National Dental Contracting Professional - Medicaid

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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.

• 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.

40

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

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and…