Payor Optimization Lead - Credentialing & Contracting

SGA Dental Partners; Claxton (GA); On-site; USD 90,000 - 130,000; Full time

Benefits offered by this job

401(k) Retirement Plan

Health and Vision Insurance

Employer-Paid Dental Insurance

Life Insurance

Care.com Membership

Employee Assistance Program

Disability Insurance

Critical Illness Coverage

Accident Coverage

Career Growth Opportunities

Job summary

SGA Dental Partners is seeking a Payor Optimization Manager to lead payor contracting, credentialing, and insurance support across our dental practices. You will oversee onboarding, applications, renewals, contract execution, and maintain compliant documentation for all providers and locations.

You will build and execute payer strategies, analyze contract performance, and collaborate with finance, operations, clinical, and revenue cycle teams to improve reimbursement and efficiency.

Qualifications

• Bachelor’s degree or equivalent experience in a relevant field.
• 8+ years in payor contracting, credentialing, or revenue cycle management in healthcare.
• 5+ years of leadership or supervisory experience preferred.
• Strong understanding of payer processes and credentialing standards.

Responsibilities

• Lead credentialing and insurance contract support teams to ensure accuracy and performance.
• Oversee provider onboarding, applications, renewals, and contract execution.
• Develop payer strategies and negotiate favorable terms with payers.
• Monitor workflows for contracting and credentialing, including re-credentialing and new locations.
• Collaborate with finance, operations, clinical, and revenue cycle teams.
• Ensure compliance with regulations and internal policies.

Skills

Payer contracting

Credentialing leadership

Data analytics

MS Office proficiency

Cross-functional collaboration

Communication skills

Education

Bachelor's degree in Business Administration, Healthcare Management, or related field

Tools

Credentialing software

Job description

SGA Dental Partners is seeking a Payor Optimization Manager to lead payor contracting, credentialing, and insurance support across our dental practices. You will oversee onboarding, applications, renewals, contract execution, and maintain compliant documentation for all providers and locations.

You will build and execute payer strategies, analyze contract performance, and collaborate with finance, operations, clinical, and revenue cycle teams to improve reimbursement and efficiency.