Strategic Director, Payor Relations & Credentialing

Lone Peak Dental Group; Denver (CO); Hybrid; USD 81,000 - 99,000; Full time

Benefits offered by this job

Hybrid work model

PTO and benefits

Job summary

Lone Peak Dental Group in the Denver area is seeking a Director of Payor Relations & Credentialing to lead credentialing, enrollment, payor relations, and insurance contracting. This leadership role focuses on strategic partnerships with payors, Medicaid participation, and scalable processes to support multiple locations.

You will guide contract negotiations, monitor enrollment timelines, and establish KPIs to improve reimbursement and ensure compliance across states as the practice grows.

Qualifications

• 7 years of experience in dental credentialing with 3–5 years in payor relations.
• Experience in multi-location dental organizations, DSOs, or similar.
• Bachelor's degree required; CPCS CPMSM certification a plus.

Responsibilities

• Lead payor relations, enrollment, credentialing, and contracting functions.
• Negotiate contracts and fee schedules across commercial and Medicaid lines.
• Oversee credentialing for providers across the organization, ensuring timely enrollment.
• Build scalable credentialing processes to support growth and acquisitions.
• Develop metrics and reporting to drive performance and visibility.

Job description

Lone Peak Dental Group in the Denver area is seeking a Director of Payor Relations & Credentialing to lead credentialing, enrollment, payor relations, and insurance contracting. This leadership role focuses on strategic partnerships with payors, Medicaid participation, and scalable processes to support multiple locations.

You will guide contract negotiations, monitor enrollment timelines, and establish KPIs to improve reimbursement and ensure compliance across states as the practice grows.