Payer Relations Manager

Payer Relations Manager - Remote Position
Dentive | Salary: $95,000–$120,000 per year
Full Benefits Package

We are looking for a Payer Relations Manager to join the Dentive team and oversee payer relationships, contract negotiations and reimbursement management. This individual will play a key role in optimizing payer participation and reimbursement opportunities across Dentive-affiliated dental practices.

Responsibilities

· 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 to identify opportunities for improvement.
· Serve as the primary relationship contact for assigned national dental payers, managing escalations and resolving high-impact contractual and operational issues.
· Build and maintain strong 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 financial and operational 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.

Qualifications

· 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.

If interested, we would love to hear from you!