Dental Payer Strategy & Contracts Specialist

SGA Dental Partners; Claxton (GA); On-site; USD 52,000 - 74,000; Full time

Benefits offered by this job

Paid Holidays & PTO

401(k) Plan

Health & Vision Insurance

Dental Insurance

Life Insurance

Care.com Membership

Employee Assistance Program

Disability Coverage

Critical Illness Coverage

Accident Coverage

Career Growth

Job summary

SGA Dental Partners is seeking an Insurance Contract Specialist in Claxton, GA to support payer strategies, contract management, and data-driven optimization across dental practices.

The role focuses on analyzing payer data, maintaining fee schedules and contracts, and collaborating with internal teams and payer partners to ensure compliance, accuracy, and operational efficiency. Schedule: Mon–Fri 8–5.

Qualifications

• High school diploma or GED.
• Data management and processing experience.
• Familiarity with payer data and fee schedules.
• Credentialing experience in medical/dental contexts preferred.

Responsibilities

• Support the development and execution of payer strategies to optimize reimbursement and improve financial performance.
• Maintain and support relationships with payer partners, assisting with contract negotiations and ongoing collaboration.
• Monitor and manage payer contracts and fee schedules, identifying discrepancies and supporting updates or renegotiations.
• Assist in conducting market and payer analysis to identify trends, risks, and opportunities.
• Perform UCR and payer mix analyses to support network optimization and practice performance.
• Maintain and update UCR fee schedules, including management of master fee schedule documentation.
• Analyze data to evaluate payer contract performance and identify areas for improvement.
• Prepare and distribute regular reports on payer performance and key operational metrics.
• Ensure accuracy and completeness of payer data, contract terms, and reporting across systems.
• Support compliance with regulations, payer requirements, and internal policies.
• Collaborate with internal teams (finance, operations, clinical, revenue cycle) to support payer-related initiatives and workflow improvements.
• Communicate with practices regarding payer updates, contract changes, and implementation activities.
• Assist with implementation of new contracts and fee schedules across practices.
• Support process improvement initiatives to enhance efficiency and data accuracy.
• Stay informed on industry trends, payer updates, and regulatory changes.
• Maintain confidentiality and adhere to documentation and compliance standards.
• Perform additional administrative or operational duties as assigned.

Skills

MS Excel

PowerPoint

Communication

Time management

Organization

Education

High school diploma or GED

Data management & processing experience

Associate Degree

Medical/Dental credentialing experience

Insurance payor processing & credentialing experience

Tools

Practice Management Software

Job description

SGA Dental Partners is seeking an Insurance Contract Specialist in Claxton, GA to support payer strategies, contract management, and data-driven optimization across dental practices.

The role focuses on analyzing payer data, maintaining fee schedules and contracts, and collaborating with internal teams and payer partners to ensure compliance, accuracy, and operational efficiency. Schedule: Mon–Fri 8–5.