Remote Payer Relations Manager - Dental Reimbursement

Dentive; Provo (UT); Remote; USD 95.000 - 120.000; Vollzeit

Benefits dieser Stelle

Full Benefits Package

Zusammenfassung

Dentive is seeking a Payer Relations Manager to oversee payer relationships, contract negotiations and reimbursement management for Dentive-affiliated dental practices. This remote role focuses on optimizing payer participation and reimbursement opportunities across the network.

You will negotiate contracts, analyze fee schedules, and collaborate with credentialing teams and the Central Business Office to drive improved financial performance and strategic payer guidance.

Qualifikationen

• Minimum of 5 years of direct experience negotiating dental payer contracts and reimbursement agreements.
• Strong understanding of dental revenue cycle management, reimbursement management, insurance participation, credentialing, and provider enrollment processes.
• Experience managing payer relationships and resolving complex contractual and reimbursement escalations.
• Strong understanding of dental practice operations and the financial impact of payer participation and reimbursement.
• Experience analyzing complex payer agreements, identifying contractual risks, and recommending strategies to improve financial performance.
• Advanced analytical skills with the ability to interpret payer data, fee schedules, and reimbursement trends.

Aufgaben

• Negotiate, review, and maintain dental payer contracts and reimbursement terms on behalf of Dentive-affiliated dental offices.
• Develop and execute strategies to optimize payer participation, network offerings, and reimbursement opportunities.
• Manage and oversee reimbursement strategies, including analyzing fee schedules, reimbursement rates, and payer performance.
• Serve as the primary relationship contact for assigned national dental payers, managing escalations and resolving high-impact contractual issues.
• Build and maintain relationships with national and regional dental insurance carriers.
• Evaluate existing payer agreements to identify opportunities for improved reimbursement, contract optimization, and risk mitigation.
• Analyze payer contracts, reimbursement methodologies, fee schedules, and contract language to identify opportunities.
• Provide strategic payer guidance and recommendations to affiliated practices, credentialing teams, and the Central Business Office.
• Partner with credentialing teams to support payer participation, provider enrollment, and network access.
• Oversee team priorities and help establish processes and accountability to ensure departmental goals and service expectations are met.
• Collaborate with operations, finance, revenue cycle management, and other internal stakeholders to address payer-related challenges.
• Monitor payer trends, policy changes, network updates, and industry developments that may impact affiliated practices.
• Develop and monitor reporting and performance metrics to evaluate payer performance, reimbursement trends, team productivity, and contract effectiveness.
• Identify opportunities to standardize payer strategies and improve processes across the Dentive network.

Kenntnisse

Negotiation

Payer Contracts

Revenue Cycle Management

Credentialing

Provider Enrollment

Data Analysis

Jobbeschreibung

Dentive is seeking a Payer Relations Manager to oversee payer relationships, contract negotiations and reimbursement management for Dentive-affiliated dental practices. This remote role focuses on optimizing payer participation and reimbursement opportunities across the network.

You will negotiate contracts, analyze fee schedules, and collaborate with credentialing teams and the Central Business Office to drive improved financial performance and strategic payer guidance.