Imagen Dental Partners
Director, Credentialing & Payor Relations
Imagen Dental Partners, Phoenix, Arizona, United States, 85003
General Overview
Imagen Dental Partners is a community of the best players in the game. We surround the industry’s top dental experts with deep business expertise, resulting in the highest performing practices in the nation. We are the home for the exceptional, technology driven dentist. We strive for excellence in all that we do, supporting high achievers who embrace innovation. Founded by highly experienced industry experts we are expanding our footprint at tremendous speed. As a fast-growing startup, we look for people hungry for growth, who get things done, and are energized by a high-intensity environment. We’re building a culture at Imagen where ‘A’ players can do their best work. Developing powerful leaders and world class culture that generate revolutionary results. That’s why our top priority is creating an environment in which talented people excel, collaborate, and do the most influential work of their careers. We value new ideas, fresh perspectives, and unique voices. Every. Day. We lead. We forge our own path in the marketplace. No one’s been where we’re going. And that’s just how we like it. We strive to make the lives of everyone associated with our partner practices better. To bring a smile to every face. We create community — and inspire that community to become a movement. We are pioneering our own path to become Dentistry’s top player. We trust amazing people to do amazing things. Let’s grow together. Job Summary
The
Director of Credentialing & Payor Relations
role is responsible for creating, managing, and optimizing payor relationships and payor reimbursement to support practices in achieving 15% YOY growth. The role will also oversee the efficient and optimal process for credentialing and recredentialing provider as well as optimization of UCR fees.
Responsibilities
Enhance Imagen’s position in the market by building and maintaining strong relationships with applicable payors Be the subject-matter expert (SME) on fees, contract structure and rate structures. Regularly conduct UCR and Fee Analysis, making recommendations for updates to optimize reimbursements. Oversee the negotiation or renegotiation of payor contracts as well as credentialling partners Report market opportunities, monitor significant changes, and advise the leadership team accordingly Assist with reporting needs for budget purposes, revenue projections and long-range planning Research payors and rates in new markets Serve as liaison with Revenue cycle and other operational departments Address operational issues with payees by proactively identifying issues, and soliciting information and feedback from Revenue Cycle People Leader
Qualifications
5+ years previous experience in related role Excellent relationship management skills Excellent negotiation skills with proven track record Ability to thrive in a fast paced, dynamic environment Strong leadership ability and communication skills Smartsheet experience a plus Bachelor’s degree or equivalent experience. Our commitment to inclusion is woven into the core of who we are. We believe that we are strongest when we embrace the voices of our team members, patients, partners, and the communities we serve. We are committed to providing equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender (including pregnancy), sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty, status as a covered veteran, or any other class protected by federal, state, and local laws. Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities. Work location is Phoenix, Arizona. Local residents preferred. We are unable to consider applicants from all states, including but not limited to California, Hawaii, Illinois, New York, Jersey City, NJ, and Washington D.C. at this time.
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Imagen Dental Partners is a community of the best players in the game. We surround the industry’s top dental experts with deep business expertise, resulting in the highest performing practices in the nation. We are the home for the exceptional, technology driven dentist. We strive for excellence in all that we do, supporting high achievers who embrace innovation. Founded by highly experienced industry experts we are expanding our footprint at tremendous speed. As a fast-growing startup, we look for people hungry for growth, who get things done, and are energized by a high-intensity environment. We’re building a culture at Imagen where ‘A’ players can do their best work. Developing powerful leaders and world class culture that generate revolutionary results. That’s why our top priority is creating an environment in which talented people excel, collaborate, and do the most influential work of their careers. We value new ideas, fresh perspectives, and unique voices. Every. Day. We lead. We forge our own path in the marketplace. No one’s been where we’re going. And that’s just how we like it. We strive to make the lives of everyone associated with our partner practices better. To bring a smile to every face. We create community — and inspire that community to become a movement. We are pioneering our own path to become Dentistry’s top player. We trust amazing people to do amazing things. Let’s grow together. Job Summary
The
Director of Credentialing & Payor Relations
role is responsible for creating, managing, and optimizing payor relationships and payor reimbursement to support practices in achieving 15% YOY growth. The role will also oversee the efficient and optimal process for credentialing and recredentialing provider as well as optimization of UCR fees.
Responsibilities
Enhance Imagen’s position in the market by building and maintaining strong relationships with applicable payors Be the subject-matter expert (SME) on fees, contract structure and rate structures. Regularly conduct UCR and Fee Analysis, making recommendations for updates to optimize reimbursements. Oversee the negotiation or renegotiation of payor contracts as well as credentialling partners Report market opportunities, monitor significant changes, and advise the leadership team accordingly Assist with reporting needs for budget purposes, revenue projections and long-range planning Research payors and rates in new markets Serve as liaison with Revenue cycle and other operational departments Address operational issues with payees by proactively identifying issues, and soliciting information and feedback from Revenue Cycle People Leader
Qualifications
5+ years previous experience in related role Excellent relationship management skills Excellent negotiation skills with proven track record Ability to thrive in a fast paced, dynamic environment Strong leadership ability and communication skills Smartsheet experience a plus Bachelor’s degree or equivalent experience. Our commitment to inclusion is woven into the core of who we are. We believe that we are strongest when we embrace the voices of our team members, patients, partners, and the communities we serve. We are committed to providing equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender (including pregnancy), sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty, status as a covered veteran, or any other class protected by federal, state, and local laws. Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities. Work location is Phoenix, Arizona. Local residents preferred. We are unable to consider applicants from all states, including but not limited to California, Hawaii, Illinois, New York, Jersey City, NJ, and Washington D.C. at this time.
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