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Director – Payor Relations
| Company | Tend |
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| Location | New York, NY, USA |
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| Salary | $150000 – $170000 |
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| Type | Full-Time |
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| Degrees | Bachelor’s |
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| Experience Level | Senior |
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Requirements
- Dental industry experience preferred, healthcare experience a must.
- Bachelor’s degree in Business Administration, Healthcare Management, Finance, or a related field.
- Minimum of 5-7 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.
Responsibilities
- Establish and maintain strategic relationships with key dental payors.
- Lead the development of long-term strategic plans for Tend’s 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.
Preferred Qualifications
- Dental industry experience preferred.
