National Dental Contracting Professional - Medicaid - VSP

Overview

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, manage the contracting process, and support provider onboarding to enhance member access to dental care.

• 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.
• Ensure providers understand Medicaid policies, compliance requirements, best practices, and program updates, thereby improving quality of care and adherence to regulatory standards.

• 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%.

• Bachelor's degree in business, healthcare administration, or related field preferred.

• Minimum internet download speed of 25 Mbps and 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 receive 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.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI/HIPAA information.

While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

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$65,000 – $88,600 per year

Humana, Inc. and its affiliated subsidiaries offer benefits for limited‑term, variable schedule, and per diem associates designed to support whole‑person well‑being. These benefits include paid time off, a 401(k) retirement savings plan, an employee assistance program, and business travel and accident coverage.

06‑04‑2026

Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through its Humana insurance services and its Center Well healthcare services, Humana makes it easier for the millions of people it serves to achieve their best health – delivering the care and service they need, when they need it.…