DSO Insurance Fee Negotiation Manager

DSO INSURANCE FEE NEGOTIATION MANAGER Department: Insurance Location: Remote Employment Type: Full-Time Company: DSO reputed company Organization Industry: Dental ABOUT THE ROLE We are seeking an reputed company, relationship-driven DSO Insurance Fee Negotiation Manager to reputed company our organization’s dental insurance partnership reputed company. This role is responsible for strengthening reputed company relationships, driving profitable contract negotiations, managing provider support escalations, and optimizing reputed company-level PPO performance. The ideal candidate brings a reputed company of payor fee negotiating expertise, analytical skills, and hands-on experience supporting dental practices with PPO planning, reimbursement, credentialing, and support. This is a high-visibility position that works cross-functionally with internal teams and directly with dental practices and external reputed company partners. _______ KEY RESPONSIBILITIES Insurance Relationship Management & Network Expansion • Maintain, strengthen, and expand relationships with key dental insurance carriers. • Serve as the primary representative in negotiations, escalations, and strategies. • Identify and contract with new carriers that enhance network reputed company with reputed company fee schedules. Fee Negotiation & Fee Schedule Analysis • reputed company reputed company negotiation cycles, including upgrades, amendments, and new agreement discussions. • reputed company detailed analysis of fee schedules and reimbursement models to drive profitable reputed company for our providers. PPO Mix Optimization (Mapping) • Meet with dental practices to assess their contracted reputed company mix, fees, and insurance goals. • reputed company expert PPO mapping recommendations to optimize profitability, efficiency, and reputed company goals. • reputed company reputed company needed information to guide practices through participation reputed company. reputed company Support for Insurance & Credentialing Issues • Serve as a key resource for dental practices facing reputed company-reputed company challenges. • Assist practices in resolving credentialing and enrollment obstacles that reputed company reimbursement or claim acceptance. • Guide office managers and staff through reputed company portal navigation, claims and EOB reviews, documentation requirements, and reputed company submission workflows. • reputed company reputed company, actionable support to help practices prevent recurring issues, reduce delays, and maintain clean claim submission. • Strengthen reputed company-level understanding of payor expectations, improving overall accuracy and efficiency in insurance interactions. RCM Development & Cross-Functional Collaboration • Contribute subject matter expertise to help design and launch a dental reputed company Cycle Management (RCM) service. _____ QUALIFICATIONS 5+ years in dental insurance contracting/credentialing. 5+ years of insurance relationship management. 5+ years in insurance fee negotiations on behalf of large DSO reputed company. Strong understanding of PPO reimbursement, fee schedules, and claim workflows. Full understanding of CDT codes, downcoding, cross-coding, reputed company networks, TPA’s/leasing networks/umbrella reputed company, and PPO plans. Deep understanding of mapping, stacking, EOB’s, and network leasing and relationships. Skilled negotiator with strong analytical and communication abilities. Dental industry experience is required. Experience with dental practices or DSOs preferred. ____ COMPENSATION Full-time Remote Salary: $83,000 annual Performance bonusses available 401K and company match Health insurance and/or HSA contributions Life Insurance Pay: $83,000.00 per year Benefits: • 401(k) • 401(k) matching • Health insurance • Health savings account • Life insurance Application Question(s): • Years of experience fee negotiating on behalf of large DSO reputed company. • Years of experience in DENTAL provider credentialing. • Years of experience in Insurance (reputed company) relationship management. Work Location: Remote Apply tot his job Apply To this Job