Payor Contracting Manager

SGA Dental Partners
  • Claxton, Georgia
    16 days ago

    Job Description

    SGA Dental Partners is seeking a Payor Contracting Manager in Claxton, GA


    The Payor Contracting Manager is responsible for leading and overseeing the payor contracting and credentialing functions within the organization. This role ensures efficient execution of all provider onboarding, payor applications, and renewals, while maintaining accurate and compliant documentation across all providers and entities. The ideal candidate is detail-oriented, proactive, and experienced in managing both people and processes in a fast-paced healthcare or dental service environment.



    Key Roles and Responsibilities

    • Directly supervise the credentialing support teams.
    • Provide complete ownership and oversight of the payor contracting function, including the flexibility to assist in day-to-day execution during high-volume periods.
    • Train, mentor, and proactively manage team performance to ensure process efficiency and accuracy.
    • Monitor and address contracting and credentialing issues for awaiting or pending contracts, re-credentialing, new locations, missing documentation, and payor updates.
    • Load new providers and offices into contracting system and send application links or packets to payors and follow up as needed.
    • Maintain and track current data for all doctor and provider credentials, including dental and DEA licenses, certificates of insurance (COIs), and other expirables.
    • Lead communication and coordination with offices during contract changes or renewals.
    • Collaborate with revenue cycle leadership to identify process improvements and workflow optimization opportunities.
    • Perform additional administrative or operational duties as assigned



    Knowledge/Skills/Abilities

    • Excellent organizational and communication skills with strong attention to detail.
    • Proficiency in Microsoft Office Suite and credentialing/contract management software systems.
    • Experience in a Dental Service Organization (DSO) or multi-location healthcare setting.
    • Familiarity with payer portals, CAQH, and state/federal credentialing requirements.
    • Demonstrated ability to manage competing priorities and tight deadlines.
    • Collaborative leadership style with a focus on mentorship and cross-team support.



    Education/ Experience

    • Bachelor’s degree in Business Administration, Healthcare Management, or related field (or equivalent experience).
    • 5+ years of experience in payor contracting, credentialing, or revenue cycle management within a dental or healthcare organization.
    • 2+ years of leadership or supervisory experience preferred.
    • Strong understanding of insurance payor processes, credentialing standards, and provider data management.



    Benefits We Offer:

    • Paid Holidays and Paid Time Off (PTO)
    • 401(k) Retirement Plan
    • Health and Vision Insurance
    • Employer-Paid Dental Insurance, Life Insurance, Care.com Membership & Employee Assistance Program
    • Supplemental Coverage (Disability, Critical Illness, Accident)
    • Career Growth and Development Opportunities

    In hometown communities, SGA Dental Partners is a beacon of positive energy, delivering the highest level of clinical excellence and patient-centered care. Apply today to join us in making a difference!


    In order to maintain a high level of clinical excellence, SGA Dental Partners and dental practices affiliated with SGA maintain a drug free and alcohol free workplace. All new hires are required to pass a full panel drug screening as a condition of employment.

     


    SGA Dental Partners is an Equal Opportunity Employer and values diversity at every level of our team. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

    Numbers & Facts

    LocationClaxton, Georgia

    Skills

    • Accreditation Standardsunmatched
    • Administrative Skillsunmatched
    • Business Administrationunmatched
    • Communication Skillsunmatched
    • Contract Managementunmatched
    • Data Managementunmatched
    • Dental Insuranceunmatched
    • Detail Orientedunmatched
    • Diversityunmatched
    • Documentationunmatched
    • Healthcareunmatched
    • Healthcare Managementunmatched
    • Insuranceunmatched
    • Insurance Documentationunmatched
    • Leadershipunmatched
    • Life Insuranceunmatched
    • Mentoringunmatched
    • Microsoft Officeunmatched
    • Onboardingunmatched
    • Organizational Skillsunmatched
    • People Managementunmatched
    • Performance Managementunmatched
    • Physician Credentialunmatched
    • Process Developmentunmatched
    • Process Improvementunmatched
    • Provider Credentialingunmatched
    • Quality of Careunmatched
    • Revenue Managementunmatched
    • Team Lead/Managerunmatched
    • Team Playerunmatched
    • Time Managementunmatched
    • United States Drug Enforcement Agency (DEA)unmatched

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