Payor Optimization Lead, Dental Contracts

117090 SGA Dental Partners OPCO LLC; Claxton (GA); On-site; USD 95,000 - 125,000; Full time

Benefits offered by this job

Paid Holidays and PTO

401(k) Retirement Plan

Health and Vision Insurance

Employer-Paid Dental Insurance, Life,

Care.com Membership & EAP

Disability & Critical Illness

Job summary

SGA Dental Partners is seeking a Payor Optimization Manager to lead credentialing and insurance contracting, ensuring compliant documentation across multiple providers and entities. The role focuses on onboarding, payer applications, renewals, and strong payer relationships to optimize reimbursement.

The ideal candidate will have extensive experience in payor contracting within healthcare, demonstrated leadership, and the ability to drive process improvements in a fast-paced dental service

Qualifications

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

Responsibilities

• Lead credentialing and insurance contract support teams for accuracy and efficiency.
• Support the full payer contracting lifecycle including onboarding, applications, renewals, and contract execution.
• Maintain relationships with payer partners to support negotiations and reimbursement optimization.
• Oversee contracting and credentialing workflows, including re-credentialing and new locations.
• Conduct market/payer landscape analysis to identify trends and opportunities.
• Develop and execute payer strategies to improve financial performance.
• Utilize data analytics to evaluate contract performance and identify improvements.
• Ensure compliance with healthcare regulations and internal policies.
• Collaborate with finance, operations, clinical, and revenue cycle teams to align strategies.
• Communicate changes to offices and stakeholders during renewals and payer updates.
• Identify process improvements and workflow optimizations.
• Maintain strict adherence to regulatory and documentation standards.

Skills

Organizational skills

Communication

Leadership

Project management

Data analysis

Cross-functional collaboration

Education

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

Tools

Credentialing software

MS Office

Payer portals

Job description

SGA Dental Partners is seeking a Payor Optimization Manager to lead credentialing and insurance contracting, ensuring compliant documentation across multiple providers and entities. The role focuses on onboarding, payer applications, renewals, and strong payer relationships to optimize reimbursement.

The ideal candidate will have extensive experience in payor contracting within healthcare, demonstrated leadership, and the ability to drive process improvements in a fast-paced dental service