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Provider Engagement Professional - Network Development and Relations-Dental at Humana - ApplyBlast

Provider Engagement Professional - Network Development and Relations-Dental

Humana

3 months ago

3.6 on Glassdoor

Hybrid

Full Time

Senior

0 applicants

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About this role

The Provider Engagement Professional develops and strengthens long-term relationships with dental providers to support network growth and financial performance. This role involves educating providers on plans, resolving claims issues, managing credentialing, and assisting with contract and fee schedule discussions. The position requires a proactive approach to problem resolution and strong communication skills to create an easy business environment for partners.

Responsibilities

Develop and strengthen relationships with dental provider networks
Educate providers on existing and new dental products and plans
Support claim resolutions and assist with member disputes
Manage credentialing and re-credentialing projects for partners
Assist with contract issues and fee schedule discussions

Skills

Qualifications

Bachelor's DegreeExperience with MTVExperience with CBISExperience with QicLinkExperience with DPNMS

About Humana

humana.com

Headquarters

Louisville, Kentucky, United States

Company Size

10001+ employees

Founded

1961

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