Payer Relations Manager

Dentive HQ•Provo, UT

19h•Remote

About The Position

Dentive is seeking a Payer Relations Manager to oversee payer relationships, contract negotiations, and reimbursement management. The role helps optimize payer participation and reimbursement opportunities across Dentive-affiliated dental practices. It serves as the primary relationship contact for assigned national dental payers and provides strategic payer guidance to affiliated practices and internal teams.

Requirements

At least 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, including the ability to interpret payer data, fee schedules, and reimbursement trends.

Responsibilities

Negotiate, review, and maintain dental payer contracts and reimbursement terms for Dentive-affiliated dental offices.
Develop and execute strategies to optimize payer participation, network offerings, and reimbursement opportunities.
Manage reimbursement strategies by analyzing fee schedules, reimbursement rates, and payer performance to identify improvement opportunities.
Serve as the primary relationship contact for assigned national dental payers, managing escalations and resolving high-impact contractual and operational issues.
Build and maintain relationships with national and regional dental insurance carriers.
Evaluate existing payer agreements for improved reimbursement, contract optimization, and risk mitigation opportunities.
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 meet departmental goals and service expectations.
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 affect affiliated practices.
Develop and monitor reporting and performance metrics for payer performance, reimbursement trends, team productivity, and contract effectiveness.
Identify opportunities to standardize payer strategies and improve processes across the Dentive network.