Payer Relations Manager

• Pay or shift range: $95,000 USD to $120,000 USD
  The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other job-related reasons.
• Corporate
• Full-Time
• Requisition #: PAYER
  001985

Payer Relations Manager - Remote Position
Dentive | Salary: $95,000–$120,000 per year
Full Benefits Package

We are looking for a Payer Relations Manager to join the Dentive team and oversee payer relationships, contract negotiations and reimbursement management. This individual will play a key role in optimizing payer participation and reimbursement opportunities across Dentive-affiliated dental practices
.

• Negotiate, review, and maintain dental payer contracts and reimbursement terms on behalf of Dentive-affiliated dental offices.
• Develop and execute strategies to optimize payer participation, network offerings, and reimbursement opportunities.
• Manage and oversee reimbursement strategies, including analyzing fee schedules, reimbursement rates, and payer performance to identify opportunities for improvement.
• Serve as the primary relationship contact for assigned national dental payers, managing escalations and resolving high-impact contractual and operational issues.
• Build and maintain strong relationships with national and regional dental insurance carriers.
• Evaluate existing payer agreements to identify opportunities for improved reimbursement, contract optimization, and risk mitigation.
• Analyze payer contracts, reimbursement methodologies, fee schedules, and contract language to identify financial and operational opportunities.
• Provide strategic payer guidance and recommendations to affiliated practices, credentialing teams, and the Central Business Office.
• Partner with credentialing teams to support payer participation, provider enrollment, and network access.
• Oversee team priorities and help establish processes and accountability to ensure departmental goals and service expectations are met.
• Collaborate with operations, finance, revenue cycle management, and other internal stakeholders to address payer-related challenges.
• Monitor payer trends, policy changes, network updates, and industry developments that may impact affiliated practices.
• Develop and monitor reporting and performance metrics to evaluate payer performance, reimbursement trends, team productivity, and contract effectiveness.
• Identify opportunities to standardize payer strategies and improve processes across the Dentive network.

• Minimum of 5 years of direct experience negotiating dental payer contracts and reimbursement agreements.
• Strong understanding of dental revenue cycle management, reimbursement management, insurance participation, credentialing, and provider enrollment processes.
• Experience managing payer relationships and resolving complex contractual and reimbursement escalations.
• Strong understanding of dental practice operations and the financial impact of payer participation and reimbursement.
• Experience analyzing complex payer agreements, identifying contractual risks, and recommending strategies to improve financial performance.
• Advanced analytical skills with the ability to interpret payer data, fee schedules, and reimbursement trends.

Equal Opportunity Employer

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