Payer Strategy Specialist

MB2 Dental • , AZ

23h • Remote

About The Position

The Payer Strategy Specialist supports Payer Strategy’s mission to negotiate and maintain favorable terms and compensation with dental carriers on behalf of MB2 Dental Partner offices. The role focuses on data analytics, database scrubbing, and administrative support for Partner Support Managers. The specialist gathers, reviews, interprets, and presents data to support decision-making and Partner discussions, while collaborating with internal teams to investigate and resolve payer-related issues.

Requirements

• Ability to manipulate, interpret, and investigate data sets and turn data into information.
• Basic understanding of statistics.
• Ability to think critically and strategically, draw evidence-based conclusions, and make recommendations.
• Ability to project revenue lift and conduct profitability analysis.
• Strong customer service skills and orientation.
• Ability to work as part of a team and prioritize team and company needs.
• Ability to interact effectively with senior management in a cross-functional environment.
• Fluent in reading, writing, and speaking English.
• Clear and persuasive oral communication skills, including presenting information and responding to questions.
• Ability to write professional business correspondence and present numerical data effectively.
• Effective presentation skills, including presenting to small groups.
• Ability to multitask and prioritize workload in a fast-paced environment.
• Meticulous attention to accuracy and detail.
• Initiative and self-motivation to improve processes and outcomes.
• Ability to work productively in a remote environment with minimal supervision.
• Strong follow-up skills.
• Computer literacy.
• Familiarity navigating dental insurance portals.
• Working knowledge of Microsoft Office, including Outlook, Word, and Adobe.
• Advanced knowledge of Microsoft Excel, including creating, manipulating, analyzing, and interpreting spreadsheets.
• Working knowledge of the Internet, browsers, and search engines.
• Equivalent combinations of education and experience are considered.

Nice To Haves

• Associate degree desired.
• Dental industry experience preferred.
• Two to five years of dental office management and/or dental plan experience is desirable.
• Experience in dental billing and credentialing is desirable.

Responsibilities

• Support Partner Support Managers with UCR Reviews and Payer Reviews.
• Gather, interpret, and present data to support Partner discussions.
• Critically review data sets for accuracy and a valid basis for decision-making.
• Provide administrative support, including monitoring and delegating the Payer Strategy inbox, supporting the de novo launch process, and converting PDFs to Excel.
• Partner with internal departments, including Revenue Cycle and Credentialing, to research and resolve payer-related issues.
• Collect and investigate EOBs when offices encounter payment obstacles or similar challenges.
• Coordinate patient grievance resolution as needed.
• Perform other related duties as assigned.

What This Job Offers

• Job Type: Full-time
• Education Level: Associate degree