**Description** The Provider Engagement Professional 1 develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the contracted working relationship with the health plan. The Provider Engagement Professional 1 work assignments are often straightforward and of moderate complexity. **Responsibilities** The Provider Engagement Professional 1 - Network Development and Relations-Dental works directly with our Provider Network to develop and strengthen relationships. Educating our providers on the value of participating in the Humana Dental Network and creating a mutual professional relationship with those providers, is key to the growth of the Network. The ability to create an 'easy to do business with' environment for the providers is a key function of this role. + Work with DSO & large group partners on credentialing and re-credentialing projects. + Work with claims unit to identify and assist in claim resolutions for providers on all systems + Educate Provider Offices on all existing and new products and plans + Provide support to Provider Offices on all maintenance and service issues + Assist with member/provider disputes and provide assistance to SIU and G&A + Assist Provider Offices/Rental Partners with any contract issue. + Work proactively with offices regarding fee schedule and financial incentive discussions. + Work with Rental Partners to assure cost saving measures have been met. + Add/Term locations, associates and products to existing provider relationships + Provide support with new product roll-outs and assist in re-contracting efforts + Process terminations of providers **Required Qualifications** + Significant knowledge of Dental platforms + Detailed oriented + Proactive thought leadership/Root Cause problem resolution skills + Excellent oral and written communication skills + Ability to multi-task, manage multiple projects, and meet deadlines + Desire to learn and advance + Computer Proficiency and Experience MTV, ATV, CBS, QuickLinks, Excel and Outlook, DPNMS (new internal system) + WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required. **Preferred Qualifications** + Bachelors Degree + 3-4 years experience in Health Care industry + Customer Care/Service Experience **Additional Information** For this job, associates are required to be fully COVID vaccinated or undergo weekly COVID testing and wear a face covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home. We are ahealthcarecompany committed to putting health and safety first for our members, patients, associates, and the communities we serve. If progressed to offer, you will be required to: + Provide proof of full vaccinationor commit to testing protocols **OR** + Provide proof of applicable exemption including any required supporting documentation Medical, religious, state and remote-only work exemptions are available. \#LI-KR1 **Scheduled Weekly Hours** 40 <>
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• Financial Services