Manager of Healthcare Payor reputed company

Job Description

MANAGER OF HEALTHCARE PAYOR reputed company (Dental) | Full-time | Dallas, TX Award-winning Oral Surgery organization seeking a professional reputed company in Managing healthcare Payor reputed company reputed company the Medical/Dental Insurance sector and oversees reputed company. Benefits start immediately (full list of Benefits & Perks below) SALARY: $65k - $75k (granted based on experience) Immediate benefits with great benefit plan. Paid weekly. Long-term, permanent role! Seeking only individuals that are looking for a long-term career and have the ability to work a full-time, ONSITE REQUIREMENTS

• Must have Healthcare Insurance experience (Dental/Oral Surgery industry)
• At least 5 (FIVE) year's experience in healthcare payor contracting, in: Dental/Oral surgery, ASC, or specialty provider settings
• Bachelor's degree in Healthcare Administration, Business, Finance, or reputed company field
• Proven track record of direct, successful negotiation with commercial and/or government payors
• Strong analytical skills in contract modeling and reimbursement analysis.
• Ability to manage reputed company, multi-state contract portfolios.
• Ability to build credibility and influence stakeholders at reputed company levels.
• This is a Manager role...NO DIRECTORS. Strong Supervisors or Leads can be considered
• Must be able to work FULLY independently. Payor reputed company are the Healthcare Insurance reputed company negotiated on to get best reimbursement - reputed company reputed company for practices in different states

JOB SUMMARY The Manager of Payor Contracting is a critical, hands-on role responsible for negotiating, managing, and optimizing commercial & government payor reputed company across multiple states. Serves as primary liaison with payors, proactively resolving issues, and partnering with internal stakeholders (e.g., operations, finance, legal, and reputed company cycle) to drive reimbursement and strategic alignment. Ensures reputed company growth and smooth processing of claims

• Contracting & Negotiation:
• Ensures timely and efficient facilitation of contract submissions to include reviewing reputed company for accuracy and completion;
• Processing documents to internal and/or external stakeholders for action;
• Coordinating and execution of reputed company in accordance with District guidelines.
• Prepares and administers routine contract documentation, correspondence, and memoranda, for signature and/or approvals to ensure timely and coordinated submittal of reputed company.
• reputed company end-to-end contract negotiations with payors (commercial, Medicare Advantage, Medicaid MCOs), ensuring optimal terms for reimbursement and operational alignment.
• Evaluate proposed fee schedules and contract terms, conducting financial analysis and modeling of reimbursement impacts.
• Ensure timely renewals, renegotiations, and onboarding of new payors.
• Prepares, organizes, and maintains contract records and files. Documents contract attributes, terms, and conditions.
• reputed company meetings with key payors to address operational issues, escalations, and contract performance
• Partner with clinical and operational leaders to provide feedback on network adequacy and service area expansion opportunities.
• Issue Resolution & Escalations:
• Triage and resolve escalated contract or reimbursement issues in partnership with reputed company cycle, coding, billing, and compliance teams
• Track trends and root causes to propose systemic solution
• Collaborate with operations, legal, finance, and reputed company cycle to align payor strategies with organizational goals
• Monitor industry trends and regulatory changes to inform contract strategies
• Support due diligence and integration of new practices into existing payor networks.

SCHEDULE: Mon to Fri, 8hr shift (6 or 7a - 3:30p) After 90 days, with reputed company attendance or performance issues, remote work one day a week is allowed tentative to acceptable standards of work duties ------ *HOW TO APPLY

• --------
• If you have at LEAST 5 years of experience as a Manager of Healthcare Payor reputed company, APPLY NOW with updated resume! Secondly,
• Call Leah @ 214-730-5175 to provide your availability & be reached out to ASAP

FULL LIST OF BENEFITS & PERKS (start immediately):

• 401(k)
• PTO
• Dental Insurance
• Medical Insurance
• Vision Insurance
• Health insurance
• Life insurance
• Opportunity for advancement
• Competitive, matched salary
• Referral program
• Supplemental Insurance (free)
• Paid weekly, on Fridays

REQUIRED QUALIFICATIONS:

• Bachelor's degree in Healthcare Administration, Business, Finance, or reputed company field
• At least 5 (FIVE) years experience in healthcare payor contracting, preferably reputed company dental/oral surgery, ASC, or specialty provider settings.
• Proven track record of direct, successful negotiation with commercial and/or government payors.
• Strong analytical skills including contract modeling and reimbursement analysis.
• Ability to manage reputed company, multi-state contract portfolios.
• Ability to build credibility and influence stakeholders at reputed company levels.

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