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Riccobene Associates Family Dentistry
Riccobene Associates Family Dentistry
501 – 1.000 Angajați
Asistență medicală
Riccobene Associates Family Dentistry este o unitate medicală cu mai multe specializări, care oferă servicii stomatologice complete în peste 70 de locații din Carolina de Nord, Carolina de Sud și Virginia. Serviciile sale includ stomatologie generală și pediatrică, chirurgie orală, sedare intravenoasă, endodonție, ortodonție, implanturi dentare și stomatologie estetică. Clinica pune accent pe planuri de tratament personalizate, îngrijire atentă a pacienților, echipamente stomatologice moderne și o cultură organizațională bazată pe sprijin și standarde profesionale înalte.
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Locurile de muncă ale companiei

Director of Dental Payor Contracting and Relations

Lead dental payor strategy, fee negotiations, and contract integration for a growing, multi-state dental support organization. Work with the CFO and clinical leaders to strengthen revenue.

USStatele Unite ale AmericiiNCCarolina de NordHibridNormă întreagăLiderLimbă Obligatorie: englezăDirector

Descriere

  • Set enterprise payor strategy across commercial dental PPOs, leased and umbrella networks, oral surgery medical plans, and government programs.
  • Negotiate and renew fee schedules with national and regional carriers, including specialty-specific schedules.
  • Choose direct contracts or leased network access for each payor.
  • Recommend out-of-network or contract termination decisions using revenue and patient retention models.
  • Develop payor scorecards tracking volume, net collection rates, write-offs, and reimbursement for leading procedure codes.
  • Model the financial impact of proposed contracts and provide rate assumptions for budgets and board reporting.
  • Coordinate provider credentialing and payor enrollment so dentists are in network before seeing their first patients.
  • Serve as the senior escalation contact for systemic denials, underpayments, downgrades, and recoupment demands.
  • Evaluate payor contracts during acquisition due diligence and lead post-close contract integration.
  • Partner with Revenue Cycle, Operations, Clinical Leadership, and Compliance on payment accuracy, front office education, and payor policy changes.
  • Track state insurance regulations that affect payor contracts.
  • Report to the Chief Financial Officer.

Cerințe

  • Bachelor’s degree in business, finance, healthcare administration, or a related field; an MBA or MHA is a plus.
  • At least 8 years in payor contracting, network management, or managed care, including 3 years leading negotiations.
  • Practical experience negotiating dental PPO fee schedules for a multi-location group or from the payor or network side.
  • Working knowledge of CDT coding, dental benefit design, leased networks, and claim adjudication.
  • Strong Excel financial modeling skills and a record of documented rate improvements.
  • Experience with provider credentialing and enrollment, including CAQH.
  • DSO, multi-site healthcare, or private equity-backed experience is preferred.
  • Acquisition integration, oral surgery medical billing, or Medicaid dental program experience is a plus.
  • Communicates directly and with a focus on data; comfortable presenting recommendations to a CFO and board.
  • Available to travel up to 20%.

Beneficii

  • Competitive base pay with an annual bonus opportunity tied to results.
  • Medical, dental, vision, and 401(k) benefits.
  • Paid time off.
  • 401(k).
  • 401(k) matching.
  • Dental insurance.
  • Disability insurance.
  • Employee assistance program.
  • Employee discount.
  • Flexible spending account.
  • Health insurance.
  • Health savings account.
  • Life insurance.
  • Vision insurance.
  • Direct access to the CFO and executive team.
  • Opportunity to build a function and see its impact in a growing organization.

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