InterDent Service Corporation · 2 days ago
Director, Payor Relations
El Segundo, CA
Full-time
Onsite
Director/Executive
$125K/yr - $150K/yr
10+ years expInterDent Service Corporation is a well-established organization that provides comprehensive dental support and administrative services across multiple states. The Director of Payor Relations is responsible for securing optimal compensation and contractual terms for dental offices, focusing on strategic negotiation and relationship management with payors to maximize revenue performance.
Hospital & Health Care
Responsibilities
Strategic Opportunity Analysis
Own and refine the opportunity model that quantifies and prioritizes payor negotiation opportunities
Enhance model functionality and outputs to improve decision-making
Oversee and guide all opportunity assessment analytics, ensuring accuracy and business impact
Payor Negotiations & Contracting
Lead negotiations with payors across plan types (PPO, HMO, leased networks, etc.) to achieve optimal fee schedules and contract terms
Develop negotiation packets and strategies that drive targeted payors into active discussions
Establish recurring negotiation cycles with key payors to maintain competitive reimbursement
Evaluate underperforming agreements; recommend continuation, renegotiation, or termination
Monitor existing contracts to ensure compliance, minimize provider risk, and maintain best-in-class terms
Payor Relationship Management
Build and maintain strong, collaborative relationships with payors
Conduct regular performance reviews to identify opportunities for enhanced reimbursement and operational efficiency
Serve as the escalation point for multi-practice payor issues, coordinating cross-functional solutions
Provide expert guidance to internal teams (Operations, Revenue Cycle, Compliance) on payor protocols, claims processing, and reimbursement trends
Operational & Compliance Support
Drive adoption of operational efficiencies (EDI, EFT, ERA, web portals, delegated credentialing) in alignment with industry best practices
Partner with Compliance to resolve patient grievances promptly and fairly
Maintain a comprehensive, current library of payor agreements
Represent the organization and its brands in payor meetings, clearly articulating market position and value proposition
Qualification
Required
Proven success in payor contracting and negotiations, preferably within dental, medical, or multi-site healthcare organizations
Strong analytical and financial acumen with ability to translate complex data into actionable strategy
Exceptional relationship-building, communication, and influencing skills
Knowledge of reimbursement models, compliance requirements, and industry best practices
Minimum of a bachelor's degree in business, Healthcare Administration, or related field (preferred). Master's degrees are favorable
Extensive knowledge of various dental benefit models (FFS, Indemnity, PPO, EPO, DHMO, Discount, Medicaid, Medicare Advantage)
Ideally has at least 10 years' experience in the dental industry, including 2–5 years of direct provider-side experience
Experience working with dental insurance payors (or within a payor organization) is highly advantageous
Equivalent combinations of education and relevant experience will be considered
Benefits
10% annual corporate bonus
Company
InterDent Service Corporation
InterDent is a dental service organization with over 150 affiliated dental offices serving over one million patients each year.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Brian Montano
CBO Coordinator
Darrin Kellaris
Chief Marketing Officer
Recent News
prospectstreet.com
2023-02-21
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