Director Payor Relations
Director Payor Relations
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Job Description
Tend is rewriting the playbook of modern dentistry by building a company around the patient and the provider. We believe that with the power of technology a hospitalitydriven mindset and a top tier clinical team we can make going to the dentist something to look forward to. Our vision is to transform the dental experience into one that is empowering human and personalized.
Since launching in 2019 we have provided exceptional care to over 100000 patients across five major cities: New York Washington DC Boston Atlanta and Nashville. With thousands of fivestar reviews Tend has become one of the countrys toprated and indemand dental practices with over 650 team members to support this mission. Were continuing to grow quickly and looking for the best of the best to come join our team.Tend is seeking a highly experienced Director of Payor Relations with a deep understanding of the dental industry to manage and strengthen relationships with insurance payors negotiate contracts and drive growth opportunities for the organization. The ideal candidate will have a strong background in dental insurance reimbursement strategies and payorprovider partnerships. This is a leadership position that requires strategic thinking excellent negotiation skills and the ability to work crossfunctionally with clinical and operational teams. This is a hybrid role based on Nashville TN.
Key Responsibilities:
- Establish and maintain strategic relationships with key dental payors.
- Lead the development of longterm strategic plans for Tends payor relations and overall growth.
- Create innovative programs with payors to optimize overall reimbursement.
- Identify and evaluate new business opportunities through payor partnerships and strategic collaborations.
- Lead negotiations for new and renewal contracts with payors ensuring favorable terms and competitive reimbursement rates.
- Collaborate with legal finance and clinical teams to ensure contracts align with business goals and regulatory requirements.
- Develop and implement reimbursement strategies that maximize revenue and minimize denials or delays.
- Analyze payor performance data including claims processing reimbursement rates and denial trends.
- Ensure that all payor agreements comply with state and federal regulations as well as industry standards and best practices.
- Work closely with operations billing clinical and marketing teams to ensure alignment of payor strategies with the overall business objectives.
Qualifications:
- Dental industry experience preferred healthcare experience a must.
- Bachelors degree in Business Administration Healthcare Management Finance or a related field.
- Minimum of 57 years of experience in a payor relations role.
- Proven track record of successful contract negotiations payor relationship management and reimbursement strategy development within the dental sector.
- Deep understanding of dental or medical insurance reimbursement models.
- Strong negotiation communication and interpersonal skills.
#hub2022
The Tend Difference
Required Experience:
Director
Employment Type
Full Time
