid time off, a 401(k) retirement savings plan, and an employee assistance program.

Matching Summary

Match Score: 85

CarePlus Health Plans Inc. is seeking a Dental Recontracting Professional to initiate and negotiate contracts with healthcare providers, particularly dentists, to ensure alignment with their new agreements. The ideal candidate will possess experience in managed care contracts and have strong communication and analytical skills.

Salary

Base: $65,000 - $88,600 per year; Bonus/Equity: Not specified; Benefits: Paid time off, 401(k), EAP, travel and accident coverage

Skills & Requirements

Must-have

  • 2-5 years managed care contract negotiation experience
  • Proficiency in analyzing payment structures and reimbursement rates
  • Excellent written and verbal communication skills
  • Ability to manage multiple priorities in fast-paced environment
  • Proficiency in MS Office applications

Nice-to-have

  • Experience with Value Based Contracting models
  • Prior experience working directly with Dental offices
  • Bachelor's degree in relevant field
  • Understanding of network composition and recruitment needs

Key Requirements

  • 2-5 years experience negotiating managed care contracts
  • Experience working with insurance in a dental office
  • Bachelor's degree (Preferred)

Work Rights

Not specified

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