Director of Dental Insurance Strategy
About The Position
Reports to the Associate Dean of Clinical Administration. The Director of Dental Insurance Strategy is a visionary leader responsible for expanding the NYU College of Dentistry’s insurance acceptance capabilities, ensuring accessibility to all patients, and driving the strategic growth of commercial insurance participation. This role is pivotal in attracting new patients to the College, strengthening the institution's presence as a leading provider of comprehensive dental care. Additionally, the Director will design and implement innovative self-pay payment strategies, providing patients with flexible and affordable options to support their oral health needs. Where applicable, this position will be responsible for directing and coordinating the commercial insurance goals, and objectives related to contract language, pricing and negotiation strategy, planning and execution, commercial insurance revenue reconciliation as applicable, and payer relationship management on behalf of the organization. This position shall also be responsible for collaboration and communication between commercial insurance and managed care companies and key internal stakeholder within NYU Dentistry. Responsible for securing optimal reimbursement and protecting the interests of NYU Dentistry in contract negotiations and the implementation and management of commercial insurance and managed care contracts.
Requirements
- Bachelors Degree
- 7+ years of progressively responsible experience in a complex healthcare environment (healthcare consulting, managed care organization, insurance company, complex healthcare provider) or an equivalent combination of education and experience.
- Must have specific experience and a strong track record in developing strategy to address market issues in oral care.
- Experience with managed care and commercial insurance, including managed care contracting and reimbursement analysis in either a provider or payer setting.
- Experience with budget and staff management.
- Extensive knowledge of the oral care market, ability to think critically and sound understanding of complex concepts and quantitative analyses.
- Excellent oral and written communication/presentation skills.
- Effective planning, excellent managerial, analytical, leadership and project management skills.
- Proven ability to develop and implement policies, procedures and strategic plans that will assist with the monitoring of controls in business practices.
- Comprehensive Knowledge of regulations governing Article 28.
Nice To Haves
- Masters degree in business, health care administration, finance, insurance, marketing or related fields.
- 5+ years of progressively responsible professional level experience developing and directing revenue operations including policies and systems, and automated billing systems.
- In-depth knowledge of provider contracting, including complex reimbursement terms, adjudication rules, and trends in public and private payor policies.
- Extensive experience with the full range of provider organizations, in all areas of the country, with all major payors.
- Highly sophisticated analytic methodologies, including modeling of contract performance to identify underperforming contracts and services within each contract.
- Demonstrated success in working effectively with all local and national insurance companies.
- Healthcare consulting experience working to develop healthcare strategies is a plus.
- Prefer knowledge of Medicaid including administrative best practices for dental or a health-care environment.
- Familiarity with customer service and improvement practices in the area of denial management and accounts receivable.
Responsibilities
- Expanding the NYU College of Dentistry’s insurance acceptance capabilities
- Ensuring accessibility to all patients
- Driving the strategic growth of commercial insurance participation
- Attracting new patients to the College
- Strengthening the institution's presence as a leading provider of comprehensive dental care
- Design and implement innovative self-pay payment strategies
- Directing and coordinating the commercial insurance goals, and objectives related to contract language, pricing and negotiation strategy, planning and execution, commercial insurance revenue reconciliation as applicable, and payer relationship management on behalf of the organization
- Collaboration and communication between commercial insurance and managed care companies and key internal stakeholder within NYU Dentistry
- Securing optimal reimbursement and protecting the interests of NYU Dentistry in contract negotiations and the implementation and management of commercial insurance and managed care contracts.
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What This Job Offers
Job Type
Full-time
Career Level
Director
