Payor Contracting Manager

Socket.dev; Claxton (GA); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

401(k) plan

Health & Vision Insurance

Dental Insurance (Employer-Paid)

Life Insurance

Care.com Membership

Employee Assistance Program (EAP)

Disability Coverage

Critical Illness Coverage

Accident Insurance

Paid Holidays & PTO

Career Growth

Job summary

SGA Dental Partners in Claxton, GA is seeking a Payor Contracting Manager to lead contracting and credentialing across provider networks. You will oversee onboarding, applications, renewals, and maintain compliant documentation for multiple providers and entities.

The ideal candidate has extensive experience in payor contracting/credentialing within a dental or healthcare setting, with strong leadership and process improvement capabilities.

Qualifications

• Bachelor’s degree in a related field or equivalent experience.
• 5+ years of payor contracting/credentialing/revenue cycle management in healthcare.
• 2+ years of leadership or supervisory experience preferred.
• Strong understanding of insurance payor processes and credentialing standards.

Responsibilities

• Supervise credentialing support teams.
• Own and oversee payor contracting and credentialing functions; assist during high-volume periods.
• Train, mentor, and manage team performance for efficiency and accuracy.
• Address contracting/credentialing issues for pending contracts, re-credentialing, new locations, missing documents, and payor updates.
• Load providers and offices into contracting systems and distribute application packets to payors.
• Maintain current provider data including licenses, COIs, and expirables.
• Coordinate with offices during contract changes or renewals.
• Collaborate with revenue cycle leadership to identify process improvements.
• Perform additional administrative or operational duties as needed.

Skills

Organizational skills

Communication skills

MS Office

Credentialing software

DSO experience

Education

Bachelor’s degree in Business Administration/Healthcare Management

Tools

CAQH

Credentialing software systems

Job description

SGA Dental Partners is seeking a Payor Contracting Manager in Claxton, GA

The 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 Responsibilities

• Directly 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 assigned

Knowledge/Skills/Abilities

• Excellent 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/ Experience

• Bachelor’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 Plan
• Health and Vision Insurance
• Employer-Paid Dental Insurance, Life Insurance, Care.com Membership & Employee Assistance Program
• Supplemental Coverage (Disability, Critical Illness, Accident)
• Career Growth and Development Opportunities

In hometown communities, SGA Dental Partners is a beacon of positive energy, delivering the highest level of clinical excellence and patient-centered care.

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.