2h ago

Manager of Payor Relations - Dental

Houston, Texas, United States
full-timemanagerdental healthcare

Description

You will develop and manage relationships with insurance payors to negotiate favorable reimbursement rates and optimize network performance for specialty practices. Collaborate with Revenue Cycle Management and clinical teams to address payor-related challenges, ensure compliance, and improve cash flow.

Requirements

  • Experience in payor relations or dental insurance contracting
  • Strong negotiation and analytical skills
  • Knowledge of healthcare reimbursement models and regulations
  • Ability to collaborate cross-functionally with operations and clinical teams
  • Experience with credentialing and claims escalation

Responsibilities

  • Develop and maintain payor relationships for favorable contract terms
  • Analyze agreements for rate improvements and network optimization
  • Collaborate with RCM, operations, clinical leadership on payor issues
  • Lead contract negotiations and ensure regulatory compliance
  • Track payor performance KPIs and implement reimbursement strategies
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