Payor Contracting Manager

SGA Dental Partners

Claxton (GA)

On-site

USD 75,000 - 110,000

Full time

5 days ago
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Benefits offered by this job

Paid Holidays & PTO
401(k) Retirement Plan
Health & Vision Insurance
Employer-Paid Dental Insurance
Care.com Membership & EAP
Career Growth Opportunities

Job summary

SGA Dental Partners in Claxton, GA seeks a Payor Contracting Manager to lead contracting and credentialing for multiple locations. You will oversee onboarding, payor applications, and renewals, ensuring compliant provider data and accurate documentation.

You will supervise credentialing teams, drive process improvements with revenue cycle leadership, and mentor staff in a fast-paced dental service environment.

Qualifications

  • Bachelor’s degree in Business Administration, Healthcare Management, or related field.
  • 5+ years of payor contracting, credentialing, or revenue cycle management in dental/healthcare.
  • 2+ years of leadership or supervisory experience.
  • Strong understanding of insurance payor processes and credentialing standards.
  • Experience with CAQH, payer portals, and provider data management.

Responsibilities

  • Directly supervise the credentialing support teams.
  • Provide complete ownership and oversight of the payor contracting function, including day-to-day execution during high-volume periods.
  • Train, mentor, and proactively manage team performance to ensure efficiency and accuracy.
  • Monitor and address contracting and credentialing issues for awaiting or pending contracts and renewals.
  • Load new providers and offices into the contracting system and follow up with payors as needed.
  • Maintain and track current data for all doctor/provider credentials, including licenses and COIs.
  • Lead communication with offices during contract changes or renewals.
  • Collaborate with revenue cycle leadership to identify process improvements.

Skills

Organizational skills
Communication skills
Leadership
Attention to detail
Prioritization

Education

Bachelor’s degree in Business Administration or Healthcare Management

Tools

Microsoft Office Suite
Credentialing software

Job description

SGA Dental Partners is seeking a Payor Contracting Manager in Claxton, GAThe Payor Contracting Manager is responsible for leading and overseeing the payor contracting and credentialing functions within the organization. This role ensures efficient execution of all provider onboarding, payor applications, and renewals, while maintaining accurate and compliant documentation across all providers and entities. The ideal candidate is detail-oriented, proactive, and experienced in managing both people and processes in a fast-paced healthcare or dental service environment.Key Roles and ResponsibilitiesDirectly supervise the credentialing support teams.Provide complete ownership and oversight of the payor contracting function, including the flexibility to assist in day-to-day execution during high-volume periods.Train, mentor, and proactively manage team performance to ensure process efficiency and accuracy.Monitor and address contracting and credentialing issues for awaiting or pending contracts, re-credentialing, new locations, missing documentation, and payor updates.Load new providers and offices into contracting system and send application links or packets to payors and follow up as needed.Maintain and track current data for all doctor and provider credentials, including dental and DEA licenses, certificates of insurance (COIs), and other expirables.Lead communication and coordination with offices during contract changes or renewals.Collaborate with revenue cycle leadership to identify process improvements and workflow optimization opportunities.Perform additional administrative or operational duties as assignedKnowledge/Skills/AbilitiesExcellent organizational and communication skills with strong attention to detail.Proficiency in Microsoft Office Suite and credentialing/contract management software systems.Experience in a Dental Service Organization (DSO) or multi-location healthcare setting.Familiarity with payer portals, CAQH, and state/federal credentialing requirements.Demonstrated ability to manage competing priorities and tight deadlines.Collaborative leadership style with a focus on mentorship and cross-team support.Education/ ExperienceBachelor’s degree in Business Administration, Healthcare Management, or related field (or equivalent experience).5+ years of experience in payor contracting, credentialing, or revenue cycle management within a dental or healthcare organization.2+ years of leadership or supervisory experience preferred.Strong understanding of insurance payor processes, credentialing standards, and provider data management.Benefits We Offer:Paid Holidays and Paid Time Off (PTO)401(k) Retirement PlanHealth and Vision InsuranceEmployer-Paid Dental Insurance, Life Insurance, Care.com Membership & Employee Assistance ProgramSupplemental Coverage (Disability, Critical Illness, Accident)Career Growth and Development OpportunitiesIn hometown communities, SGA Dental Partners is a beacon of positive energy, delivering the highest level of clinical excellence and patient-centered care. Apply today to join us in making a difference!In order to maintain a high level of clinical excellence, SGA Dental Partners and dental practices affiliated with SGA maintain a drug free and alcohol free workplace. All new hires are required to pass a full panel drug screening as a condition of employment.SGA Dental Partners is an Equal Opportunity Employer and values diversity at every level of our team. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
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