National Dental Contracting Professional - Medicaid - VSP

Overview

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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. The recruiter develops relationships with dental providers, manages the contracting process, and supports 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.

• Ensures 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.

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

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

$65,000 - $88,600 per year

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.

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. See our