Strategic Director: Payor Relations & Credentialing (Hybrid)

Lone Peak Management Gr; Greenwood Village (CO); On-site; USD 81,000 - 99,000; Full time

Job summary

Lone Peak Dental Group in Denver, CO is seeking a Director of Payor Relations & Credentialing to lead credentialing, enrollment, and contracting across our multi-location network. The role requires strategic leadership, expert negotiation, and deep knowledge of Medicaid enrollment, CAQH, and NCQA standards to support growth and payer partnerships.

You will build scalable processes, mentor a team, and collaborate with Revenue Cycle and Compliance to align payor strategy with our organization’s

Qualifications

• 7+ years in dental credentialing with 3–5 years in payor relations or contracting.
• Experience with Medicaid dental payors and multi-state enrollment.
• Bachelor's degree required; CPCS or CPMSM a plus.

Responsibilities

• Oversee credentialing, enrollment, and payor relations for multiple locations.
• Lead contract negotiations and fee schedule optimization with payors.
• Ensure NCQA/CAQH compliance and Medicaid enrollment processes.
• Mentor and develop credentialing staff; monitor KPIs.

Skills

Credentialing leadership

Negotiation

Relationship management

Strategic thinking

Team leadership

Contracting experience

Medicaid knowledge

Education

Bachelor's degree

Tools

CAQH

NCQA standards

Provider enrollment systems

Job description

Lone Peak Dental Group in Denver, CO is seeking a Director of Payor Relations & Credentialing to lead credentialing, enrollment, and contracting across our multi-location network. The role requires strategic leadership, expert negotiation, and deep knowledge of Medicaid enrollment, CAQH, and NCQA standards to support growth and payer partnerships.

You will build scalable processes, mentor a team, and collaborate with Revenue Cycle and Compliance to align payor strategy with our organization’s